Intensive Care Unit Activity in France From the National Database Between 2013 and 2019

Completed

• Conditions: Critical Illness; Intensive Care Unit

• Registration Number: NCT05353023
• Lead Sponsor: Centre Hospitalier Universitaire de Nīmes

Brief Summary

Using data from the French National Uniform Hospital Discharge Database (systematically collecting administrative and medical information related to all hospitalized patients in France for care reimbursement purposes), the present study retrospectively assesses the activity of the French Intensive Care Unit (ICU)(1,594,801 ICU admissions):

* In-ICU and in-hospital mortality rates

* Length of stay in ICU and hospital

* Mortality-associated factors during the study period.

* Number of organ failures

* Bed occupancy,

* Regional variations in previous indicators

Detailed Description

Not available

Study Timeline

• Study Start: 2013-01-01
• Primary Completion: 2019-12-31
• Study Completion: 2019-12-31
• Status Verified: 2022-04
• Study First Submitted: 2022-04-25
• Study First Submitted QC: 2022-04-25
• Last Update Submitted: 2022-04-25
• Study First Posted: 2022-04-29
• Last Update Posted: 2022-04-29

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 1594801

Inclusion Criteria

All adults patients admitted in French ICU between January 1st, 2013, to December 31st, 2019

Exclusion Criteria

Not provided

Study & Design

• Study Type: OBSERVATIONAL
• Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
Evolution in ICU stay	from January 1st, 2013, to December 31st, 2019	evolution of the ICU stay of ICU patients over the study period (2013-19)
Evolution in sex ratio	from January 1st, 2013, to December 31st, 2019	evolution of the sex ratio of ICU patients over the study period (2013-19)
Evolution in mortality rate	from January 1st, 2013, to December 31st, 2019	evolution of the mortality rate of ICU patients over the study period (2013-19)
Evolution in organ failure rate	from January 1st, 2013, to December 31st, 2019	evolution of the organ failure rate of ICU patients over the study period (2013-19)
Evolution in SAPS (Simplified Acute Physiology Score) II score at admission	from January 1st, 2013, to December 31st, 2019	evolution of the SAPS II score at admission of ICU patients over the study period (2013-19)
Evolution in age at admission	from January 1st, 2013, to December 31st, 2019	evolution of the age at admission of ICU patients over the study period (2013-19)

Secondary Outcome Measures

Name	Time	Method
Proportion of patients admitted in ICU with at least 2 different organ failures	from January 1st, 2013, to December 31st, 2019	evolution of the proportion of patients admitted in ICU with at least 2 different organ failures corresponding to the definition of ICU in France.
- Proportion of patients admitted in ICU with a SAPS II score over 15 and with a specific ICU supportive therapy	from January 1st, 2013, to December 31st, 2019	Evolution of the proportion of patients admitted in ICU with a SAPS II score over 15 and with a specific ICU supportive therapy leading to a reimbursement by the French national health insurance.
Factors Associated with in-ICU mortality	from January 1st, 2013, to December 31st, 2019	Effect of year-time on in-ICU mortality
Regional variations	from January 1st, 2013, to December 31st, 2019	Evolution and potential differences between French regions in admission level

Trial Locations

Locations (1)

Intensive care Unit CHU Nîmes; 🇫🇷 Nîmes, France