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End-of-life care is a core topic for geriatricians. One of the key aspects of end-of-life management is deciding when to discontinue active care measures (for example blood pressure monitoring, blood tests and X-rays) in favor of exclusive comfort care. In this retrospective observational study, the investigators looked at the care measures, treatments and paraclinical exams received by geriatric patients both one week and 24 hours before their death.
This analysis provides information on the differences in geriatric physicians' practices regarding the anticipation of the end of life, by showing on average when active care measures were stopped before death. Secondly, the investigators looked at patient criteria that could explain a prolongation of active care and a delay in the implementation of exclusive comfort care.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Patients over 75 who died in geriatrics | Patients over 75 years old who died in the geriatric short-stay departments of Saint-Etienne University Hospital |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Collecting data from the medical record | Other | Patient's socio-demographic data (age, gender, residence), comorbidities, cause of death, date and frequency of care measures/treatments/paraclinical exams received before their death. |
| Measure | Description | Time Frame |
|---|---|---|
| Prevalence of care and treatments received during the last week of life, and during the last 24 hours of life | To measure the prevalence of care (hemodynamic, biological and radiological monitoring), and to evaluate the treatments received during the last week of life, and during the last 24 hours of life of patients hospitalized and who died in a geriatric short-stay ward. | In the last week of life and 24 hours before death |
| Measure | Description | Time Frame |
|---|---|---|
| Patient criteria that may have explained the pursuit of care | Analysis of patient criteria (age, comorbidities, etc.) that may have explained the continuation of care, treatments and paraclinical exams up to the last 24 hours before death. | In the last week of life and 24 hours before death |
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Inclusion Criteria:
Exclusion Criteria:
- Patients under 75 years old
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All patients over 75 years old who died in the geriatric short-stay departments of Saint-Etienne University Hospital
| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Ludovic LAFAIE, MD | Contact | (0)477127397 | +33 | ludovic.lafaie@chu-st-etienne.fr |
| Solène VALETTE, resident | Contact | (0)670511373 | +33 | solene.valette@hotmail.fr |
| Name | Affiliation | Role |
|---|---|---|
| Ludovic LAFAIE, MD | Centre Hospitalier Universitaire de Saint Etienne | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| CHU Saint-Etienne | Recruiting | Saint-Etienne | France |
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| ID | Term |
|---|---|
| D003643 | Death |
| ID | Term |
|---|---|
| D010335 | Pathologic Processes |
| D013568 | Pathological Conditions, Signs and Symptoms |
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