Future of the Older Patients After Intensive Care Unit

Completed

• Conditions: Intensive Care Unit Syndrome
• Interventions: Other: older in intensive care unit

• Registration Number: NCT02849756
• Lead Sponsor: Hôpital NOVO

Brief Summary

Estimate the future six months after the admission in an intensive care unit of the patients of 85 and more years old in terms of autonomy.

Detailed Description

The diverse studies published on the future of the elderly hospitalized in resuscitation place the limit very low, between 65 and 80 years. The feeling of a very bad forecast at these extreme ages pulls nevertheless a filter in the admission in ICU which has this day no scientific justification. The knowledge of the evolution after the hospitalization of these older patients can help to make certain decisions concerning as well the admission of these patients in ICU as the realization of invasive treatments.

After informal interrogation of numerous intensivists, it seems to take shape a bar around 85 years beyond which the forecast would be worse without more proof what consolidated the choice of this limit.

The reserved scores were already used in similar studies (simplified ALD).

Primary purpose :

* Describe the survival and the evolution of the quality of life after a stay in resuscitation for very old patients.

* The quality of life will be studied through a score of autonomy: the simplified ALD score.

The population will be described in general then by age bracket (more or less of 90 years old), according to the length of stay in ICU, the heavy treatments (artificial ventilation, renal replacement therapy) practiced, the initial gravity (score IGS 2). The impact of possible decisions of Limitation or Stop of Therapeutic Activates will also be taken into account.

Study Timeline

• Study Start: 2015-02
• Study First Submitted: 2016-07-27
• Study First Submitted QC: 2016-07-28
• Study First Posted: 2016-07-29
• Primary Completion: 2017-06
• Study Completion: 2017-06
• Status Verified: 2019-07
• Last Update Submitted: 2019-07-26
• Last Update Posted: 2019-07-29

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 240

Inclusion Criteria

• All patients over 85 years old staying in intensive car units

Exclusion Criteria

• Knaus D
• No possibly of call (phone) 6 months after ICU admission
• Patients who do not speak French
• Patients do not accept the participation

Study & Design

• Study Type: OBSERVATIONAL
• Study Design: Not specified

Arm && Interventions

Group	Intervention	Description
older in intensive care unit	older in intensive care unit	older (age superior at 85 years) hospitalized in intensive care unit. A follow-up until 6 months after hospitalization will determine the evolution of the quality of life and others secondary outcomes.

Primary Outcome Measures

Name	Time	Method
ALD score	Six month	Geriatric score of autonomy

Secondary Outcome Measures

Name	Time	Method
survival	Six month	survival

Trial Locations

Locations (1)

René-Dubos Hospital; 🇫🇷 Pontoise, Val d'Oise, France