A Feasibility Study Protocol for Implementing Consultation-based Palliative Care Services to Provide High-quality Palliative Care to Families of Critically Ill Patients in Intensive Care Units: A Single-arm Pilot Study
Overview
- Phase
- N/A
- Intervention
- Not specified
- Conditions
- Critical Illness
- Sponsor
- Seoul National University Hospital
- Enrollment
- 20
- Locations
- 1
- Primary Endpoint
- Feasibility of Applying Consultation-Based High-Quality Palliative Care
- Status
- Recruiting
- Last Updated
- last year
Overview
Brief Summary
Critically ill patients in intensive care units (ICUs) receive life-sustaining treatments aimed at restoring or maintaining organ function. ICU admission often involves substantial physical and existential pressures that can burden patients, their families, and surrogates. Multidisciplinary palliative care support can help alleviate potential causes of suffering. Twenty patients admitted to the ICUs at Seoul National University Hospital, diagnosed with sudden and severe acute brain injury or progressive organ failure, along with their surrogates, will be enrolled in the study. This study aims to assess the feasibility of applying consultation-based palliative care services to provide higher quality palliative care for critically ill patients with acute illnesses and their families facing poor prognoses upon ICU admission. Additionally, the study seeks to determine whether providing such palliative care services can help better respect the patient's values and goals, reduce communication conflicts, alleviate family caregivers' anxiety and depression, and enhance satisfaction with critical care.
Investigators
Shin Hye Yoo
Assistant Professor
Seoul National University Hospital
Eligibility Criteria
Inclusion Criteria
- Not provided
Exclusion Criteria
- Not provided
Outcomes
Primary Outcomes
Feasibility of Applying Consultation-Based High-Quality Palliative Care
Time Frame: 1 day (at discharge)
Proportion of eligible contacts who consented and participated in the study, palliative care family counseling rate, and study completion rate.
Secondary Outcomes
- Change in Surrogates' Decisional Self-Efficacy before and after the Intervention(Pre-post comparison (baseline vs. within one week after consultation))
- Change in Surrogates' Emotional State before and after the Intervention(Pre-post comparison (baseline vs. within one week after consultation))
- Level of Patient- and Family-Centered Care Experienced by Surrogates after the Intervention(Follow-up (within one week after consultation and one month after consultation; up to three months after the final consultation for deceased patients))
- Surrogates' Satisfaction with the Intervention Services(Within one week after the final consultation)
- Length of Hospital Stay(1 day (at discharge))
- Survival to Discharge Rate(1 day (at discharge))
- Change in Surrogates' Decisional Conflict before and after the Intervention(Pre-post comparison (baseline vs. within one week after consultation))
- Surrogates' Decision Regret after the Intervention(Follow-up (within one week after consultation and one month after consultation; up to three months after the final consultation for deceased patients))
- Days of Symptom Relief Treatments received in the ICU(1 day (at discharge))
- Proportion of Patients receiving Symptom Relief Treatments During the ICU stay(1 day (at discharge))
- Data Collection Completion Rate(Within three months after the final consultation)
- Use of Symptom Relief Treatments within 48 Hours before Death(1 day (at discharge))
- Time Taken to Recruit Patients(Within the first year of study initiation)
- Use of Life-Sustaining Procedures within 48 Hours before Death(1 day (at discharge))