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Clinical Trials/NCT03424109
NCT03424109
Completed
Not Applicable

Primary Palliative Care for Emergency Medicine (PRIM-ER)

NYU Langone Health1 site in 1 country98,922 target enrollmentJuly 1, 2019
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ConditionsEmergencies

Overview

Phase
Not Applicable
Intervention
Not specified
Conditions
Emergencies
Sponsor
NYU Langone Health
Enrollment
98922
Locations
1
Primary Endpoint
Acute Care Admission
Status
Completed
Last Updated
10 months ago
OverviewInvestigatorsEligibility CriteriaOutcomesSitesSimilar Trials

Overview

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).

Registry
clinicaltrials.gov
Start Date
July 1, 2019
End Date
December 31, 2022
Last Updated
10 months ago
Study Type
Observational
Sex
All

Investigators

Responsible Party
Sponsor

Eligibility Criteria

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.

Outcomes

Primary Outcomes

Acute Care Admission

Time Frame: Index Visit

Proportion of eligible patients whose disposition is to an acute care setting (inpatient, non-palliative service).

Secondary Outcomes

  • Proportion of Patients With Emergency Department (ED) Revisits(Up to Month 6)
  • Inpatient Days(Up to Month 6)
  • Home Health Use(Up to Month 6)
  • Hospice Use(Up to Month 6)
  • Proportion of Patients Who Died at Month 6 Post-Index Visit(Up to Month 6)
  • Survival: Time-to-event(Up to Month 6)

Study Sites (1)

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