An Examination of Palliative Care as Standard Practice for Heart Failure Patients
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 232
- 试验地点
- 1
- 主要终点
- Is there an impact on quality of life with the addition of palliative care intervention?
研究概览
简要总结
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.
详细描述
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?
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Supportive Care
- 盲法
- None
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Abbott Northwestern Hospital inpatient adults with a diagnosis of acute heart failure
排除标准
- •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
研究组 & 干预措施
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.
干预措施: Palliative Care Consultation (Other)
Control
Usual care for HF patient which may include a palliative care consult if ordered by treating physician.
干预措施: Control (Other)
结局指标
主要结局
Is there an impact on quality of life with the addition of palliative care intervention?
时间窗: Change from baseline in quality of life score at 3 months
Assessment Tools: \*Quality of Life-Minnesota Living with Heart Failure questionnaire (MLHF)
次要结局
- Is there an impact on Symptom Severity with the addition of palliative care(Change from baseline in symptom severity score at 3 months)
- Differential use of medical services- 30 day readmission(30 Days)
- Is there an impact on depression with the addition of palliative care intervention?(Change from baseline in depression score at 3 months)