French Observatory on Hospitalizations in Cardiology of Patients of 80 Years and Over (OCTOCARDIO)

Because of increased life expectancy and improved therapeutic methods in cardiology, the proportion of very old patients with cardiovascular disease increases. However, clinical practice "in real life" are still insufficiently known in this population. The recommendations still lack of studies specifically devoted to elderly or very elderly, an extrapolation of data based on evidence obtained in younger populations.

This is a multicenter observational study during a day. On this day, all participating centers fill a questionnaire for each patient 80 years or older hospitalized in their service.

Study Overview

• Status: Completed
• Conditions: Cardiovascular Disease

Detailed Description

Information about the center will be collected: non-university or university center, presence of coronary angiography room, number of beds, number of patients 80 years or older hospitalized in the day of the investigation.

The questionnaire is designed to:

• Know the history of cardiovascular and noncardiovascular patient and degree of dependence
• Know the reason for hospitalization
• Evaluate the diagnostic and therapeutic already implemented or planned for this patient

The day of the survey, information on each patient 80 years or older hospitalized in the service will be collected:

• Patient Data: date of birth, sex, status. The patient identification data (name, surname, address) will not be collected.
• Patient History: date of last hospitalization, life, cardiovascular risk factors, cardiovascular and non cardiovascular history, date of last hospitalization, life
• Circumstances of admission: course of care before admission, admission to intensive care unit or hospital unit classical primary diagnosis and diagnosis (s) partner (s)
• Initial assessment: treatment admission, major hemodynamic, electrocardiographic and biological
• Regarding the current hospitalization: diagnosis already implemented or planned (echocardiography, angiography, electrophysiological study, etc ...), therapeutic methods already implemented or planned angioplasty, percutaneous valve intervention, conventional or biventricular stimulation, cardiac surgery, medication
• Become of the patient after hospitalization
• The clinician's subjective impressions about the condition of the patient and monitoring recommendations
• Assessment of addiction: ADL Scale

No monitoring of patients is contemplated.

• Study Type: Observational
• Enrollment (Actual): 534

Contacts and Locations

Study Locations

• France
  • Paris, France
    • Lariboisiere Hospital

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: 80 years and older (Older Adult)
• Accepts Healthy Volunteers: No
• Genders Eligible for Study: All

• Sampling Method: Probability Sample

Study Population

Patients aged 80 years and older and hospitalized in a cardiology department which participate in this study.

Description

Inclusion Criteria:

• Patient aged 80 years or more
• Patient present in a cardiology service in the morning (8:00 to 12:00) the day of the survey
• Admission to the service took place on the survey day or in the 15 days preceding the survey.

Exclusion Criteria:

• Patient with age <80 years.
• Patient who have expressed a refusal to participate in the study

Study Plan

How is the study designed?

Design Details

• Observational Models: Cohort
• Time Perspectives: Prospective

Number of groups / cohorts

1

Cohorts and Interventions

Group / Cohort
Patients aged 80 years and older; Patients aged 80 years and older and hospitalized in a cardiology department

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Percentage of patients for which national guidelines were followed	Evaluate clinical practice and particularly the monitoring of recommendations of international scientific societies in the population of very elderly (≥ 80 years)	1 day

Secondary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Percentage of patients aged 80 and older hospitalized in the university and non university	Better understand the demographics of cardiology services in France (Demography)	1 day

Collaborators and Investigators

• Sponsor: French Cardiology Society

Publications and helpful links

General Publications

• Moubarak G, Ernande L, Godin M, Cazeau S, Vicaut E, Hanon O, Zuily S, Tournoux F, Danchin N, Derumeaux G, Mechulan A. Impact of comorbidity on medication use in elderly patients with cardiovascular diseases: the OCTOCARDIO study. Eur J Prev Cardiol. 2013 Aug;20(4):524-30. doi: 10.1177/2047487312444235. Epub 2012 Mar 23.

Study record dates

Study Major Dates

• Study Start (Actual): October 1, 2009
• Primary Completion (Actual): October 1, 2009
• Study Completion (Actual): June 1, 2010

Study Registration Dates

• First Submitted: April 16, 2010
• First Submitted That Met QC Criteria: May 11, 2010
• First Posted (Estimate): May 12, 2010

Study Record Updates

• Last Update Posted (Actual): August 7, 2019
• Last Update Submitted That Met QC Criteria: August 6, 2019
• Last Verified: August 1, 2019

More Information

Terms related to this study

• Keywords: Older patients; Aged, 80 and Over; Cardiology
• Additional Relevant MeSH Terms: Cardiovascular Diseases
• Other Study ID Numbers: 09472

Drug and device information, study documents

• Studies a U.S. FDA-regulated drug product: No
• Studies a U.S. FDA-regulated device product: No
• product manufactured in and exported from the U.S.: No