Clinical trial NCT05817500: Post-ICU Consultation : a Time to Discuss Advance Directives (CoPRADA)
Official title: Post-ICU Consultation : a Time to Discuss Advance Directives
Study type: OBSERVATIONAL
Overall status: COMPLETED
Conditions: Advance Directives
Post Intensive Care Syndrome
Advance Care Planning
Keywords: Intensive Care
Advance directives
Post Intensive Care syndrome
Post Intensive Care consultation
Lead sponsor: University Hospital, Brest
Sponsor class: OTHER
First posted: 2023-04-18
Enrollment: 40
Sex: ALL
Minimum age (years): 18
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: no
Observational model: COHORT
Time perspective: PROSPECTIVE
Sampling method: PROBABILITY_SAMPLE
Study population: All patients with at least 48 hours of mechanical ventilation and/or a 5 days stay in ICU, and then summoned to post-ICU consultation

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

Detailed description: 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.

Eligibility criteria: 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

Primary outcomes:
measure: Number of patients willing to discuss AD after an ICU stay
timeFrame: 1 year
Secondary outcomes:
measure: Number of patients knowing about AD before their ICU stay
timeFrame: 1 year
measure: Factors influencing the writing of AD after an ICU stay
timeFrame: 1 year
measure: Evaluation of the privileged interlocutor to discuss AD
timeFrame: 1 year
measure: Evaluation of the privileged interlocutor to complete AD
timeFrame: 1 year
Other outcomes:
Locations:
city: Brest
country: France
facility: CHU Brest
Study officials:
References:
citation: Rousseau AF, Prescott HC, Brett SJ, Weiss B, Azoulay E, Creteur J, Latronico N, Hough CL, Weber-Carstens S, Vincent JL, Preiser JC. Long-term outcomes after critical illness: recent insights. Crit Care. 2021 Mar 17;25(1):108. doi: 10.1186/s13054-021-03535-3.
citation: Andreu P, Dargent A, Large A, Meunier-Beillard N, Vinault S, Leiva-Rojas U, Ecarnot F, Prin S, Charles PE, Fournel I, Rigaud JP, Quenot JP. Impact of a stay in the intensive care unit on the preparation of Advance Directives: Descriptive, exploratory, qualitative study. Anaesth Crit Care Pain Med. 2018 Apr;37(2):113-119. doi: 10.1016/j.accpm.2017.05.007. Epub 2017 Aug 4.
citation: Lone NI, Walsh TS. Impact of intensive care unit organ failures on mortality during the five years after a critical illness. Am J Respir Crit Care Med. 2012 Oct 1;186(7):640-7. doi: 10.1164/rccm.201201-0059OC. Epub 2012 Jul 26.