Post-ICU Consultation : a Time to Discuss Advance Directives (CoPRADA)

Study Overview
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Brief Summary
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The aim of this study is to assess the possibility of discussing advance directives during post-intensive care consultation.

Detailed Description
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After a stay in intensive care units (ICU), patients can experience physical, psychological and cognitive impairments. To assess this post intensive care syndrom (PICS), post-ICU consultation have been developed. Since 5 year mortality is higher in ICU survivors, it might be interesting to address those patients' views relating to illness and end of life through a discussion on advance directives (AD), during post-ICU consultation. However, the development of these consultations being recent, it has not yet been assessed whether this consultations might be a suitable time to discuss AD and the intensivit a suitable interlocutor.

Official Title
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Post-ICU Consultation : a Time to Discuss Advance Directives

Conditions
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Advance Directives, Post Intensive Care Syndrome, Advance Care Planning

Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Patients with 48 hours of mechanical ventilation Patients with a 5 days stay in ICU Exclusion Criteria: Patients with therapeutic limitation discussed during their ICU stay Geographical remotness to come to the post-ICU consultation Minor patients Patient not affiliated to the social security scheme

Ages Eligible for Study
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Minimum Age: 18 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 |
| --- | --- |
| ICU patients with > 48h mechanical ventilation and/or > 5 days stay in ICU<br> | |

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Number of patients willing to discuss AD after an ICU stay | Number of patient willing to discussion AD after ICU stay will be observed | 1 year | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Number of patients knowing about AD before their ICU stay | Number of patient knowing before AD before ICU stay will be observed | 1 year | 
| Factors influencing the writing of AD after an ICU stay | Factors such as lenght of stay in ICU, lenght of hospitalisation, duration of mechanical ventilation /sedation and the existence of PTSD (PCLS) or anxiety/ depression (HADS) will be evaluated and their influence on the completion of AD | 1 year | 
| Evaluation of the privileged interlocutor to discuss AD | The privileged interlocutor to discuss AD will be observed | 1 year | 
| Evaluation of the privileged interlocutor to complete AD | The privileged interlocutor to complete AD will be observed | 1 year | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Intensive Care, Advance directives, Post Intensive Care syndrome, Post Intensive Care consultation