An observational study in Patient Care, Quality of Health Care and Intensive Care Units, sponsored by Assistance Publique - Hôpitaux de Paris. Completed at 1 site in France. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2009-05-06.
Sponsored by Assistance Publique - Hôpitaux de Paris · Observational
Current guidelines recommend Routine daily chest radiographs (CXRs) for mechanically ventilated patients in intensive care units (ICUs). However, some ICUs have shifted to an On-demand strategy, in which this CXR is only prescribed if warranted by the patient's status at the morning physical examination. Here the investigators compared Routine and On-demand strategies in 21 French ICUs. The working hypothesis was that CXR prescriptions would fall by at least 20% with the On-demand strategy, with no reduction in quality of care.
Based on a cluster-randomized two-period two-strategies cross-over design, respectively 11 and 10 participating ICUs applied the Routine and On-demand strategies during the first period, each enrolling 20 consecutive patients requiring mechanical ventilation for at least two days. Each ICUs applied then applied the alternative strategy during the second period, again enrolling 20 consecutive patients.
Assistance Publique - Hôpitaux de Paris is the lead sponsor of 3,505 studies on the registry; 1,006 are open to participants now.
Counted across the registry records on this site, refreshed daily.
All newly admitted adult patients receiving mechanical ventilation at the time of the morning visit in ICU
Exclusion Criteria:
Routine strategy of chest radiograph prescription
On-demand strategy of chest radiograph prescription
Average number of chest radiographs per patient-day during mechanical ventilation
Time frame: Every patient-day during mechanical ventilation.
Mortality rate in ICU
Time frame: During the inpatient stay in ICU
Average length of stay
Time frame: During the inpatient stay in ICU
Average duration of mechanical ventilation
Time frame: During the inpatient stay in ICU
Number of radiographs with new findings leading to therapeutic or diagnostic interventions
Time frame: During the inpatient stay in ICU
This study is completed, as verified in May 2009. You cannot join it, but the record below documents what was studied.
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Assistance Publique - Hôpitaux de Paris