Does Detailed Informed Consent for Cardiopulmonary Resuscitation and Mechanical Ventilation Impact Patients' Decisions and Outcomes?
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 发起方
- 入组人数
- 200
- 试验地点
- 2
- 主要终点
- Number of patients opting out of routine care - no intubation
研究概览
简要总结
There is evidence to suggest that patients make different end-of-life decisions if they understand the risks, benefits and alternatives of CPR and mechanical ventilation. This study will examine whether evidence-based informed consent impacts patients choices and healthcare outcomes compared to routine care.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Single Group
- 主要目的
- Health Services Research
- 盲法
- None
入排标准
- 年龄范围
- 65 Years 至 —(Older Adult)
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •All patients
- •Admitted to the hospitalist Medicine Service
排除标准
- •Patients who have pre-existing, pan-institutional (e.g. to be applied at nursing homes and hospitals) orders of no CPR and/or no mechanical ventilation will be screened (demographic and outcomes data collected) but NOT randomized.
- •Patients already receiving critical care on admission will also be excluded
结局指标
主要结局
Number of patients opting out of routine care - no intubation
时间窗: 48 hours
Number of patients in each group who opt out of intubation 48 hours after admission.
Number of patients opting out of routine care - no CPR
时间窗: 48 hours
Number of patients in each group who opt out of CPR within 48 hours of admission.
次要结局
- 30-day mortality(30 days)
- 90 day mortality(90 days)
- Number of patients undergoing CPR(Length of patient's hospital stay)
- Hospital Mortality(Length of patient's hospital stay)
- Number of patients undergoing intubation(Length of patient's hospital stay)
研究者
Imran Naqvi
Chief Hospitalist, Associate Program Director Internal Medicine Residency
Jewish Hospital, Cincinnati, Ohio
