A Randomized Controlled Trial of a CPR Video in Heart Failure Patients
试验速览
- 阶段
- 不适用
- 入组人数
- 50
- 试验地点
- 2
- 主要终点
- preferences
研究概览
简要总结
This is a randomized controlled trial of a CPR video decision aid in patients with advanced congestive heart failure (CHF).
详细描述
Aim 1: To compare the care preferences for CPR and intubation among subjects randomized to video and subjects randomized to the current standard of care without the video.
Hypothesis 1: Subjects randomized to the video intervention will be significantly more likely to opt against CPR and intubation compared to those who do not see the video.
Aim 2: To compare code-status documentation in the electronic medical records between subjects randomized to the video and those who are receiving the current standard of care without the video.
Hypothesis 2: Subjects randomized to the video are more likely to have their code status correctly documented in the electronic medical records compared to those who do not see the video.
Aim 3: To compare knowledge and decisional conflict of subjects randomized to video and subjects randomized to the current standard of care without the video.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Single Group
- 主要目的
- Health Services Research
- 盲法
- None
入排标准
- 年龄范围
- 65 Years 至 —（Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •A diagnosis of advanced heart failure:
- •New York Heart Association Class III or IV (III: marked limitation in activity due to symptoms, even during less-than-ordinary activity; IV: severe limitations, experiences symptoms while at rest). AND
- •Two or more hospitalizations for heart failure in the last year. AND
- •Either a systolic blood pressure ≤ 120 mm Hg OR Na ≤ 135 mEq/L.
- •Ability to provide informed consent.
- •Ability to communicate in English.
- •Age 65 or older.
排除标准
- 未提供
结局指标
主要结局
preferences
时间窗: 5 minutes after survey
preferences for cpr and intubation
次要结局
- knowledge(5 minutes after survey)
- decisional conflict(5 minutes after survey)
- advance care planning documentation(by the end of one year)
研究者
Angelo E. Volandes, MD
PI
Massachusetts General Hospital