Critical Care and Palliative Care Medicine Together in the ICU

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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

Trial contacts and locations

1

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Data sourced from clinicaltrials.gov

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