Ignite Creation Date:
2024-10-26 @ 3:35 PM
Last Modification Date:
2024-10-26 @ 3:35 PM
Study NCT ID:
NCT06513130
Status:
NOT_YET_RECRUITING
Last Update Posted:
None
First Post:
2024-07-10
Brief Title:
Geriatric Assessment at Discharge From the Intensive Care Unit in Patients Aged 75 Years and Older a Feasibility Study
Sponsor:
None
Organization:
None
Study Overview
Official Title:
Geriatric Assessment at Discharge From the Intensive Care Unit in Patients Aged 75 Years and Older a Feasibility Study
Status:
NOT_YET_RECRUITING
Status Verified Date:
2024-07
Last Known Status:
None
Delayed Posting:
No
If Stopped, Why?:
Not Stopped
Has Expanded Access:
No
If Expanded Access, NCT#:
N/A
Has Expanded Access, NCT# Status:
N/A
Acronym:
PreGEDI
Brief Summary:
The number of patients aged over 75 continues to grow and according to INSEE will represent almost 10 of the French population in 2021 an increase of 24 points since 2000 This demographic change is also observed in the intensive care units where admitted patients aged over 80 represent now up to 10-20 of critical care admissions depending on the facility
The admission of these patients remains controversial with questions about the benefit to elderly patients both in terms of in-hospital and distant survival as well as induced morbidity or subsequent quality of life functional status is impaired in up to two-thirds of survivors
The challenge of identifying the patients most able to withstand a stay is a major one Indeed a stay in intensive care represents a major stress for the organism due to the acute condition associated with one or more organ failures Bed rest immobilization and the use of drugs are responsible for formidable complications in the elderly muscle-wasting loss of adaptation to physical effort loss of autonomy delirium and agitation all of which have their own long-term impact
While many studies have looked at the prognostic factors on admission of these patients and the selection of the patient with the greatest probability of surviving the intensive care unit ICU improving the outcome of patients who survive to the ICU stay remains a little-investigated subject However the impact of physical and psychological disturbances induced by these patients stay in intensive care is major and their detection and management could be elements of interest in improving the care of this population However the feasibility of carrying out such an assessment immediately after an ICU stay has yet to be evaluated The aim of this study would be to evaluate the feasibility of a geriatric assessment at the end of the ICU stay or within 7 days of discharge and at 6 months This study is a prospective randomized single-center open-label interventional study
The admission of these patients remains controversial with questions about the benefit to elderly patients both in terms of in-hospital and distant survival as well as induced morbidity or subsequent quality of life functional status is impaired in up to two-thirds of survivors
The challenge of identifying the patients most able to withstand a stay is a major one Indeed a stay in intensive care represents a major stress for the organism due to the acute condition associated with one or more organ failures Bed rest immobilization and the use of drugs are responsible for formidable complications in the elderly muscle-wasting loss of adaptation to physical effort loss of autonomy delirium and agitation all of which have their own long-term impact
While many studies have looked at the prognostic factors on admission of these patients and the selection of the patient with the greatest probability of surviving the intensive care unit ICU improving the outcome of patients who survive to the ICU stay remains a little-investigated subject However the impact of physical and psychological disturbances induced by these patients stay in intensive care is major and their detection and management could be elements of interest in improving the care of this population However the feasibility of carrying out such an assessment immediately after an ICU stay has yet to be evaluated The aim of this study would be to evaluate the feasibility of a geriatric assessment at the end of the ICU stay or within 7 days of discharge and at 6 months This study is a prospective randomized single-center open-label interventional study
Detailed Description:
None
Study Oversight
Has Oversight DMC:
None
Is a FDA Regulated Drug?:
None
Is a FDA Regulated Device?:
None
Is an Unapproved Device?:
None
Is a PPSD?:
None
Is a US Export?:
None
Is an FDA AA801 Violation?:
None