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Eliciting Informed Goals of Care in Elderly Patients

Not Applicable
Recruiting
Conditions
Patient Preference
Goals of Care
End of Life
Interventions
Other: GOCD Tool
Other: Usual care
Registration Number
NCT06002113
Lead Sponsor
Royal Victoria Hospital, Canada
Brief Summary

Patient-centered medical care considers a patient's values and goals for their health and well-being. Healthcare providers use this information to formulate a medical care plan that is aligned with these expectations. This shared-decision making process should occur with every medical decision, but it is especially important whenever decisions about end-of-life care are being considered. Eliciting patient preferences about resuscitation and life-support treatments in the event of life-threatening illnesses are considered to be a standard of excellent and appropriate medical care. Unfortunately, these discussions don't happen consistently and even when they do occur, are rarely ideal. The consequences can be devastating, often resulting in the delivery of unwanted medical care that can be associated with significant physical and mental suffering among patients and their families. In response to this problem, the investigators developed a novel tool to help guide these difficult conversations between healthcare providers and patients. The investigators previously tested this tool in a small group of hospitalized patients who found it acceptable and helpful. In this larger study, the investigators will compare how effective this tool is compared to usual care in ensuring hospitalized patients have their treatment preferences identified, documented and result in end-of-life care that is consistent with their preferences.

Detailed Description

Objectives:

1. To determine the impact of facilitated Goals of Care Discussions (GOCDs) on the number of ICU, ventilator, and dialysis days during the index hospitalization (or until death) (composite).

2. To determine the impact of facilitated GOCDs on the number of ICU, ventilator, and dialysis days after the index hospitalization until 12 months post-admission from the index hospitalization (or until death) (composite).

3. To determine the impact of f-GOCDs on the final treatment preferences for life sustaining treatments (LSTs) documented in CODE STATUS.

4. To determine the impact of facilitated GOCDs on other outcomes including decisional conflict and quality of communication, patient satisfaction with the encounter, and place of death.

5. To determine the difference in direct patient hospital costs

6. To determine the barriers and facilitators to the implementation of GOCDs.

Design:

A prospective, single-centre, stratified, parallel group, allocation concealed, analyst-masked, randomized, pragmatic, mixed-method, comparative effectiveness trial in hospitalized elderly patients 80 years and older.

Participants:

This study will include all elderly patients admitted to the Royal Victoria Regional Health Centre in Barrie, Ontario, Canada, with an acute medical or surgical diagnosis who fulfill all the inclusion criteria and for whom none of the exclusion criteria exist.

Recruitment & Eligibility

Status
RECRUITING
Sex
All
Target Recruitment
1200
Inclusion Criteria
  • Hospitalized patients ≥ 80 years old with an acute medical or surgical condition admitted to any hospital ward
  • Previously or currently documented CODE STATUS preferences do not include any life sustaining therapies
  • Duration of admission ≥ 24 hours
  • English speaking, or translator present
  • Competent patient or substitute decision maker
Exclusion Criteria
  • Treating physician, patient, or substitute decision maker declines
  • Documented resuscitation preferences for comfort or supportive care
  • New diagnosis of life-limiting illness on this hospital admission, for example, new diagnosis of metastatic cancer
  • Clinically unstable, admitted to an intensive care unit, or currently receiving acute life support treatment (mechanical ventilation, acute dialysis, or inotropic/vasopressor support)
  • Readmission after index hospitalization
  • Pre-existing need for chronic mechanical ventilation (invasive mechanical ventilation via tracheostomy > 90 days) or maintenance dialysis (peritoneal or hemodialysis > 90 days)

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
GOCD ToolGOCD ToolIntensive care unit-facilitated goals-of-care discussion using web-based shared-decision making software tool
usual careUsual careUsual discussions conducted by attending physician with patient
Primary Outcome Measures
NameTimeMethod
ICU-related health care utilization12 months after admission from index hospital admission

total number of hospital, ventilator, ICU, and dialysis days

Secondary Outcome Measures
NameTimeMethod
CODE STATUS resuscitation preferencesAt the time of index hospital discharge or death during the index hospitalization, up to 12 months after the time of index hospital admission

Distribution of resuscitation preferences documented in CODE STATUS

Change in CODE STATUS preferencesAt the time of index hospital discharge or death during the index hospitalization, up to 12 months after the time of index hospital admission

Proportion of patients who change documented CODE STATUS preferences

Resuscitation level designationAt the time of index hospital discharge or death, up to 12 months after the time of index hospital admission

proportion of patients with completed resuscitation preferences identified

Distribution of ICU-related days of health care utilizationFrom index hospital admission until hospital discharge or death in hospital, assessed up to 12 months

compare empirical distributions of total days of health care utilization

Time required to complete GOCD-facilitated discussionFrom index hospital admission until hospital discharge or death in hospital, assessed up to 12 months

Total time required to complete intervention

Quality of communicationFrom index hospital admission until hospital discharge or death in hospital, assessed up to 12 months

assessment of patient perceptions of quality of goals of care discussion

patient satisfaction with GOCD discussionFrom index hospital admission until hospital discharge or death in hospital, assessed up to 12 months

patient satisfaction with goals of care discussions

Evaluation of GOCD toolFrom index hospital admission until hospital discharge or death in hospital, assessed up to 12 months

patient's perceptions of quality of web-based tool

Patient-provider agreement on resuscitation preferencesFrom index hospital admission until hospital discharge or death in hospital, assessed up to 12 months

decision concordance between patients and providers

DeathFrom index hospital admission until hospital discharge or death in hospital, assessed up to 12 months

date and time and place of death during study period

Direct hospital costsFrom index hospital admission until hospital discharge or death in hospital, assessed up to 12 months

Difference in direct hospital costs

Trial Locations

Locations (1)

Royal Victoria Regional Health Centre

🇨🇦

Barrie, Ontario, Canada

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