Clinical trial NCT01121679: French Observatory on Hospitalizations in Cardiology of Patients of 80 Years and Over
Official title: French Observatory on Hospitalizations in Cardiology of Patients of 80 Years and Over
Study type: OBSERVATIONAL
Overall status: COMPLETED
Conditions: Cardiovascular Disease
Keywords: Older patients
Aged, 80 and Over
Cardiology
Lead sponsor: French Cardiology Society
Sponsor class: OTHER
First posted: 2010-05-12
Enrollment: 534
Sex: ALL
Minimum age (years): 80
Standard ages: OLDER_ADULT
Accepts healthy volunteers: no
Observational model: COHORT
Time perspective: PROSPECTIVE
Sampling method: PROBABILITY_SAMPLE
Study population: Patients aged 80 years and older and hospitalized in a cardiology department which participate in this study.

Brief summary: Because of increased life expectancy and improved therapeutic methods in cardiology, the proportion of very old patients with cardiovascular disease increases. However, clinical practice "in real life" are still insufficiently known in this population. The recommendations still lack of studies specifically devoted to elderly or very elderly, an extrapolation of data based on evidence obtained in younger populations.

This is a multicenter observational study during a day. On this day, all participating centers fill a questionnaire for each patient 80 years or older hospitalized in their service.

Detailed description: Information about the center will be collected: non-university or university center, presence of coronary angiography room, number of beds, number of patients 80 years or older hospitalized in the day of the investigation.

The questionnaire is designed to:

* Know the history of cardiovascular and noncardiovascular patient and degree of dependence
* Know the reason for hospitalization
* Evaluate the diagnostic and therapeutic already implemented or planned for this patient

The day of the survey, information on each patient 80 years or older hospitalized in the service will be collected:

* Patient Data: date of birth, sex, status. The patient identification data (name, surname, address) will not be collected.
* Patient History: date of last hospitalization, life, cardiovascular risk factors, cardiovascular and non cardiovascular history, date of last hospitalization, life
* Circumstances of admission: course of care before admission, admission to intensive care unit or hospital unit classical primary diagnosis and diagnosis (s) partner (s)
* Initial assessment: treatment admission, major hemodynamic, electrocardiographic and biological
* Regarding the current hospitalization: diagnosis already implemented or planned (echocardiography, angiography, electrophysiological study, etc ...), therapeutic methods already implemented or planned angioplasty, percutaneous valve intervention, conventional or biventricular stimulation, cardiac surgery, medication
* Become of the patient after hospitalization
* The clinician's subjective impressions about the condition of the patient and monitoring recommendations
* Assessment of addiction: ADL Scale

No monitoring of patients is contemplated.

Eligibility criteria: Inclusion Criteria:

* Patient aged 80 years or more
* Patient present in a cardiology service in the morning (8:00 to 12:00) the day of the survey
* Admission to the service took place on the survey day or in the 15 days preceding the survey.

Exclusion Criteria:

* Patient with age \<80 years.
* Patient who have expressed a refusal to participate in the study

Primary outcomes:
measure: Percentage of patients for which national guidelines were followed
timeFrame: 1 day
Secondary outcomes:
measure: Percentage of patients aged 80 and older hospitalized in the university and non university
timeFrame: 1 day
Other outcomes:
Locations:
city: Paris
country: France
facility: Lariboisiere Hospital
Study officials:
References:
citation: Moubarak G, Ernande L, Godin M, Cazeau S, Vicaut E, Hanon O, Zuily S, Tournoux F, Danchin N, Derumeaux G, Mechulan A. Impact of comorbidity on medication use in elderly patients with cardiovascular diseases: the OCTOCARDIO study. Eur J Prev Cardiol. 2013 Aug;20(4):524-30. doi: 10.1177/2047487312444235. Epub 2012 Mar 23.