Emergency Department, Intensive Care Units
Conditions
Keywords
intensive care units, emergency department
Brief summary
This multicenter cohort aims to assess the impact of within-hospital trajectories of patients admitted in intensive care units from emergency departments on vital prognosis of patients, duration of hospital stay and hospital costs. As secondary objectives, the study will: * assess the impact of clinical and demographic characteristics on hospital trajectories of patients. * assess the impact of emergency units workload, beds availability in medical units and in intensive care units, and global hospital organisation on patients care trajectories.
Detailed description
The study will be performed in emergency departments and ICUs of university hospitals. 15 emergency departments and 36 ICUs of APHP (the public hospital system of the city of Paris) will be involved. The study will assemble the data from 50,000 to 80,000 patients in total. Eligible patients are admitted in ICUs between 01/01/2007 and 12/31/2011. Extraction of the patients' data will be performed with processing software utilised in APHP, i.e. Healthcare Information System Program (PMSI, Urqual, Gilda...etc.). Collected patients' data span the period from admission in emergency department or medical department unitl hospital discharge.
Interventions
None listed
Sponsors
Assistance Publique - Hôpitaux de Paris
Study design
Observational model
COHORT
Time perspective
RETROSPECTIVE
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* Adult patient directly admitted in ICU from emergency departments of APHP (the public hospital system of the city of Paris). * Adult patient indirectly transferred to ICU from an hospitalization unit, initially admitted from an emergency department of APHP.
Exclusion criteria
* Patient transferred from APHP toward an external hospital, outside APHP, before being admitted in an ICU.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Mortality | throughout the study: 5 years | Mortality in ICU and in other hospital units |
| Rate of direct transfer | throughout the study: 5 years | Rate of direct transfer from Emergency Unit to ICU |
| Rate of indirect transfer | throughout the study: 5 years | Rate of indirect transfer from a hospitalization Unit to ICU |
| Duration of stay in emergency department, in ICU and in hospital | throughout the study: 5 years | Duration of stay in emergency department, in ICU and in hospital |
| Mode of discharge from ICU | throughout the study: 5 years | Mode of discharge from ICU and direction of patient (home, other structures etc.) |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Severity scores | throughout the study: 5 years | Severity scores in ICU |
| Frequency of dialysis | throughout the study: 5 years | Frequency of dialysis |
| Use and duration of mechanical ventilation | throughout the study: 5 years | Use and duration of mechanical ventilation for patient during ICU stay |
| Score of burden of care in ICU | throughout the study: 5 years | Score of burden of care in ICU |
| Percentage of patients with ICU stay | throughout the study: 5 years | Percentage of patients with ICU stay |
| Percentage of patients with continuing care | throughout the study: 5 years | Percentage of patients with continuing care after discharge from the ICU |
Countries
France
Outcome results
None listed