Diuresis in Incontinent Patients
Conditions
Brief summary
Heart failure is a general disease affecting many organs and regulatory systems with a prevalence of 10% after 75 years of age, leading to significant hospitalization in the elderly. This generates a significant cost for our health system. The management of patients over 75 years of age in acute heart failure requires special monitoring of diuresis and weight. However, it is sometimes difficult to collect urine from incontinent elderly patients (not catheterized, habitually wearing protection) under intravenous diuretics. The evaluation of a non-invasive technique of urine collection for the adaptation of diuretic treatment in the incontinent patient with heart failure over 75 years of age in the acute phase seems to us to be interesting to conduct.
Interventions
OTHERcarrying out standard care
The adaptation of the diuretic treatment will be made according to the possible diuresis records and the weighing of the patient every 2 days.
OTHERadult diaper
the diuresis which will be calculated by making the difference between the weight of the soiled protection weighed and the weight of the dry protection
Sponsors
Poitiers University Hospital
Study design
Allocation
NON_RANDOMIZED
Intervention model
PARALLEL
Primary purpose
SUPPORTIVE_CARE
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
75 Years to 100 Years
Healthy volunteers
No
Inclusion criteria
* Patient over 75 years of age * Geriatric short-stay inpatient, geriatric/cardio medicine unit geriatrics * Incontinent patient with urinary protection * Patient with acute heart failure according to the diagnosis made by the doctors of unity * Patient treated with intravenous diuretic * Patient benefiting from a social security scheme or benefiting from it by a third party * Patient who gave their non-opposition to the study after clear information
Exclusion criteria
* Patient hospitalized in another unit of the geriatric division * Patient allergic to the protections provided * Patient carrying a bladder probe upon entry into the unit * Patient with a precarious non-perfusable venous capital
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Comparison of the duration of intravenous diuretic treatment during 2 periods | 15 days maximum | The duration of intravenous diuretic treatment in incontinent heart failure patients over 75 years old without urinary catheterization during 2 period (before and after) * Before period with usual diuresis measurement * After period with weighing of diapers |
Secondary
| Measure | Time frame |
|---|---|
| Comparison comfort of patient between the 2 periods with VAS | 15 days maximum |
| Compare between the 2 periods the rate of skin complications related to the 2 diuresis assessment techniques, | 15 days maximum |
| Compare between the 2 periods the rate of bladder catheterization during the study | 15 days maximum |
| Compare the mortality rate between the 2 periods | 15 days maximum |
| Compare the average length of stay of patients between the 2 periods | 15 days maximum |
Countries
France
Contacts
Primary ContactSophie PAJOUX
Backup ContactFanny ABRIAT
Outcome results
None listed