Role of Palliative care consultation in Emergency department: A retrospective study

Completed

• Conditions: Neoplasms,

• Registration Number: CTRI/2021/08/036000

Brief Summary

Project Title

Palliative Care consultation in Emergency Department : A single centre

retrospective analysis

Background- Patients with advanced cancer present to the Emergency

Department (ED) with complex symptoms. Many patients at the end of life are

admitted to EDs and receive unwanted aggressive investigations and

interventions which may hamper the goals of care. Palliative Medicine

consultation in Emergency Department has shown to reduce symptom burden

in patients.

Aim- To determine the symptom profiles and outcome of patients referred for

specialist palliative care consultation in the Emergency Department.

Study Procedure- This is a retrospective analysis of medical records of

patient presenting to ED from July 2017 to June 2019.

Statistical analysis will be done to understand the frequency of symptom profile

and outcome.

Significance- The study will help us to understand the symptom profile of

terminally ill patients presenting to ED and the referral pattern and reasons for

new consultations in ED. This will help in formulating better care plans for

home- based care and anticipatory symptom management in these patients.

Detailed Description

Not available

Study Timeline

• Study Start: 2021-01-09
• Study Completion: 2022-01-03
• Last Update Posted: 2022-09-12

Recruitment & Eligibility

• Status: Completed
• Sex: All
• Target Recruitment: 800

Inclusion Criteria

1)Adult patients referred for specialist palliative care (SPC) consultation in ED 2)Patients newly referred for SPC consultation 3)Patients who are already registered with the oncology hospital’s specialist palliative care services.

Exclusion Criteria

• 1)Incomplete medical records.
• 2)Patients not primarily registered with the oncology hospital.

Study & Design

• Study Type: Observational
• Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
Primary outcome and outcome measures:	At presentation
The outcome of the SPC consultation will be as documented under the	At presentation
categories as frequency and percentages:	At presentation
1)Admission - Continuing care in ED	At presentation
Inpatient admissions in ward/ ICU in same hospital	At presentation
Referral for inpatient admissions in ward/ ICU in same other	At presentation
hospital/hospice care/respite care	At presentation
2)Discharge to home	At presentation
3)Death	At presentation

Secondary Outcome Measures

Name	Time	Method
To understand the reasons for referral	1

Trial Locations

Locations (1)

Tata Memorial Hospital; 🇮🇳 Mumbai, MAHARASHTRA, India

Tata Memorial Hospital

🇮🇳Mumbai, MAHARASHTRA, India

Dr Jayita Deodhar

Principal investigator

02224177000

jukd2000@yahoo.co.uk