Critical Care and Palliative Care Medicine Together in the ICU

Mayo Clinic

Status: Completed

Conditions: Hospice; Intensive Care Unit; Palliative Care

Treatments: Other: Palliative Care Consult

Study type: Interventional

Funder types: Other

Identifiers

NCT03520023

18-001107

Details and patient eligibility

About

Will earlier palliative care medicine consultation in the ICU result in decreased length of stay in the ICU and hospital, as well as, increased patient and family satisfaction. Secondary questions to be answered is if this early consultation changes ICU and hospital death, discharge destinations, hospice admissions, code status changes, and withdrawal of life sustaining interventions.

Enrollment: 95 patients

Sex: All

Ages: 18+ years old

Volunteers: No Healthy Volunteers

Inclusion and exclusion criteria

1. Age >80 years
2. Apache II score >14
3. SOFA score > 9
4. Pre-existing functional dependency (admitted from ALF, SNF, LTAC, etc.)
5. Late stage dementia (bed-bound, nonverbal, incontinent, or unable to self-nourish/tube feed)
6. Stage 4 metastatic disease
7. Consideration to place permanent feeding tube or trach
8. Recurrent ICU admissions in the past year
9. Post-cardiac arrest
10. End-stage disease (lung, ESRD, ESLD)
11. ICU perceived need

Trial design

Primary purpose: Supportive Care

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

---

95 participants in 2 patient groups

Standard Care

No Intervention group

Description:

Standard care with consultant discretion regarding consult of palliative care medicine

Experimental

Experimental group

Description:

Early palliative care consult based upon meeting study inclusion criteria

Treatment:

Other: Palliative Care Consult