临床试验/NCT03424109

NCT03424109已完成不适用

Primary Palliative Care for Emergency Medicine (PRIM-ER)

NYU Langone Health1 个研究点分布在 1 个国家目标入组 98,922 人开始时间: 2019年7月1日最近更新: 2025年6月22日

适应症

试验速览

阶段: 不适用
状态: 已完成
发起方: NYU Langone Health
入组人数: 98,922
试验地点: 1
主要终点: Acute Care Admission

研究概览研究设计入排标准结局指标研究者研究点记录与标识符相似试验

研究概览

简要总结

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).

研究设计

研究类型: Observational
观察模型: Cohort
时间视角: Retrospective

入排标准

年龄范围: 66 Years 至 —（Older Adult）
性别: All
接受健康志愿者: 否

入选标准

•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.

排除标准

•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.

结局指标

主要结局

Acute Care Admission

时间窗: Index Visit

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

次要结局

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)

研究者

发起方

NYU Langone Health

申办方类型

Other

责任方

Sponsor

研究点 (1)

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