Evaluation of a Non-invasive Urinary Collection Technique for the Adaptation of Diuretic Treatment in Incontinent Heart Failure Patient Over 75 Years of Age in the Acute Phase

Not Applicable

Recruiting

• Conditions: Diuresis in Incontinent Patients
• Interventions: Other: adult diaper; Other: carrying out standard care

• Registration Number: NCT05186428
• Lead Sponsor: Poitiers University Hospital

Brief Summary

Heart failure is a general disease affecting many organs and regulatory systems with a prevalence of 10% after 75 years of age, leading to significant hospitalization in the elderly. This generates a significant cost for our health system. The management of patients over 75 years of age in acute heart failure requires special monitoring of diuresis and weight. However, it is sometimes difficult to collect urine from incontinent elderly patients (not catheterized, habitually wearing protection) under intravenous diuretics. The evaluation of a non-invasive technique of urine collection for the adaptation of diuretic treatment in the incontinent patient with heart failure over 75 years of age in the acute phase seems to us to be interesting to conduct.

Detailed Description

Not available

Study Timeline

• Study First Submitted: 2021-12-03
• Study First Submitted QC: 2022-01-10
• Study First Posted: 2022-01-11
• Study Start: 2022-04-06
• Status Verified: 2023-11
• Last Update Submitted: 2023-11-06
• Last Update Posted: 2023-11-07
• Primary Completion: 2024-11
• Study Completion: 2024-11

Recruitment & Eligibility

• Status: RECRUITING
• Sex: All
• Target Recruitment: 80

Inclusion Criteria

• Patient over 75 years of age
• Geriatric short-stay inpatient, geriatric/cardio medicine unit geriatrics
• Incontinent patient with urinary protection
• Patient with acute heart failure according to the diagnosis made by the doctors of unity
• Patient treated with intravenous diuretic
• Patient benefiting from a social security scheme or benefiting from it by a third party
• Patient who gave their non-opposition to the study after clear information

Exclusion Criteria

• Patient hospitalized in another unit of the geriatric division
• Patient allergic to the protections provided
• Patient carrying a bladder probe upon entry into the unit
• Patient with a precarious non-perfusable venous capital

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
the "after" period	adult diaper	-
The "before" period	carrying out standard care	-

Primary Outcome Measures

Name	Time	Method
Comparison of the duration of intravenous diuretic treatment during 2 periods	15 days maximum	The duration of intravenous diuretic treatment in incontinent heart failure patients over 75 years old without urinary catheterization during 2 period (before and after); * Before" period with usual diuresis measurement; * After" period with weighing of diapers

Secondary Outcome Measures

Name	Time	Method
Compare between the 2 periods the rate of skin complications related to the 2 diuresis assessment techniques,	15 days maximum
Compare the mortality rate between the 2 periods	15 days maximum
Comparison comfort of patient between the 2 periods with VAS	15 days maximum
Compare between the 2 periods the rate of bladder catheterization during the study	15 days maximum
Compare the average length of stay of patients between the 2 periods	15 days maximum

Trial Locations

Locations (1)

CHU de Poitiers; 🇫🇷 Poitiers, France