Post-ICU Consultation : a Time to Discuss Advance Directives (CoPRADA)

Post-ICU Consultation : a Time to Discuss Advance Directives

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.

Inclusion Criteria:

• Patients with 48 hours of mechanical ventilation
• Patients with a 5 days stay in ICU

Exclusion Criteria:

• Patients with therapeutic limitation discussed during their ICU stay
• Geographical remotness to come to the post-ICU consultation
• Minor patients
• Patient not affiliated to the social security scheme