Timing of Acute Palliative Care Consultation in Critically Ill Patients

Status unconfirmed · Not applicable

Conditions studied: Multiple Organ Failure, End Stage Cardiac Failure, End Stage Chronic Obstructive Airways Disease, Chronic Kidney Disease Stage 5, Hepatic Encephalopathy, Sepsis, Dementia, Multiple Sclerosis, Parkinson's Disease, In-Hospital Cardiac Arrest, Solid Organ Cancer

In brief

A prospective randomized controlled trial studying the ordering of palliative care consultations in the emergency department (Ig) versus later palliative care consultations in the hospital--ICU or hospital ward(Cg). Patients will be randomly allocated to Ig or Cg with a 1:1 ratio.

Key facts

Study ID

NCT02858778

Run by

Wayne State University

People needed

120

Starts

2016-06-01

Last updated by the study team

2016-08-08

Who can join

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

You may qualify if…

• Greater than or equal to 65 years old
• Treated in a resuscitation room for unstable vital signs or respiratory compromise
• One or more of the following:
• Advanced or metastatic solid organ cancer
• End stage organ failure of the heart, lung/COPD, kidney on dialysis, hepatic encephalopathy
• Suspected sepsis
• Advanced dementia, end-state multiple sclerosis or Parkinson's disease
• Status post cardiac arrest with coma (Glascow coma score <7)
• Patient is from a skilled nursing facility

You may not qualify if…

• Lack decision capacity and have no relative available during ED stay to consent to the study (legally authorized representative-LAR)
• Enrolled in hospice care prior to randomization
• A copy of a completed advance directive which names a designated proxy provided physically to the medical team prior to randomization
• Wearing a DNR bracelet
• Have been previously enrolled in this study

Where it is running

• Detroit Medical Center Detroit Receiving Hospital — Detroit, Michigan, United States
• Detroit Medical Center Sinai Grace Hospital — Detroit, Michigan, United States

Full record on ClinicalTrials.gov

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