Using Videos to Facilitate Advance Care Planning for Patients With Heart Failure

Status unconfirmed · Not applicable

Conditions studied: CHF

In brief

The purpose of this study is to compare the decision making of subjects with advanced CHF having a verbal discussion about goals of care compared to subjects using a video.

Key facts

Study ID

NCT01589120

Run by

Massachusetts General Hospital

People needed

248

Starts

2012-04-01

Last updated by the study team

2020-11-17

Who can join

Age: 65 and older. Sex: any. Healthy volunteers: not accepted.

You may qualify if…

• A diagnosis of advanced heart failure as defined by ALL THREE of the following:
• New York Heart Association Class III or IV (NYHA 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
• Hospitalization for heart failure within the last six months. AND
• Age greater than or equal to 65.
• Additionally ONE of the following must be met:
• According to the attending physician's best judgment the patient's survival is limited to 2 years but may very well be less than 1 year (i.e. the physician would not be surprised if the patient died within one year from any cause) OR
• Three heart failure hospitalizations in the last year OR
• One of the following:
• Two Systolic Blood Pressures < 90 within the last 6 months in the ambulatory setting
• Na < 130 within the last 6 months
• NTproBNP > 3,000
• EGFR < 35
• High diuretic use (160 mg po Lasix or 100 mg po torsemide or equivalent total daily dose)

You may not qualify if…

• New patient
• A transplant or mechanical circulatory support candidate
• Major psychiatric illness as determined by the attending that would make this study inappropriate.
• Any patient that has been excluded for transplant or mechanical circulatory support due to psychological or psychiatric co-morbidities.

Where it is running

• Massachusetts General Hospital — Boston, Massachusetts, United States (enrolling)

Full record on ClinicalTrials.gov

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