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Completed

NCT Number: NCT02307136

Evaluation of the Impact of Within-hospital Trajectories of Patients Admitted in Intensive Care Units (ICU) From Emergency Departments

This multicenter cohort aims to assess the impact of within-hospital trajectories of patients admitted in intensive care units from emergency departments on vital prognosis of patients, duration of hospital stay and hospital costs.

As secondary objectives, the study will:

* assess the impact of clinical and demographic characteristics on hospital trajectories of patients. * assess the impact of emergency units workload, beds availability in medical units and in intensive care units, and global hospital organisation on patients care trajectories.

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Key information

Conditions

Intensive Care Units Disease Attributes Emergencies Emergency Department Pathologic Processes Pathological Conditions, Signs and Symptoms

Age range

18 year and older

Sex eligibility

All sexes

Study type

Observational

Primary location

Emergency Department, Bichat-Claude Bernard Hospital

Paris, Île-de-France Region, 75018, France

About this study

The study will be performed in emergency departments and ICUs of university hospitals. 15 emergency departments and 36 ICUs of APHP (the public hospital system of the city of Paris) will be involved.

The study will assemble the data from 50,000 to 80,000 patients in total.

Eligible patients are admitted in ICUs between 01/01/2007 and 12/31/2011.

Extraction of the patients' data will be performed with processing software utilised in APHP, i.e. Healthcare Information System Program (PMSI, Urqual, Gilda...etc.).

Collected patients' data span the period from admission in emergency department or medical department unitl hospital discharge.

Who can participate

Healthy volunteers accepted: No

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

Inclusion criteria

  • Adult patient directly admitted in ICU from emergency departments of APHP (the public hospital system of the city of Paris).
  • Adult patient indirectly transferred to ICU from an hospitalization unit, initially admitted from an emergency department of APHP.

Exclusion criteria

  • Patient transferred from APHP toward an external hospital, outside APHP, before being admitted in an ICU.

Treatment and study plan

Primary outcomes

  1. Mortality

    Time frame: throughout the study: 5 years

    Mortality in ICU and in other hospital units

  2. Rate of direct transfer

    Time frame: throughout the study: 5 years

    Rate of direct transfer from Emergency Unit to ICU

  3. Rate of indirect transfer

    Time frame: throughout the study: 5 years

    Rate of indirect transfer from a hospitalization Unit to ICU

  4. Duration of stay in emergency department, in ICU and in hospital

    Time frame: throughout the study: 5 years

    Duration of stay in emergency department, in ICU and in hospital

  5. Mode of discharge from ICU

    Time frame: throughout the study: 5 years

    Mode of discharge from ICU and direction of patient (home, other structures etc.)

Secondary outcomes

  1. Severity scores

    Time frame: throughout the study: 5 years

    Severity scores in ICU

  2. Use and duration of mechanical ventilation

    Time frame: throughout the study: 5 years

    Use and duration of mechanical ventilation for patient during ICU stay

  3. Score of burden of care in ICU

    Time frame: throughout the study: 5 years

    Score of burden of care in ICU

  4. Percentage of patients with ICU stay

    Time frame: throughout the study: 5 years

    Percentage of patients with ICU stay

  5. Percentage of patients with continuing care

    Time frame: throughout the study: 5 years

    Percentage of patients with continuing care after discharge from the ICU

  6. Frequency of dialysis

    Time frame: throughout the study: 5 years

    Frequency of dialysis

Sponsors and collaborators

Lead sponsor

Assistance Publique - Hôpitaux de Paris

Other

Registry information

Acronym: SUREA

Important dates

Study start
2013
Primary completion
2015
Study completion
2015
First posted
Dec 4, 2014
Registry last updated
Feb 17, 2016

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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