Evaluation of the Impact of Within-hospital Trajectories of Patients Admitted in Intensive Care Units (ICU) From Emergency Departments
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 50,000
- 试验地点
- 1
- 主要终点
- Rate of direct transfer
研究概览
简要总结
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.
详细描述
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.
研究设计
- 研究类型
- Observational
- 观察模型
- Cohort
- 时间视角
- Retrospective
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •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.
排除标准
- •Patient transferred from APHP toward an external hospital, outside APHP, before being admitted in an ICU.
结局指标
主要结局
Rate of direct transfer
时间窗: throughout the study: 5 years
Rate of direct transfer from Emergency Unit to ICU
Mode of discharge from ICU
时间窗: throughout the study: 5 years
Mode of discharge from ICU and direction of patient (home, other structures etc.)
Mortality
时间窗: throughout the study: 5 years
Mortality in ICU and in other hospital units
Rate of indirect transfer
时间窗: throughout the study: 5 years
Rate of indirect transfer from a hospitalization Unit to ICU
Duration of stay in emergency department, in ICU and in hospital
时间窗: throughout the study: 5 years
Duration of stay in emergency department, in ICU and in hospital
次要结局
- Use and duration of mechanical ventilation(throughout the study: 5 years)
- Score of burden of care in ICU(throughout the study: 5 years)
- Frequency of dialysis(throughout the study: 5 years)
- Severity scores(throughout the study: 5 years)
- Percentage of patients with ICU stay(throughout the study: 5 years)
- Percentage of patients with continuing care(throughout the study: 5 years)