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

Study Overview
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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.

Official Title
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A Prospective Multicenter Study Examining the Criteria That Determine ICU Admission of Patients Over 80 Who Present to an Emergency Department and Evaluating the Impact of ICU Admission on Short and Mid-term Vital and Functional Outcome

Conditions
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Patient Admission, Death, Activities of Daily Living

Intervention / Treatment
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* Other: Intensive Care Unit admission


Participation Criteria
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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

Ages Eligible for Study
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Minimum Age: 80 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| 1<br>Elderly individuals presenting to one of 15 emergency departments and possibly qualifying for admission to an ICU | Other: Intensive Care Unit admission<br>* Intensive Care Unit admission<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| ICU eligibility as assessed by emergency and ICU physicians |  | At the admission | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Hospital death |  | During the hospitalisation | 
| Change in functional status |  | During 6 months | 
| Six-month death |  | During 6 months after the end of the hospitalisation | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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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