Clinical trial NCT02216929: Assessment of the Patients of Emergency Consultation
Official title: The Demographics, Mortality and Clinical Diagnosis of the Patients Who Were Evaluated, Intubated and Interned to ICU by the Anesthesiology in 2010-2011
Study type: OBSERVATIONAL
Overall status: COMPLETED
Conditions: Demographics of Intubated Patients Due to an Urgent Call
Keywords: intubation
intensive care
withholding treatment
cancer
terminal care
APACHE
Lead sponsor: Umraniye Education and Research Hospital
Sponsor class: OTHER_GOV
First posted: 2014-08-15
Enrollment: 287
Sex: ALL
Standard ages: CHILD
ADULT
OLDER_ADULT
Accepts healthy volunteers: no
Time perspective: RETROSPECTIVE
Sampling method: NON_PROBABILITY_SAMPLE
Study population: This study aimed to retrospectively evaluate patients throughout the whole hospital who were intubated and interned to the ICU by anaesthesiology team due to an urgent consultation call in our hospital during 2010-2011.

Brief summary: The demographic data, mortality rates and clinical diagnoses of the patients who were evaluated, intubated and interned to ICU by the anesthesiology department due to an urgent consultation call from the emergency department in 2010-2011.

Primary outcome: an examination of demographic data, predicted mortality rates and the clinical diagnosis of the patients Secondary outcome: to determine the terminal cancer ratio Inclusion criteria: patients throughout the hole hospital whom was intubated by the anaesthesiology team due to an emergency consultation call Exclusion criteria: patients who refused treatment

Detailed description: The demographic data and findings completed in the Emergency Department were obtained from the patient cards and information related to existing diseases was obtained from the patient records for the cases included in the study.

Predicted mortality values were calculated for each patient with Apache II and SAPS II values using the worst or most critical physiological and laboratory parameters in the first 24 hours in the Emergency Department.

Eligibility criteria: Inclusion Criteria:

* patients throughout the hole hospital whom was intubated by the anaesthesiology team due to an urgent consultation call

Exclusion criteria:

* patients who refused treatment

Primary outcomes:
measure: The evaluation of the terminal phase cancer ratio
timeFrame: 12 months
Secondary outcomes:
measure: Demographic data of urgent anaesthesiology consultations required intubation
timeFrame: 12 months
Other outcomes:
measure: The ratio of patients required cardiopulmonary resuscitation
timeFrame: 12 months
Locations:
city: Istanbul
country: Turkey
facility: Istanbul University Faculty of Cerrahpasa Medicine
Study officials:
affiliation: Medipol University Faculty of Medicine
name: Huseyin Oz, Prof Dr
role: STUDY_DIRECTOR
References:
citation: Kim AS, Youn CH, Ko HJ, Kim HM. The survival time of terminal cancer patients: prediction based on clinical parameters and simple prognostic scores. J Palliat Care. 2014 Spring;30(1):24-31.
citation: Uy J, White DB, Mohan D, Arnold RM, Barnato AE. Physicians' decision-making roles for an acutely unstable critically and terminally ill patient. Crit Care Med. 2013 Jun;41(6):1511-7. doi: 10.1097/CCM.0b013e318287f0dd.
citation: Lissauer ME, Naranjo LS, Kirchoffner J, Scalea TM, Johnson SB. Patient characteristics associated with end-of-life decision making in critically ill surgical patients. J Am Coll Surg. 2011 Dec;213(6):766-70. doi: 10.1016/j.jamcollsurg.2011.09.003.