End-of-life Care
Conditions
Keywords
End of life care, Geriatric, Death
Brief summary
End-of-life care is a core topic for geriatricians. One of the key aspects of end-of-life management is deciding when to discontinue active care measures (for example blood pressure monitoring, blood tests and X-rays) in favor of exclusive comfort care. In this retrospective observational study, the investigators looked at the care measures, treatments and paraclinical exams received by geriatric patients both one week and 24 hours before their death.
Detailed description
This analysis provides information on the differences in geriatric physicians' practices regarding the anticipation of the end of life, by showing on average when active care measures were stopped before death. Secondly, the investigators looked at patient criteria that could explain a prolongation of active care and a delay in the implementation of exclusive comfort care.
Interventions
Patient's socio-demographic data (age, gender, residence), comorbidities, cause of death, date and frequency of care measures/treatments/paraclinical exams received before their death.
Sponsors
Centre Hospitalier Universitaire de Saint Etienne
Study design
Observational model
OTHER
Time perspective
RETROSPECTIVE
Eligibility
Sex/Gender
ALL
Age
75 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* All patients over 75 years old who died in a geriatric short-stay department at Saint-Etienne University Hospital.
Exclusion criteria
\- Patients under 75 years old
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Prevalence of care and treatments received during the last week of life, and during the last 24 hours of life | In the last week of life and 24 hours before death | To measure the prevalence of care (hemodynamic, biological and radiological monitoring), and to evaluate the treatments received during the last week of life, and during the last 24 hours of life of patients hospitalized and who died in a geriatric short-stay ward. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Patient criteria that may have explained the pursuit of care | In the last week of life and 24 hours before death | Analysis of patient criteria (age, comorbidities, etc.) that may have explained the continuation of care, treatments and paraclinical exams up to the last 24 hours before death. |
Countries
France
Contacts
Primary ContactLudovic LAFAIE, MD
Backup ContactSolène VALETTE, resident
Outcome results
None listed