Focused Palliative Care Intervention in Advanced Heart Failure

Completed · Not applicable

Conditions studied: Heart Failure, Quality of Life

In brief

This small pilot study will be assessing the the impact of a standardized, social-worker led, longitudinal palliative care intervention on alignment of patient and physician understanding of prognosis and goals of care. Secondary objectives include assessing the impact of this intervention on documentation of advanced care planning and end of life preferences, symptom burden, quality of life and health care utilization.

Key facts

Study ID

NCT02805712

Run by

Brigham and Women's Hospital

People needed

50

Starts

2014-09-01

Expected to finish

2016-12-01

Last updated by the study team

2017-07-21

Who can join

Age: 18 and older. Sex: any. Healthy volunteers: not accepted.

You may qualify if…

• Symptomatic Heart Failure (NYHA II-IV)
• Hospitalized or recently for acute decompensation with at least one of the following high-risk features
• Prior hospitalization for Heart Failure (HF) within 1 year
• Age > 80 years
• Chronic Kidney Disease (estimated Glomerular Filtration Rate (eGFR) < 45 mL/min/m2)
• Systolic Blood Pressure < 100 mm Hg
• Serum sodium < 130 meq/L
• Cardiogenic Shock (Cardiac Index < 2.0)
• Serious Non-Cardiovascular Illness (e.g. advanced stage cancer, Chronic Obstructive Pulmonary Disease (COPD) , or the like.
• Ability to Provide Informed Consent
• Permission of attending physician

You may not qualify if…

• Anticipated major cardiac surgery, including Ventricular Assist Device (VAD) or transplant, within 3 months of enrollment
• Already enrolled in hospice or receiving outpatient palliative care

Where it is running

• Brigham and Women's Hospital — Boston, Massachusetts, United States

Full record on ClinicalTrials.gov

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