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Intensive Care Unit (ICU) Admission Decisions in the Elderly : the ICE-CUB Study

NCT ID: NCT00912600

Last Updated: 2012-07-26

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Total Enrollment

2643 participants

Study Classification

OBSERVATIONAL

Study Start Date

2004-11-30

Study Completion Date

2009-02-28

Brief Summary

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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.

Detailed Description

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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.

Conditions

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Patient Admission Death Activities of Daily Living

Keywords

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Intensive Care Units Triage Aged, 80 and over Death Activities of Daily Living Health Services Research Health Care Quality, Access, and Evaluation

Study Design

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Observational Model Type

COHORT

Study Time Perspective

PROSPECTIVE

Study Groups

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1

Elderly individuals presenting to one of 15 emergency departments and possibly qualifying for admission to an ICU

Intensive Care Unit admission

Intervention Type OTHER

Intensive Care Unit admission

Interventions

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Intensive Care Unit admission

Intensive Care Unit admission

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* Age over 80
* Be assigned by the emergency physician with one of 74 conditions potentially warranting ICU admission

Exclusion Criteria

* Patient's refusal
Minimum Eligible Age

80 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Institut National de la Santé Et de la Recherche Médicale, France

OTHER_GOV

Sponsor Role collaborator

Assistance Publique - Hôpitaux de Paris

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Bertrand GUIDET, MD

Role: PRINCIPAL_INVESTIGATOR

Assistance Publique - Hôpitaux de Paris

Locations

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Hôpital Saint-Antoine

Paris, , France

Site Status

Countries

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France

References

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Boumendil A, Angus DC, Guitonneau AL, Menn AM, Ginsburg C, Takun K, Davido A, Masmoudi R, Doumenc B, Pateron D, Garrouste-Orgeas M, Somme D, Simon T, Aegerter P, Guidet B; ICE-CUB study group. Variability of intensive care admission decisions for the very elderly. PLoS One. 2012;7(4):e34387. doi: 10.1371/journal.pone.0034387. Epub 2012 Apr 11.

Reference Type DERIVED
PMID: 22509296 (View on PubMed)

Other Identifiers

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AOR 03 035

Identifier Type: -

Identifier Source: org_study_id