This multicenter cohort aims to assess the impact of within-hospital trajectories of patients admitted in intensive care units from emergency departments on vital prognosis of patients, duration of hospital stay and hospital costs. As secondary objectives, the study will: * assess the impact of clinical and demographic characteristics on hospital trajectories of patients. * assess the impact of emergency units workload, beds availability in medical units and in intensive care units, and global hospital organisation on patients care trajectories.
The study will be performed in emergency departments and ICUs of university hospitals. 15 emergency departments and 36 ICUs of APHP (the public hospital system of the city of Paris) will be involved. The study will assemble the data from 50,000 to 80,000 patients in total. Eligible patients are admitted in ICUs between 01/01/2007 and 12/31/2011. Extraction of the patients' data will be performed with processing software utilised in APHP, i.e. Healthcare Information System Program (PMSI, Urqual, Gilda...etc.). Collected patients' data span the period from admission in emergency department or medical department unitl hospital discharge.
Study Type
OBSERVATIONAL
Enrollment
50,000
Emergency Department, Bichat-Claude Bernard Hospital
Paris, Île-de-France Region, France
Mortality
Mortality in ICU and in other hospital units
Time frame: throughout the study: 5 years
Rate of direct transfer
Rate of direct transfer from Emergency Unit to ICU
Time frame: throughout the study: 5 years
Rate of indirect transfer
Rate of indirect transfer from a hospitalization Unit to ICU
Time frame: throughout the study: 5 years
Duration of stay in emergency department, in ICU and in hospital
Duration of stay in emergency department, in ICU and in hospital
Time frame: throughout the study: 5 years
Mode of discharge from ICU
Mode of discharge from ICU and direction of patient (home, other structures etc.)
Time frame: throughout the study: 5 years
Severity scores
Severity scores in ICU
Time frame: throughout the study: 5 years
Use and duration of mechanical ventilation
Use and duration of mechanical ventilation for patient during ICU stay
Time frame: throughout the study: 5 years
Score of burden of care in ICU
Score of burden of care in ICU
Time frame: throughout the study: 5 years
Percentage of patients with ICU stay
Percentage of patients with ICU stay
Time frame: throughout the study: 5 years
Percentage of patients with continuing care
Percentage of patients with continuing care after discharge from the ICU
Time frame: throughout the study: 5 years
Frequency of dialysis
Frequency of dialysis
Time frame: throughout the study: 5 years
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