Analysis of Factors Related to Occurrence of Serious Adverse Events During Nursing in Intensive Care Units

French Society for Intensive Care262 enrolled

Overview

Patients who are hospitalized in intensive care unit (ICU) require basic nursing care to improve patient hygiene, to promote comfort, to prevent pressure ulcer, and foot or hand's retractations. Those nursing cares require mobilization very frequently which expose critically ill patients to occurrence of serious adverse events (SAE) such as i) hemodynamic, neurologic, and respiratory variations ii) unplanned dislodgement (lines, drains, catheters, endotracheal tube..) Few study have evaluated relation between SAE occurence and several patient's, service's, health-care provider's caracteristics. We plan to analyse those factors to find some ways to prevent SAE occurence during nursing and hygiene cares.

Study Type

OBSERVATIONAL

Enrollment

262

Conditions

Nursing Caries Critical Care

Interventions

Nursing carePROCEDURE

The nursing care will be defined as a lateral mobibization and a length of care superior or equal to 10 min

Eligibility

Sex: ALL

Medical Language ↔ Plain English

Inclusion Criteria: * Health-care affiliated * Length of ICU stay \< 72 h * Patient with endotracheal tube * Patient with tracheostomy * Patient receiving vasoactives drugs (norepinephrine, epinephrine, Dobutamine) * Patient undergoing no invasive ventilation during 1hour minimum of 24 hours before the selection * Patient undergoing hight flow oxygen therapy heated and humidified Exclusion Criteria: * Patient already included in this study * Medical contraindication to the bed bath with lateral mobilization * Withdrawal of life sustaining treatment * Spinal trauma

Locations (26)

Hopital de Bruxelles

Brussels, Belgium

CHU Charleroi

Charleroi, Belgium

Hopital Civil Marie Curie

Charleroi, Belgium

CH Andre Migniot

Versailles, A, France

CHU Besançon

Besançon, France

CHU Ambroise Paré

Boulogne-Billancourt, France

CH Sud Francilien

Corbeil-Essonnes, France

CH de Dax

Dax, France

CH de la Dracénie

Draguignan, France

CHRU Lille

Lille, France

...and 16 more locations

Outcomes

Primary Outcomes

Incidence of occurrence of at least one serious avderse event (SAE) (defined below) during the nursing care while the study period (72 hours)

Determinate incidence of occurrence of at least one SAE (defined below) during the nursing care while the study period (72 hours) The nursing care will be defined as a lateral mobibization and a length of care sup or equal to 10min SAE are considered according to litterature as : * Cardiac arest * Unplanned extubation * Episode of Spo2 riequiring therapeutic intervention * Artificial airway obstruction requiring endotracheal suctionning * Unplanned dislodgements related to lines or catheters drains * Hypotension with therapeutic intervention * Cardiac rhythm disorders with therapeutic intervention * Agitation with therapeutic intervention * Equipment failure or dysfunction * Patient fall * Need for doctor help * Increased intracranial pressure \> 20 mmHg * Acute painful crisis

Time frame: 72 hours