A Prospective Multicenter Study Examining the Criteria That Determine ICU Admission of Patients Over 80 Who Present to an Emergency Department and Evaluating the Impact of ICU Admission on Short and Mid-term Vital and Functional Outcome
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 2,643
- 试验地点
- 1
- 主要终点
- ICU eligibility as assessed by emergency and ICU physicians
研究概览
简要总结
Percentage of patients over 80 admitted in ICU varies greatly from one center to another. ICU admission criteria of older patients are scarcely described and benefit of ICU admission for those patients is uncertain. In this study, we prospectively studied old patients arriving to the emergency department of 15 French hospitals with conditions that potentially warrant ICU admission.The working hypothesis was that ICU admission was associated with a 20% decrease in six-month mortality.
详细描述
This was a prospective multicenter observational cohort study of elderly individuals presenting to one of 15 emergency departments and possibly qualifying for admission to an ICU. To be included, subjects had to be aged at least 80 years and be diagnosed by the ED physician with one of 74 conditions potentially warranting ICU admission.Outcome studied are ICU eligibility as assessed by emergency and ICU physicians, hospital and six-month death and changes in functional status in the six month following emergency department visit.
研究设计
- 研究类型
- Observational
- 观察模型
- Cohort
- 时间视角
- Prospective
入排标准
- 年龄范围
- 80 Years 至 —（Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Age over 80
- •Be assigned by the emergency physician with one of 74 conditions potentially warranting ICU admission
排除标准
- •Patient's refusal
结局指标
主要结局
ICU eligibility as assessed by emergency and ICU physicians
时间窗: At the admission
次要结局
- Hospital death(During the hospitalisation)
- Change in functional status(During 6 months)
- Six-month death(During 6 months after the end of the hospitalisation)