Post-ICU Consultation : a Time to Discuss Advance Directives (CoPRADA)
Study Details
Study Description
Brief Summary
The aim of this study is to assess the possibility of discussing advance directives during post-intensive care consultation.
| Condition or Disease | Intervention/Treatment | Phase |
|---|---|---|
|
|
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.
Study Design
Arms and Interventions
| Arm | Intervention/Treatment |
|---|---|
| ICU patients with > 48h mechanical ventilation and/or > 5 days stay in ICU
|
Outcome Measures
Primary Outcome Measures
- 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 Outcome Measures
- 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
Eligibility Criteria
Criteria
Inclusion Criteria:
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Patients with 48 hours of mechanical ventilation
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Patients with a 5 days stay in ICU
Exclusion Criteria:
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Patients with therapeutic limitation discussed during their ICU stay
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Geographical remotness to come to the post-ICU consultation
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Minor patients
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Patient not affiliated to the social security scheme
Contacts and Locations
Locations
| Site | City | State | Country | Postal Code | |
|---|---|---|---|---|---|
| 1 | CHU Brest | Brest | France | 29200 |
Sponsors and Collaborators
- University Hospital, Brest
Investigators
None specified.Study Documents (Full-Text)
None provided.More Information
Publications
- Andreu P, Dargent A, Large A, Meunier-Beillard N, Vinault S, Leiva-Rojas U, Ecarnot F, Prin S, Charles PE, Fournel I, Rigaud JP, Quenot JP. Impact of a stay in the intensive care unit on the preparation of Advance Directives: Descriptive, exploratory, qualitative study. Anaesth Crit Care Pain Med. 2018 Apr;37(2):113-119. doi: 10.1016/j.accpm.2017.05.007. Epub 2017 Aug 4.
- Lone NI, Walsh TS. Impact of intensive care unit organ failures on mortality during the five years after a critical illness. Am J Respir Crit Care Med. 2012 Oct 1;186(7):640-7. doi: 10.1164/rccm.201201-0059OC. Epub 2012 Jul 26.
- Rousseau AF, Prescott HC, Brett SJ, Weiss B, Azoulay E, Creteur J, Latronico N, Hough CL, Weber-Carstens S, Vincent JL, Preiser JC. Long-term outcomes after critical illness: recent insights. Crit Care. 2021 Mar 17;25(1):108. doi: 10.1186/s13054-021-03535-3.
- 29BRC21.0335 - CoPRADA