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Completed

NCT Number: NCT00893672

Comparison of Two Chest Radiograph Prescription Strategies in Intensive Care Unit

Current guidelines recommend Routine daily chest radiographs (CXRs) for mechanically ventilated patients in intensive care units (ICUs). However, some ICUs have shifted to an On-demand strategy, in which this CXR is only prescribed if warranted by the patient's status at the morning physical examination. Here the investigators compared Routine and On-demand strategies in 21 French ICUs. The working hypothesis was that CXR prescriptions would fall by at least 20% with the On-demand strategy, with no reduction in quality of care.

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Key information

Conditions

Patient Care Intensive Care Units Pathologic Processes Pathological Conditions, Signs and Symptoms Quality of Health Care Respiration Disorders Respiratory Aspiration Respiratory Tract Diseases Ventilation, Mechanical

Age range

18 year and older

Sex eligibility

All sexes

Study type

Observational

Primary location

Hopital Saint-Antoine

Paris, 75012, France

About this study

Based on a cluster-randomized two-period two-strategies cross-over design, respectively 11 and 10 participating ICUs applied the Routine and On-demand strategies during the first period, each enrolling 20 consecutive patients requiring mechanical ventilation for at least two days. Each ICUs applied then applied the alternative strategy during the second period, again enrolling 20 consecutive patients.

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • All newly admitted adult patients receiving mechanical ventilation at the time of the morning visit-any day during their ICU stay

Exclusion criteria

  • Patients with mechanical ventilation lasting less than 2 days

Treatment and study plan

Primary outcomes

  1. Average number of chest radiographs per patient-day during mechanical ventilation

    Time frame: Every patient-day during mechanical ventilation.

Secondary outcomes

  1. Mortality rate in ICU

    Time frame: During the inpatient stay in ICU

  2. Average length of stay

    Time frame: During the inpatient stay in ICU

  3. Average duration of mechanical ventilation

    Time frame: During the inpatient stay in ICU

  4. Number of radiographs with new findings leading to therapeutic or diagnostic interventions

    Time frame: During the inpatient stay in ICU

Sponsors and collaborators

Lead sponsor

Assistance Publique - Hôpitaux de Paris

Other

Registry information

Official study title

A Cluster-Randomized Two-Period Cross-Over Study Comparing Routine and on-Demand Prescription of Chest Radiographs in Mechanically Ventilated Adults : the RARE Study

Acronym: RARE

Important dates

Study start
2006
Primary completion
2007
Study completion
2009
First posted
May 6, 2009
Registry last updated
May 6, 2009

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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