Intensive Care Unit (ICU) Admission Decisions in the Elderly : the ICE-CUB Study

A Prospective Multicenter Study Examining the Criteria That Determine ICU Admission of Patients Over 80 Who Present to an Emergency Department and Evaluating the Impact of ICU Admission on Short and Mid-term Vital and Functional Outcome

Status

Completed

Phases

Unknown

Study type

Observational

Source

ClinicalTrials.gov

Registry ID

NCT00912600

Acronym

IceCub

Enrollment

2643

Registered

2009-06-03

Start date

2004-11-30

Completion date

2009-02-28

Last updated

2012-07-26

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Activities of Daily Living, Death, Patient Admission

Keywords

Intensive Care Units, Triage, Aged, 80 and over, Death, Activities of Daily Living, Health Services Research, Health Care Quality, Access, and Evaluation

Brief summary

Percentage of patients over 80 admitted in ICU varies greatly from one center to another. ICU admission criteria of older patients are scarcely described and benefit of ICU admission for those patients is uncertain. In this study, we prospectively studied old patients arriving to the emergency department of 15 French hospitals with conditions that potentially warrant ICU admission.The working hypothesis was that ICU admission was associated with a 20% decrease in six-month mortality.

Detailed description

This was a prospective multicenter observational cohort study of elderly individuals presenting to one of 15 emergency departments and possibly qualifying for admission to an ICU. To be included, subjects had to be aged at least 80 years and be diagnosed by the ED physician with one of 74 conditions potentially warranting ICU admission.Outcome studied are ICU eligibility as assessed by emergency and ICU physicians, hospital and six-month death and changes in functional status in the six month following emergency department visit.

Interventions

OTHERIntensive Care Unit admission

Intensive Care Unit admission

Study design

Observational model

COHORT

Time perspective

PROSPECTIVE

Eligibility

Sex/Gender

ALL

Age

80 Years to No maximum

Healthy volunteers

Inclusion criteria

* Age over 80 * Be assigned by the emergency physician with one of 74 conditions potentially warranting ICU admission

Exclusion criteria

* Patient's refusal

Design outcomes

Primary

Measure	Time frame
ICU eligibility as assessed by emergency and ICU physicians	At the admission

Secondary

Measure	Time frame
Hospital death	During the hospitalisation
Change in functional status	During 6 months
Six-month death	During 6 months after the end of the hospitalisation

Countries

France

Outcome results

None listed

Source: ClinicalTrials.gov · Data processed: Mar 26, 2026