Association Between Resuscitation Orders and Mortality in ICU Patients

NCT ID: NCT06373068

Last Updated: 2025-09-04

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

ACTIVE_NOT_RECRUITING

Total Enrollment

1500 participants

Study Classification

OBSERVATIONAL

Study Start Date

2024-05-01

Study Completion Date

2025-12-31

Brief Summary

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The hypothesis of the study is that a resuscitation order other than full code is associated with increased mortality among critically ill patients. By incorporating conventional variables associated with death such as age, sex, and Simplified Acute Physiological Score, as well as including the new Clinical Frailty Scale in a statistical model, the aim is to investigate whether there is still an increased risk of death that remains unexplained.

Detailed Description

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Conditions

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Critical Illness

Study Design

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Observational Model Type

COHORT

Study Time Perspective

RETROSPECTIVE

Study Groups

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Full code

Patients without any restrictions on the types of treatments available, such as cardiopulmonary resuscitation, intubation, various life support measures, surgery, etc., if indicated.

Resuscitation orders

Intervention Type OTHER

Resuscitation orders, commonly referred to as Code Status, communicate to the healthcare team the specific medical interventions that patients will receive while hospitalised. These orders are issued by a doctor and require confirmation by at least one other licensed medical professional

Simple Do-Not-Attempt-Resuscitation

The only treatment limitation in patient care is cardiopulmonary resuscitation in case of a cardiac arrest. All other indicated devices or treatments may still be utilized.

Resuscitation orders

Intervention Type OTHER

Resuscitation orders, commonly referred to as Code Status, communicate to the healthcare team the specific medical interventions that patients will receive while hospitalised. These orders are issued by a doctor and require confirmation by at least one other licensed medical professional

Do not attempt resuscitation with limited scope

The treatment limitation in patient care includes not performing cardiopulmonary resuscitation and also involve additional limitations, typically including various life support measures.

Resuscitation orders

Intervention Type OTHER

Resuscitation orders, commonly referred to as Code Status, communicate to the healthcare team the specific medical interventions that patients will receive while hospitalised. These orders are issued by a doctor and require confirmation by at least one other licensed medical professional

Interventions

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Resuscitation orders

Resuscitation orders, commonly referred to as Code Status, communicate to the healthcare team the specific medical interventions that patients will receive while hospitalised. These orders are issued by a doctor and require confirmation by at least one other licensed medical professional

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* Admitted to ICU

Exclusion Criteria

* Second or subsequent admission to ICU during the study period.
Minimum Eligible Age

16 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Karolinska Institutet

OTHER

Sponsor Role lead

Responsible Party

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Sandra Jonmarker

Consultant in Anaesthesia and Intensive care, Ph D

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Sandra Jonmarker

Role: PRINCIPAL_INVESTIGATOR

Stockholm South General Hospital

Locations

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Karolinska Institute

Stockholm, , Sweden

Site Status

Countries

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Sweden

Other Identifiers

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Resuscitation Orders ICU

Identifier Type: -

Identifier Source: org_study_id

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