Viewing Study NCT05807997



Ignite Creation Date: 2024-05-06 @ 6:50 PM
Last Modification Date: 2024-10-26 @ 2:56 PM
Study NCT ID: NCT05807997
Status: NOT_YET_RECRUITING
Last Update Posted: 2024-03-15
First Post: 2023-03-16

Brief Title: Patients Who Were Not Admitted to the Intensive Care Unit Characteristics and Clinical Outcomes Retrospective Study
Sponsor: Meir Medical Center
Organization: Meir Medical Center

Study Overview

Official Title: Patients Who Were Not Admitted to the Intensive Care Unit Characteristics and Clinical Outcomes Retrospective Study
Status: NOT_YET_RECRUITING
Status Verified Date: 2024-03
Last Known Status: None
Delayed Posting: No
If Stopped, Why?: Not Stopped
Has Expanded Access: False
If Expanded Access, NCT#: N/A
Has Expanded Access, NCT# Status: N/A
Acronym: None
Brief Summary: There is extensive medical literature supporting the contribution of intensive care physicians to improvement of clinical outcomes in patients treated in an intensive care unit 1-3 There are many reasons for this contribution including adherence to evidence-based medical protocols as well as collaboration between different medical specialties in patient care 4-7 Over the years several criteria have been formulated for the admission of patients to intensive care 8 according to their medical condition but there are other factors that influence the decision whether to admit patients to intensive care not necessarily medical ones such as the availability of beds in the unit and the availability of medical and nursing staff

There are several studies that examined the characteristics and clinical outcomes of patients who were not admitted to the intensive care unit for medical or paramedical reasons 9 We would like to retrospectively examine all patients in the last 5 years who were presented for admission to general intensive care from various departments in our institution but were not admitted to characterize the reasons why they were not admitted the clinical characteristics of the patients and their clinical outcomes

Objectives

Main objective

To characterize the clinical outcomes of the patients who were presented for admission to general intensive care but were not admitted in the last 5 years

Secondary objectives

To characterize the reasons why the patients were not admitted - medical and paramedical and to examine the clinical characteristics of these patients age sex background diseases and current disease

Design and methods

Study design

This is a retrospective study based on data collection

Methods and materials

Collecting information from computer systems regarding the patients who were presented by the various departments at the Meir Hospital in Kfar Saba for admission to the general intensive care unit and were not admitted starting from the beginning of January 2018 until the beginning of January 2023 These are about 1000 patients After the end of data collection in the study the data will be typed anonymously into a dedicated Excel file The patients will be identified according to the patient number in the study and the case number without specifying identifying details

Inclusion criteria

All patients aged 18--99 who were presented to the general intensive care unit from January 2018 to the end of December 2023 and were not admitted

Data collection

The research will be conducted in the format of observational data collection from the patient files and from computerized systems Camelion system and iMDsoft software

The data collected in the study will be exposed to the research team only as long as the actual data collection is carried out After the end of data collection in the study the data will be typed anonymously into a dedicated Excel file The patients will be identified according to the patient number in the study and the case number without specifying identifying details

The data to be collected age sex underlying diseases regular medications duration of hospitalization need for ventilation number of days of ventilation mortality within 28 days APACHE-2 score SOFA score lactate level need for pressors need for dialysis or other RRT The reasons for not being admitted to the intensive care unit

Size of the research group about 1000 patients - this is the estimated number of patients in the time period detailed above

The method of processing the results all the demographic and in-hospital indicators will be tested statistically by a certified statistician depending on the type of data
Detailed Description: None

Study Oversight

Has Oversight DMC: None
Is a FDA Regulated Drug?: False
Is a FDA Regulated Device?: False
Is an Unapproved Device?: None
Is a PPSD?: None
Is a US Export?: None
Is an FDA AA801 Violation?: None