- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT03607019
Social Deprivation Features in Intensive Care Unit Patients (PRECAREA)
Epidemiology and Prognostic Impact of Social Deprivation Features in Intensive Care Unit Patients
Socioeconomic inequalities are increasingly recognised as an important public health issue, and it is now well established that patients with socioeconomic deprivation (SED) features demonstrate higher mortality and morbidity. The epidemiology and impact of SED on the specific population of ICU patients has been insufficiently investigated.
In this prospective multicenter study of patients admitted to 9 ICUs of the Paris area, the investigators aim to explore the epidemiology of SED features, and its impact on mortality and length of stay.
Study Overview
Status
Conditions
Study Type
Enrollment (Actual)
Contacts and Locations
Study Locations
-
-
-
Boulogne-Billancourt, France, 92104
- Centre Hospitalier Universitaire Ambroise Pare
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Colombes, France, 92701
- Centre Hospitalier Universitaire Louis Mourier
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Corbeil-Essonnes, France, 91106
- Centre Hospitalier Sud-Francilien
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Créteil, France, 94010
- Centre Hospitalier Universitaire Henri Mondor
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Jossigny, France, 77600
- Grand Hôpital de l'Est Francilien
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Longjumeau, France, 91160
- Groupe Hospitalier Nord-Essone
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Montreuil, France, 93100
- Centre hospitalier Intercommunal André Grégoire
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Paris, France, 75010
- Centre Hospitalier Universitaire Lariboisiere
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Saint-Denis, France, 93200
- Centre Hospitalier de Saint-Denis
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Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Sampling Method
Study Population
Description
Inclusion Criteria:
- Age ≥ 18 years
- Admission to one of the participating intensive care units
Exclusion Criteria:
- None
Study Plan
How is the study designed?
Design Details
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
30-day mortality
Time Frame: 30 days
|
30-day mortality
|
30 days
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
ICU length of stay
Time Frame: up to 12 weeks
|
ICU length of stay
|
up to 12 weeks
|
Hospital length of stay
Time Frame: up to 12 weeks
|
Hospital length of stay
|
up to 12 weeks
|
ICU mortality
Time Frame: up to 12 weeks
|
ICU mortality
|
up to 12 weeks
|
Other Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
30-day mortality of pre-specified subgroup of undocumented immigrants
Time Frame: 30 days
|
30-day mortality of pre-specified subgroup of patients who are undocumented
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30 days
|
30-day mortality of pre-specified subgroup of deprived patients aged between 18 and 25 years old
Time Frame: 30 days
|
30-day mortality of pre-specified subgroup of deprived patients (ie without healthcare coverage and/or without income and/or without housing) aged between 18 and 25 years old
|
30 days
|
Collaborators and Investigators
Investigators
- Principal Investigator: Etienne de Montmollin, MD, Centre Hospitalier de Saint-Denis
- Study Chair: Morgan Benais, MD, Centre Hospitalier de Saint-Denis
- Study Chair: Daniel Da Silva, MD, Centre Hospitalier de Saint-Denis
Publications and helpful links
General Publications
- Marmot M, Allen J, Bell R, Bloomer E, Goldblatt P; Consortium for the European Review of Social Determinants of Health and the Health Divide. WHO European review of social determinants of health and the health divide. Lancet. 2012 Sep 15;380(9846):1011-29. doi: 10.1016/S0140-6736(12)61228-8. Epub 2012 Sep 8.
- Welch CA, Harrison DA, Hutchings A, Rowan K. The association between deprivation and hospital mortality for admissions to critical care units in England. J Crit Care. 2010 Sep;25(3):382-90. doi: 10.1016/j.jcrc.2009.11.003. Epub 2010 Jan 15.
- Zager S, Mendu ML, Chang D, Bazick HS, Braun AB, Gibbons FK, Christopher KB. Neighborhood poverty rate and mortality in patients receiving critical care in the academic medical center setting. Chest. 2011 Jun;139(6):1368-1379. doi: 10.1378/chest.10-2594. Epub 2011 Mar 31.
- Latour J, Lopez V, Rodriguez M, Nolasco A, Alvarez-Dardet C. Inequalities in health in intensive care patients. J Clin Epidemiol. 1991;44(9):889-94. doi: 10.1016/0895-4356(91)90051-a.
- Bein T, Hackner K, Zou T, Schultes S, Bosch T, Schlitt HJ, Graf BM, Olden M, Leitzmann M. Socioeconomic status, severity of disease and level of family members' care in adult surgical intensive care patients: the prospective ECSSTASI study. Intensive Care Med. 2012 Apr;38(4):612-9. doi: 10.1007/s00134-012-2463-x. Epub 2012 Jan 25.
- Bige N, Hejblum G, Baudel JL, Carron A, Chevalier S, Pichereau C, Maury E, Guidet B. Homeless Patients in the ICU: An Observational Propensity-Matched Cohort Study. Crit Care Med. 2015 Jun;43(6):1246-54. doi: 10.1097/CCM.0000000000000944.
Study record dates
Study Major Dates
Study Start (ACTUAL)
Primary Completion (ACTUAL)
Study Completion (ACTUAL)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (ACTUAL)
Study Record Updates
Last Update Posted (ACTUAL)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Keywords
Other Study ID Numbers
- 2017-A01272-51
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
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