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Evaluation of the Association Between Day and Time of Admission to Critical Care and Acute Hospital Outcome

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ClinicalTrials.gov Identifier: NCT02751164
Recruitment Status : Completed
First Posted : April 26, 2016
Last Update Posted : September 7, 2016
Sponsor:
Collaborator:
Imperial College Healthcare NHS Trust
Information provided by (Responsible Party):
David Harrison, Intensive Care National Audit & Research Centre

Brief Summary:
A retrospective analysis of the Case Mix Programme database to evaluate the association between day and time of admission to critical care and acute hospital outcome for unplanned admissions to adult, general critical care units in England, Wales and Northern Ireland.

Condition or disease Intervention/treatment
Critical Illness Other: Day/time of admission to the critical care unit

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Study Type : Observational
Actual Enrollment : 195428 participants
Observational Model: Cohort
Time Perspective: Retrospective
Official Title: Evaluation of the Association Between Day and Time of Admission to Critical Care and Acute Hospital Outcome for Unplanned Admissions to Adult, General Critical Care Units in the United Kingdom
Study Start Date : April 2013
Actual Primary Completion Date : May 2016
Actual Study Completion Date : May 2016

Resource links provided by the National Library of Medicine


Group/Cohort Intervention/treatment
Weekday daytime
Admitted to the critical care unit Monday-Friday 08:00-17:59
Other: Day/time of admission to the critical care unit
Weekend daytime
Admitted to the critical care unit Saturday-Sunday 08:00-17:59
Other: Day/time of admission to the critical care unit
Weekday night
Admitted to the critical care unit Monday-Friday 18:00-07:59 the next day
Other: Day/time of admission to the critical care unit
Weekend night
Admitted to the critical care unit Saturday-Sunday 18:00-07:59 the next day
Other: Day/time of admission to the critical care unit



Primary Outcome Measures :
  1. Acute hospital mortality [ Time Frame: Discharge from acute hospital, an average of 22 days ]
    Death before ultimate discharge from acute hospital



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Ages Eligible for Study:   16 Years and older   (Child, Adult, Older Adult)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   No
Sampling Method:   Non-Probability Sample
Study Population
Unplanned admissions to National Health Service adult, general critical care units in England, Wales and Northern Ireland
Criteria

Inclusion Criteria:

  • Adult patients (age 16 years or older)
  • Unplanned admission to the critical care unit (i.e. excluding admissions from theatre following elective or scheduled surgery, planned local medical admissions, planned transfers and repatriations)

Exclusion Criteria:

  • Readmission of the same patient to the critical care unit during the same acute hospital stay
  • Transfer from another critical care unit
  • Transfer from another acute hospital
  • Admission for organ donation
  • Missing time of admission
  • Missing acute hospital outcome
  • Missing key confounders (age, location prior to admission, primary reason for admission, all physiology)

Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT02751164


Sponsors and Collaborators
Intensive Care National Audit & Research Centre
Imperial College Healthcare NHS Trust
Investigators
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Principal Investigator: David Harrison Intensive Care National Audit & Research Centre

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Responsible Party: David Harrison, Senior Statistician, Intensive Care National Audit & Research Centre
ClinicalTrials.gov Identifier: NCT02751164     History of Changes
Other Study ID Numbers: DAAG161148
First Posted: April 26, 2016    Key Record Dates
Last Update Posted: September 7, 2016
Last Verified: September 2016
Individual Participant Data (IPD) Sharing Statement:
Plan to Share IPD: No

Additional relevant MeSH terms:
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Critical Illness
Disease Attributes
Pathologic Processes