Advance Care Planning, Advance Directives, Post Intensive Care Syndrome
Conditions
Keywords
Intensive Care, Advance directives, Post Intensive Care syndrome, Post Intensive Care 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.
Interventions
None listed
Sponsors
University Hospital, Brest
Study design
Observational model
COHORT
Time perspective
PROSPECTIVE
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
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
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Number of patients willing to discuss AD after an ICU stay | 1 year | Number of patient willing to discussion AD after ICU stay will be observed |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Number of patients knowing about AD before their ICU stay | 1 year | Number of patient knowing before AD before ICU stay will be observed |
| Factors influencing the writing of AD after an ICU stay | 1 year | Factors such as lenght of stay in ICU, lenght of hospitalisation, duration of mechanical ventilation /sedation and the existence of PTSD (PCLS) or anxiety/ depression (HADS) will be evaluated and their influence on the completion of AD |
| Evaluation of the privileged interlocutor to discuss AD | 1 year | The privileged interlocutor to discuss AD will be observed |
| Evaluation of the privileged interlocutor to complete AD | 1 year | The privileged interlocutor to complete AD will be observed |
Countries
France
Outcome results
None listed