Pattern of Admitted Cases in Respiratory Intensive Care Unit at Assiut University Hospitals

NCT ID: NCT03296215

Last Updated: 2017-09-28

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

UNKNOWN

Total Enrollment

200 participants

Study Classification

OBSERVATIONAL

Study Start Date

2018-09-30

Study Completion Date

2020-03-31

Brief Summary

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Human health comprises many different states, ranging from perfect health to critical illness, so medical facilities should be able to provide medical assistance tailored to the patient's degree of disease.

The Intensive Care Unit (ICU) serves as a place for monitoring and care of patients with potentially severe physiologic instability requiring technical and/or artificial life support. The level of care in an ICU is greater than that available on the floor or Intermediate Care Unit.

Because of the utilization of expensive resources, ICUs should, in general, be reserved for those patients with reversible medical conditions who have a "reasonable prospect of substantial recovery".

About one third of hospital mortality occurs in critically ill patients in the intensive care unit. On the other hand, critically ill patients are responsible for 10 - 20 % of global hospital costs.

It is well accepted that early appropriate referral of patients to an ICU can significantly reduce early and possibly late mortality in the critically ill.At the same time improper selection of patients for ICU who block ICU beds often limits bed availability in ICUs. This in turn adversely affects the dynamics the whole hospital.

The Respiratory Intensive Care Unit (RICU) is an area that provides closed monitoring and intensive treatment for patients with acute or exacerbated respiratory failure caused by a disease that is primarily respiratory.

Detailed Description

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Conditions

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COPD Exacerbation

Study Design

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Observational Model Type

COHORT

Study Time Perspective

PROSPECTIVE

Study Groups

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Observational

Patterno of admitted cases in Respiratory Intensive Care Unit at Assiut University Hospitals and Outcome

Observational

Intervention Type OTHER

To determine different patterns of admission and their Outcome

Interventions

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Observational

To determine different patterns of admission and their Outcome

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

Patients with the following conditions are candidates for admission to the respiratory Intensive Care Unit. The following conditions include, but are not limited to:

1. Acute respiratory failure requiring ventilatory support
2. Acute pulmonary embolism with haemodynamic instability
3. Massive haemoptysis
4. Upper airway obstruction

Exclusion Criteria

Patients who are generally not appropriate for respiratory ICU admission:

1. Irreversible brain damage
2. End stage cardiac, respiratory and liver disease with no options for transplant
3. Metastatic cancer unresponsive to chemotherapy and/or radiotherapy
4. Patients with non-traumatic coma leading to a persistent vegetative state (7,8,9,10)
Minimum Eligible Age

18 Years

Maximum Eligible Age

86 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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Assiut University

OTHER

Sponsor Role lead

Responsible Party

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Mahmoud Badwy

Investigator

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Mahmoud Badwy, Resident

Role: PRINCIPAL_INVESTIGATOR

Assiut University

Yousef Ahmad, Prof

Role: STUDY_DIRECTOR

Assiut University

Central Contacts

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Mahmoud Badwy, Resident

Role: CONTACT

01016149089

Yousef Ahmad, Prof

Role: CONTACT

01018184095

References

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Kahn JM, Goss CH, Heagerty PJ, Kramer AA, O'Brien CR, Rubenfeld GD. Hospital volume and the outcomes of mechanical ventilation. N Engl J Med. 2006 Jul 6;355(1):41-50. doi: 10.1056/NEJMsa053993.

Reference Type BACKGROUND
PMID: 16822995 (View on PubMed)

Other Identifiers

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Mahmoud Badwy2017

Identifier Type: -

Identifier Source: org_study_id