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Association Between Resuscitation Orders and Mortality in ICU Patients

Active, not recruiting
Conditions
Critical Illness
Interventions
Other: Resuscitation orders
Registration Number
NCT06373068
Lead Sponsor
Karolinska Institutet
Brief Summary

The hypothesis of the study is that a resuscitation order other than full code is associated with increased mortality among critically ill patients. By incorporating conventional variables associated with death such as age, sex, and Simplified Acute Physiological Score, as well as including the new Clinical Frailty Scale in a statistical model, the aim is to investigate whether there is still an increased risk of death that remains unexplained.

Detailed Description

Not available

Recruitment & Eligibility

Status
ACTIVE_NOT_RECRUITING
Sex
All
Target Recruitment
1500
Inclusion Criteria
  • Admitted to ICU
Exclusion Criteria
  • Second or subsequent admission to ICU during the study period.

Study & Design

Study Type
OBSERVATIONAL
Study Design
Not specified
Arm && Interventions
GroupInterventionDescription
Full codeResuscitation ordersPatients without any restrictions on the types of treatments available, such as cardiopulmonary resuscitation, intubation, various life support measures, surgery, etc., if indicated.
Simple Do-Not-Attempt-ResuscitationResuscitation ordersThe only treatment limitation in patient care is cardiopulmonary resuscitation in case of a cardiac arrest. All other indicated devices or treatments may still be utilized.
Do not attempt resuscitation with limited scopeResuscitation ordersThe treatment limitation in patient care includes not performing cardiopulmonary resuscitation and also involve additional limitations, typically including various life support measures.
Primary Outcome Measures
NameTimeMethod
Mortality365 days

Hazard ratio of death

Secondary Outcome Measures
NameTimeMethod

Trial Locations

Locations (1)

Karolinska Institute

🇸🇪

Stockholm, Sweden

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