Therapeutic Intervention Code in a Cognitive Geriatric Unit

NCT ID: NCT03408028

Last Updated: 2018-01-23

Basic Information

• Recruitment Status: COMPLETED
• Total Enrollment: 310 participants
• Study Classification: OBSERVATIONAL
• Study Start Date: 2017-04-01
• Study Completion Date: 2017-10-01

Brief Summary

The diagnostic and therapeutic progresses, associated with modifications in lifestyle and socio-cultural level of populations, have led to a remarkable increase in life expectancy. At the same time, the increasing medicalization of the individual has eroded the traditional boundaries between health and illness, normal and pathological state. This leads to the patient losing his sense of ownership of his own death. If most patients died at home before the Second World War, 75% of the population dies in hospital or institution at the present date.

Most hospitals and care institutions have developed codes, in multidisciplinary internal consultation, to address the interruption or lack of implementation of treatments that make no sense from a medical point of vue. This avoids therapeutic relentlessness.The code in place within the CHU Brugmann is:

• code A: no therapeutic restriction
• code B: not to be resuscitated
• code C: not to be intensively treated (no escalation in therapeutic treatments)
• code D: best palliative care (progressive de-escalation in therapeutic treatments).

These codes are established in consultation with the patient or his legal representative and are re-evaluated in a multidisciplinary way every week.

Planning a care path and therefore establishing a therapeutic code is particularly important for people with cognitive impairment and dementia because the progressive loss of cognitive abilities complicates the process of decision making.

A large part of the admissions are made via the emergency department. For these patients, no therapeutic plan has been established beforehand. However, the perception of the functional and cognitive status of the patient directly influences the intensity of care provided. Cognitive disorders are a risk factor for the exclusion of access to palliative care for the elderly patient.

The objectives of this study are:

• To establish a record of the therapeutic limitation codes in an acute cognitive geriatric unit
• To correlate the therapeutic limitation code with the comorbidities of the patients

Conditions

Cognitive Impairment

Study Design

• Observational Model Type: COHORT
• Study Time Perspective: RETROSPECTIVE

Study Groups

Cognitive impairment

Geriatric patients with a cognitive impairment

Medical File consultation

Intervention Type: OTHER

Medical File consultation

Interventions

Medical File consultation

Medical File consultation

Intervention Type: OTHER

Eligibility Criteria

Inclusion Criteria

Elderly patients with cognitive impairment admitted in the geriatric unit 83 within the CHU Brugmann between 01-01-2016 and 31-12-2016.

Exclusion Criteria

None

• Minimum Eligible Age: 65 Years
• Eligible Sex: ALL
• Accepts Healthy Volunteers: No

Sponsors

Murielle Surquin

OTHER

Sponsor Role: lead

Responsible Party

Murielle Surquin

Head of Clinic

Responsibility Role: SPONSOR_INVESTIGATOR

Principal Investigators

Carolina Natalia Grande Pérez, MD

Role: PRINCIPAL_INVESTIGATOR

CHU Brugmann

Locations

CHU Brugmann

Brussels, , Belgium

Countries

Belgium

Other Identifiers

CHUB- status code

Identifier Type: -

Identifier Source: org_study_id