Primary Palliative Care for Emergency Medicine (PRIM-ER)

Completed

• Conditions: Emergencies

• Registration Number: NCT03424109
• Lead Sponsor: NYU Langone Health

Brief Summary

This proposal builds upon the evaluation of Primary Palliative Care Education, Training, and Technical Support for Emergency Medicine (PRIM-ER) implemented in a cluster-randomized, stepped wedge design in 33 Emergency Departments (EDs).

Detailed Description

Not available

Study Timeline

• Study First Submitted: 2018-01-30
• Study First Submitted QC: 2018-02-05
• Study First Posted: 2018-02-06
• Study Start: 2019-07-01
• Primary Completion: 2022-12-31
• Study Completion: 2022-12-31
• Results First Submitted: 2025-02-11
• Status Verified: 2025-06
• Results First Submitted QC: 2025-06-04
• Last Update Submitted: 2025-06-04
• Results First Posted: 2025-06-22
• Last Update Posted: 2025-06-22

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 98922

Inclusion Criteria

• Patients must demonstrate one-year mortality of at least 30 percent (score > 6) according to the Gagne Index, a validated instrument used to measure all cause one-year mortality in community-dwelling older adults, calculated based on their prior 12 months before the index ED visit of Medicare claims.

Exclusion Criteria

• ED patients transferred from a nursing home on the index ED visit will be excluded since prediction of mortality and disposition of such patients differs from community-dwelling adults.
• Patients currently receiving hospice at the time of the index ED visit will also be excluded since they have already received services.

Study & Design

• Study Type: OBSERVATIONAL
• Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
Acute Care Admission	Index Visit	Proportion of eligible patients whose disposition is to an acute care setting (inpatient, non-palliative service).

Secondary Outcome Measures

Name	Time	Method
Proportion of Patients With Emergency Department (ED) Revisits	Up to Month 6	Measured as the proportion of patients with at least one ED revisit in the six months following the index ED visit (Count)
Inpatient Days	Up to Month 6	Measured as the proportion of patients who had at least one inpatient stay in the six months following the index ED visit (Count).
Home Health Use	Up to Month 6	Proportion of patients with any home health use in the six months following the index ED visit (Yes/No)
Hospice Use	Up to Month 6	Proportion of patients with any hospice use in the six months following the index ED visit (Yes/No).
Proportion of Patients Who Died at Month 6 Post-Index Visit	Up to Month 6
Survival: Time-to-event	Up to Month 6	Number of days from index ED visit to death among those who died within six months following the index ED visit (Count of days)

Trial Locations

Locations (1)

New York University School of Medicine; 🇺🇸 New York, New York, United States