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The aim of this study is to assess the possibility of discussing advance directives during post-intensive care consultation.
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.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| ICU patients with > 48h mechanical ventilation and/or > 5 days stay in ICU |
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| Measure | Description | Time Frame |
|---|---|---|
| Number of patients willing to discuss AD after an ICU stay | Number of patient willing to discussion AD after ICU stay will be observed | 1 year |
| Measure | Description | Time Frame |
|---|---|---|
| Number of patients knowing about AD before their ICU stay | Number of patient knowing before AD before ICU stay will be observed | 1 year |
| Factors influencing the writing of AD after an ICU stay |
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Inclusion Criteria:
Exclusion Criteria:
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All patients with at least 48 hours of mechanical ventilation and/or a 5 days stay in ICU, and then summoned to post-ICU consultation
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| CHU Brest | Brest | 29200 | France |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 33731201 | Background | 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. | |
| 28826983 | Background | 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. |
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| ID | Term |
|---|---|
| C000657744 | postintensive care syndrome |
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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
| 1 year |
| Evaluation of the privileged interlocutor to discuss AD | The privileged interlocutor to discuss AD will be observed | 1 year |
| Evaluation of the privileged interlocutor to complete AD | The privileged interlocutor to complete AD will be observed | 1 year |
| 22837381 | Background | 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. |