Practice Analysis of Care, Paraclinical Exams and Treatments Received by Geriatric Patients Both During the Last Week and the Last 24 Hours of Their Lives.

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.

Study Overview

• Status: Recruiting
• Conditions: End-of-life Care
• Intervention / Treatment: Other: Collecting data from the medical record

Detailed Description

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.

• Study Type: Observational
• Enrollment (Estimated): 100

Contacts and Locations

• Study Contact: Name: Ludovic LAFAIE, MD; Phone Number: +33 (0)477127397; Email: ludovic.lafaie@chu-st-etienne.fr
• Study Contact Backup: Name: Solène VALETTE, resident; Phone Number: +33 (0)670511373; Email: solene.valette@hotmail.fr

Study Locations

• France
  • Saint-Étienne, France
    • Recruiting
    • CHU Saint-Etienne
    • Sub-Investigator: Ludovic LAFAIE, MD
    • Contact: Ludovic LAFAIE, MD; Phone Number: +33 (0)477127397; Email: ludovic.lafaie@chu-st-etienne.fr
    • Contact: Solène VALETTE, resident; Phone Number: +33 (0)670511373; Email: solene.valette@hotmail.fr
    • Principal Investigator: Solène VALETTE, resident

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: Older Adult
• Accepts Healthy Volunteers: No

• Sampling Method: Non-Probability Sample

Study Population

All patients over 75 years old who died in the geriatric short-stay departments of Saint-Etienne University Hospital

Description

Inclusion Criteria:

• All patients over 75 years old who died in a geriatric short-stay department at Saint-Etienne University Hospital.

Exclusion Criteria:

- Patients under 75 years old

Study Plan

How is the study designed?

Number of groups / cohorts

1

Cohorts and Interventions

Group / Cohort	Intervention / Treatment
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	Other: Collecting data from the medical record; 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.

What is the study measuring?

Primary Outcome Measures

Outcome Measure	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

Secondary Outcome Measures

Outcome Measure	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

Collaborators and Investigators

• Sponsor: Centre Hospitalier Universitaire de Saint Etienne
• Investigators: Principal Investigator: Ludovic LAFAIE, MD, CHU Saint-Etienne

Study record dates

Study Major Dates

• Study Start (Actual): March 1, 2024
• Primary Completion (Estimated): December 31, 2025
• Study Completion (Estimated): December 31, 2025

Study Registration Dates

• First Submitted: August 30, 2023
• First Submitted That Met QC Criteria: August 30, 2023
• First Posted (Actual): September 7, 2023

Study Record Updates

• Last Update Posted (Actual): March 8, 2024
• Last Update Submitted That Met QC Criteria: March 7, 2024
• Last Verified: March 1, 2024

More Information

Terms related to this study

• Keywords: Geriatric; Death; End of life care
• Additional Relevant MeSH Terms: Pathologic Processes; Death
• Other Study ID Numbers: IRBN1162023/CHUSTE

Plan for Individual participant data (IPD)

• Plan to Share Individual Participant Data (IPD)?: NO

Drug and device information, study documents

• Studies a U.S. FDA-regulated drug product: No
• Studies a U.S. FDA-regulated device product: No