Future of the Older Patients After Intensive Care Unit (DAAR)

Hôpital NOVO

Status: Completed

Conditions: Intensive Care Unit Syndrome

Treatments: Other: older in intensive care unit

Study type: Observational

Funder types: Other

Identifiers

NCT02849756

CHRD0514

Details and patient eligibility

About

Estimate the future six months after the admission in an intensive care unit of the patients of 85 and more years old in terms of autonomy.

Full description

The diverse studies published on the future of the elderly hospitalized in resuscitation place the limit very low, between 65 and 80 years. The feeling of a very bad forecast at these extreme ages pulls nevertheless a filter in the admission in ICU which has this day no scientific justification. The knowledge of the evolution after the hospitalization of these older patients can help to make certain decisions concerning as well the admission of these patients in ICU as the realization of invasive treatments.

After informal interrogation of numerous intensivists, it seems to take shape a bar around 85 years beyond which the forecast would be worse without more proof what consolidated the choice of this limit.

The reserved scores were already used in similar studies (simplified ALD).

Primary purpose :

• Describe the survival and the evolution of the quality of life after a stay in resuscitation for very old patients.
• The quality of life will be studied through a score of autonomy: the simplified ALD score.

The population will be described in general then by age bracket (more or less of 90 years old), according to the length of stay in ICU, the heavy treatments (artificial ventilation, renal replacement therapy) practiced, the initial gravity (score IGS 2). The impact of possible decisions of Limitation or Stop of Therapeutic Activates will also be taken into account.

Enrollment: 240 patients

Sex: All

Ages: 85+ years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• All patients over 85 years old staying in intensive car units

Exclusion criteria

• Knaus D
• No possibly of call (phone) 6 months after ICU admission
• Patients who do not speak French
• Patients do not accept the participation

Trial design

240 participants in 1 patient group

older in intensive care unit

Description:

older (age superior at 85 years) hospitalized in intensive care unit. A follow-up until 6 months after hospitalization will determine the evolution of the quality of life and others secondary outcomes.

Treatment:

Other: older in intensive care unit