Does Detailed Informed Consent for Cardiopulmonary Resuscitation and Mechanical Ventilation Impact Patients' Decisions and Outcomes?

Jewish Hospital, Cincinnati, Ohio

Status: Completed

Conditions: Stroke; Infections; Acute Renal Failure; Sepsis; Congestive Heart Failure

Treatments: Other: Script and CPR/Mechanical ventilation video.

Study type: Interventional

Funder types: Other

Identifiers

NCT01878968

13-06

Details and patient eligibility

About

There is evidence to suggest that patients make different end-of-life decisions if they understand the risks, benefits and alternatives of CPR and mechanical ventilation. This study will examine whether evidence-based informed consent impacts patients choices and healthcare outcomes compared to routine care.

Enrollment: 200 patients

Sex: All

Ages: 65+ years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• All patients
• ≥65 yrs
• Admitted to the hospitalist Medicine Service

Exclusion criteria

• Patients who have pre-existing, pan-institutional (e.g. to be applied at nursing homes and hospitals) orders of no CPR and/or no mechanical ventilation will be screened (demographic and outcomes data collected) but NOT randomized.
• Patients already receiving critical care on admission will also be excluded

Trial design

Primary purpose: Health Services Research

Allocation: Randomized

Interventional model: Single Group Assignment

Masking: None (Open label)

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200 participants in 2 patient groups

Script and Video

Experimental group

Description:

Patients in the Script and CPR/Mechanical ventilation video arm will receive information on CPR and mechanical ventilation via a script and a video.

Treatment:

Other: Script and CPR/Mechanical ventilation video.

Script only

Experimental group

Description:

Patients in the Script only arm will receive information on CPR and mechanical ventilation via a script only.

Treatment:

Other: Script and CPR/Mechanical ventilation video.