A Feasibility Study on: Advance Care Planning (ACP) in Elderly Cardiac Surgery Patients
试验速览
- 阶段
- 不适用
- 发起方
- 入组人数
- 35
- 试验地点
- 1
- 主要终点
- Successful study completion
研究概览
简要总结
This is a prospective epidemiological pilot study to evaluate the feasibility of recruiting and retaining patients in a large multicenter study that will audit Advanced Care Planning (ACP) practices and satisfaction with End Of Life (EOL) communication and decision-making in patients undergoing cardiac surgery using the current validated questionnaires and methodology.
详细描述
Study Procedures:
Once patients have signed an informed consent they will be asked to complete the ACP evaluation questionnaire. Their level of frailty will be assessed with the 5-meter walk test. Two weeks after discharge (+ or - 7 days) they will be contacted by phone in order to complete 3 sections of the CANHELP questionnaire.
Study Tools
Patient questionnaires:
- ACP Evaluation questionnaire: 5 questions about advance care planning on admission to hospital from CANHELP study (time predicted 10 minutes)
- CANHELP questionnaire (sections relationship with doctors, communication and decision making) 2 weeks after discharge (time predicted 25 minutes)
研究设计
- 研究类型
- Observational
- 观察模型
- Cohort
- 时间视角
- Prospective
入排标准
- 年龄范围
- 70 Years 至 95 Years（Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Age and over 70 years
- •Admitted for cardiac surgery;
- •Able to speak English or French;
排除标准
- •Age under 70 years;
- •Unable to participate in the follow-up telephone survey;
- •Unable to speak English or French.
结局指标
主要结局
Successful study completion
时间窗: 1 month
To estimate the proportion of patients who successfully completed all the study tasks;
Time frame
时间窗: 1 month
To evaluate the time frame required to enroll and complete the study for 35 patients;
Gait test
时间窗: 1 month
To evaluate the length of time required perform the gait test (in minutes);
patient retention
时间窗: 1 month
To evaluate patient retention (percent of patients who complete the study);
Screen failure rate
时间窗: 1 month
To evaluate the screen failure rate
次要结局
- Overall satisfaction(1 month)
- Prevalence of ACP(1 month)
- Percentage of frail patients(1 month)
- Level of correlation between "level of frailty" and "satisfaction with decision making".(1 month)
研究者
Jennifer Cogan
Associate Professor, MSc, MD, FRCPC,
Montreal Heart Institute