Social Deprivation Features in Intensive Care Unit Patients

Socioeconomic Factors Clinical Trial

— PRECAREA  

Official title:

Epidemiology and Prognostic Impact of Social Deprivation Features in Intensive Care Unit Patients

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT03607019
• Other study ID #: 2017-A01272-51
• Status: Completed
• Start date: March 5, 2018
• Est. completion date: September 30, 2018

Study information

• Verified date: March 2022
• Source: Centre Hospitalier de Saint-Denis
• Contact: n/a
• Is FDA regulated: No
• Study type: Observational

Clinical Trial Summary

Socioeconomic inequalities are increasingly recognised as an important public health issue, and it is now well established that patients with socioeconomic deprivation (SED) features demonstrate higher mortality and morbidity. The epidemiology and impact of SED on the specific population of ICU patients has been insufficiently investigated.

In this prospective multicenter study of patients admitted to 9 ICUs of the Paris area, the investigators aim to explore the epidemiology of SED features, and its impact on mortality and length of stay.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 234
• Est. completion date: September 30, 2018
• Est. primary completion date: September 15, 2018
• Accepts healthy volunteers: No
• Gender: All
• Age group: 18 Years and older

Eligibility

Inclusion Criteria:

• Age = 18 years

• Admission to one of the participating intensive care units

Exclusion Criteria:

• None

Related Conditions & MeSH terms

• Socioeconomic Factors

Locations

Country	Name	City	State
France	Centre Hospitalier Universitaire Ambroise Paré	Boulogne-Billancourt
France	Centre Hospitalier Universitaire Louis Mourier	Colombes
France	Centre Hospitalier Sud-Francilien	Corbeil-Essonnes
France	Centre Hospitalier Universitaire Henri Mondor	Créteil
France	Grand Hopital de l'Est Francilien	Jossigny
France	Groupe Hospitalier Nord-Essone	Longjumeau
France	Centre Hospitalier Intercommunal André Grégoire	Montreuil
France	Centre Hospitalier Universitaire Lariboisière	Paris
France	Centre Hospitalier de Saint-Denis	Saint-Denis

Sponsors (1)

Lead Sponsor	Collaborator
Centre Hospitalier de Saint-Denis

Country where clinical trial is conducted

France, 

References & Publications (6)

Bein T, Hackner K, Zou T, Schultes S, Bösch T, Schlitt HJ, Graf BM, Olden M, Leitzmann M. Socioeconomic status, severity of disease and level of family members' care in adult surgical intensive care patients: the prospective ECSSTASI study. Intensive Care Med. 2012 Apr;38(4):612-9. doi: 10.1007/s00134-012-2463-x. Epub 2012 Jan 25. — View Citation

Bigé N, Hejblum G, Baudel JL, Carron A, Chevalier S, Pichereau C, Maury E, Guidet B. Homeless Patients in the ICU: An Observational Propensity-Matched Cohort Study. Crit Care Med. 2015 Jun;43(6):1246-54. doi: 10.1097/CCM.0000000000000944. — View Citation

Latour J, López V, Rodriguez M, Nolasco A, Alvarez-Dardet C. Inequalities in health in intensive care patients. J Clin Epidemiol. 1991;44(9):889-94. — View Citation

Marmot M, Allen J, Bell R, Bloomer E, Goldblatt P; Consortium for the European Review of Social Determinants of Health and the Health Divide. WHO European review of social determinants of health and the health divide. Lancet. 2012 Sep 15;380(9846):1011-29. doi: 10.1016/S0140-6736(12)61228-8. Epub 2012 Sep 8. Review. — View Citation

Welch CA, Harrison DA, Hutchings A, Rowan K. The association between deprivation and hospital mortality for admissions to critical care units in England. J Crit Care. 2010 Sep;25(3):382-90. doi: 10.1016/j.jcrc.2009.11.003. Epub 2010 Jan 15. — View Citation

Zager S, Mendu ML, Chang D, Bazick HS, Braun AB, Gibbons FK, Christopher KB. Neighborhood poverty rate and mortality in patients receiving critical care in the academic medical center setting. Chest. 2011 Jun;139(6):1368-1379. doi: 10.1378/chest.10-2594. Epub 2011 Mar 31. — View Citation

Outcome

Type	Measure	Description	Time frame	Safety issue
Other	30-day mortality of pre-specified subgroup of undocumented immigrants	30-day mortality of pre-specified subgroup of patients who are undocumented	30 days
Other	30-day mortality of pre-specified subgroup of deprived patients aged between 18 and 25 years old	30-day mortality of pre-specified subgroup of deprived patients (ie without healthcare coverage and/or without income and/or without housing) aged between 18 and 25 years old	30 days
Primary	30-day mortality	30-day mortality	30 days
Secondary	ICU length of stay	ICU length of stay	up to 12 weeks
Secondary	Hospital length of stay	Hospital length of stay	up to 12 weeks
Secondary	ICU mortality	ICU mortality	up to 12 weeks