NCT03520023已完成不适用
Does Early vs Usual Palliative Care Consultation Augment the Critical Care Physician to Decrease Healthcare Utilization and Increase Caregiver Satisfaction
适应症
干预措施
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 发起方
- Mayo Clinic
- 入组人数
- 95
- 试验地点
- 1
- 主要终点
- Patient satisfaction
研究概览
简要总结
Will earlier palliative care medicine consultation in the ICU result in decreased length of stay in the ICU and hospital, as well as, increased patient and family satisfaction. Secondary questions to be answered is if this early consultation changes ICU and hospital death, discharge destinations, hospice admissions, code status changes, and withdrawal of life sustaining interventions.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Supportive Care
- 盲法
- None
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Age >80 years
- •Apache II score >14
- •SOFA score > 9
- •Pre-existing functional dependency (admitted from ALF, SNF, LTAC, etc.)
- •Late stage dementia (bed-bound, nonverbal, incontinent, or unable to self-nourish/tube feed)
- •Stage 4 metastatic disease
- •Consideration to place permanent feeding tube or trach
- •Recurrent ICU admissions in the past year
- •Post-cardiac arrest
- •End-stage disease (lung, ESRD, ESLD)
- •ICU perceived need
排除标准
- 未提供
研究组 & 干预措施
Standard Care
No Intervention
Standard care with consultant discretion regarding consult of palliative care medicine
Experimental
Experimental
Early palliative care consult based upon meeting study inclusion criteria
干预措施: Palliative Care Consult (Other)
结局指标
主要结局
Patient satisfaction
时间窗: 1 year
Measure will assessed by using the family satisfaction with care in the intensive care unit form (FS-ICU 24)
次要结局
- ICU length of stay(1 year)
- Ventilator Days(1 year)
- Percentage admission to hospice(1 year)
研究者
研究点 (1)
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