Practice Analysis of Care, Paraclinical Exams and Treatments Received by Geriatric Patients Both During the Last Week and the Last 24 Hours of Their Lives.

Study Overview
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Brief Summary
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End-of-life care is a core topic for geriatricians. One of the key aspects of end-of-life management is deciding when to discontinue active care measures (for example blood pressure monitoring, blood tests and X-rays) in favor of exclusive comfort care. In this retrospective observational study, the investigators looked at the care measures, treatments and paraclinical exams received by geriatric patients both one week and 24 hours before their death.

Detailed Description
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This analysis provides information on the differences in geriatric physicians' practices regarding the anticipation of the end of life, by showing on average when active care measures were stopped before death. Secondly, the investigators looked at patient criteria that could explain a prolongation of active care and a delay in the implementation of exclusive comfort care.

Official Title
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Practice Analysis of Care, Paraclinical Exams and Treatments Received by Geriatric Patients Both During the Last Week and the Last 24 Hours of Their Lives.

Conditions
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End-of-life Care

Intervention / Treatment
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* Other: Collecting data from the medical record


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: All patients over 75 years old who died in a geriatric short-stay department at Saint-Etienne University Hospital. Exclusion Criteria: Patients under 75 years old Patients who died from SARS-Cov2

Ages Eligible for Study
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Minimum Age: 75 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 |
| --- | --- |
| Patients over 75 who died in geriatrics<br>Patients over 75 years old who died in the geriatric short-stay departments of Saint-Etienne University Hospital | Other: Collecting data from the medical record<br>* Patient's socio-demographic data (age, gender, residence), comorbidities, cause of death, date and frequency of care measures/treatments/paraclinical exams received before their death.<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Prevalence of care and treatments received during the last week of life, and during the last 24 hours of life | To measure the prevalence of care (hemodynamic, biological and radiological monitoring), and to evaluate the treatments received during the last week of life, and during the last 24 hours of life of patients hospitalized and who died in a geriatric short-stay ward. | In the last week of life and 24 hours before death | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Patient criteria that may have explained the pursuit of care | Analysis of patient criteria (age, comorbidities, etc.) that may have explained the continuation of care, treatments and paraclinical exams up to the last 24 hours before death. | In the last week of life and 24 hours before death | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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End of life care, Geriatric, Death