Palliative Care for Heart Failure Patients

Not Applicable

Completed

• Conditions: Heart Failure
• Interventions: Other: Control; Other: Palliative Care Consultation

• Registration Number: NCT01519479
• Lead Sponsor: Allina Health System

Brief Summary

The purpose of this study is to assess the impact of palliative care consultation on quality of life and symptom management for patients hospitalized with acute heart failure with a randomized control trial at Abbott Northwestern Hospital.

Detailed Description

Research questions:

Q1. Does the provision of palliative care to heart failure patients yield higher quality of life, increased symptom management, or reduced depression compared to heart failure patients not receiving palliative care?

Q2. Does the provision of palliative care to heart failure patients result in differential use of medical services (lower hospital days and readmission) compared to heart failure patients not receiving systematic palliative care?

Study Timeline

• Study First Submitted: 2012-01-19
• Study First Submitted QC: 2012-01-26
• Study First Posted: 2012-01-27
• Study Start: 2012-04
• Primary Completion: 2013-12
• Study Completion: 2013-12
• Status Verified: 2019-03
• Last Update Submitted: 2019-03-15
• Last Update Posted: 2019-03-18

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 232

Inclusion Criteria

• Abbott Northwestern Hospital inpatient adults with a diagnosis of acute heart failure

Exclusion Criteria

• Are not an inpatient at Abbott Northwestern Hospital
• Are in the ICU
• On a ventilator
• Are pre-or post heart transplant
• Have a ventricular assist device (VAD)
• Determined to be actively dying
• Have cognitive impairments such that informed consent would not be possible,
• Are not proficient in the English language

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
Control	Control	Usual care for HF patient which may include a palliative care consult if ordered by treating physician.
Palliative Care Consultation	Palliative Care Consultation	Participant will get one palliative care consultation while in the hospital. The participants desire for subsequent palliative care visits will be determined and mutually agreed upon at the initial consultation.

Primary Outcome Measures

Name	Time	Method
Is there an impact on quality of life with the addition of palliative care intervention?	Change from baseline in quality of life score at 3 months	Assessment Tools: \*Quality of Life-Minnesota Living with Heart Failure questionnaire (MLHF)

Secondary Outcome Measures

Name	Time	Method
Differential use of medical services- 30 day readmission	30 Days	\*Number of readmissions in 30 days of discharge from initial enrollment hospitalization.
Is there an impact on Symptom Severity with the addition of palliative care	Change from baseline in symptom severity score at 3 months	Assessment tool: \*Symptom Severity - Edmonton Symptom Assessment scale (ESAS)
Is there an impact on depression with the addition of palliative care intervention?	Change from baseline in depression score at 3 months	Assessment Tool: \*Depression- Patient Health Questionnaire (PHQ-9)

Trial Locations

Locations (1)

Abbott Northwestern Hospital; 🇺🇸 Minneapolis, Minnesota, United States