French Observatory on Hospitalizations in Cardiology of Patients of 80 Years and Over

Overview

Because of increased life expectancy and improved therapeutic methods in cardiology, the proportion of very old patients with cardiovascular disease increases. However, clinical practice "in real life" are still insufficiently known in this population. The recommendations still lack of studies specifically devoted to elderly or very elderly, an extrapolation of data based on evidence obtained in younger populations. This is a multicenter observational study during a day. On this day, all participating centers fill a questionnaire for each patient 80 years or older hospitalized in their service.

Study Type

  • Study Type: Observational
  • Study Design
    • Time Perspective: Prospective
  • Study Primary Completion Date: October 2009

Detailed Description

Information about the center will be collected: non-university or university center, presence of coronary angiography room, number of beds, number of patients 80 years or older hospitalized in the day of the investigation. The questionnaire is designed to: – Know the history of cardiovascular and noncardiovascular patient and degree of dependence – Know the reason for hospitalization – Evaluate the diagnostic and therapeutic already implemented or planned for this patient The day of the survey, information on each patient 80 years or older hospitalized in the service will be collected: – Patient Data: date of birth, sex, status. The patient identification data (name, surname, address) will not be collected. – Patient History: date of last hospitalization, life, cardiovascular risk factors, cardiovascular and non cardiovascular history, date of last hospitalization, life – Circumstances of admission: course of care before admission, admission to intensive care unit or hospital unit classical primary diagnosis and diagnosis (s) partner (s) – Initial assessment: treatment admission, major hemodynamic, electrocardiographic and biological – Regarding the current hospitalization: diagnosis already implemented or planned (echocardiography, angiography, electrophysiological study, etc …), therapeutic methods already implemented or planned angioplasty, percutaneous valve intervention, conventional or biventricular stimulation, cardiac surgery, medication – Become of the patient after hospitalization – The clinician's subjective impressions about the condition of the patient and monitoring recommendations – Assessment of addiction: ADL Scale No monitoring of patients is contemplated.

Arms, Groups and Cohorts

  • Patients aged 80 years and older
    • Patients aged 80 years and older and hospitalized in a cardiology department

Clinical Trial Outcome Measures

Primary Measures

  • Percentage of patients for which national guidelines were followed
    • Time Frame: 1 day
    • Evaluate clinical practice and particularly the monitoring of recommendations of international scientific societies in the population of very elderly (≥ 80 years)

Secondary Measures

  • Percentage of patients aged 80 and older hospitalized in the university and non university
    • Time Frame: 1 day
    • Better understand the demographics of cardiology services in France (Demography)

Participating in This Clinical Trial

Inclusion Criteria

  • Patient aged 80 years or more – Patient present in a cardiology service in the morning (8:00 to 12:00) the day of the survey – Admission to the service took place on the survey day or in the 15 days preceding the survey. Exclusion Criteria:

  • Patient with age <80 years. – Patient who have expressed a refusal to participate in the study

Gender Eligibility: All

Minimum Age: 80 Years

Maximum Age: N/A

Are Healthy Volunteers Accepted: No

Investigator Details

  • Lead Sponsor
    • French Cardiology Society
  • Provider of Information About this Clinical Study
    • Principal Investigator: Moubarak Ghassan, Assistant Professor – French Cardiology Society

Citations Reporting on Results

Moubarak G, Ernande L, Godin M, Cazeau S, Vicaut E, Hanon O, Zuily S, Tournoux F, Danchin N, Derumeaux G, Mechulan A. Impact of comorbidity on medication use in elderly patients with cardiovascular diseases: the OCTOCARDIO study. Eur J Prev Cardiol. 2013 Aug;20(4):524-30. doi: 10.1177/2047487312444235. Epub 2012 Mar 23.

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