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Primary Palliative Care for Emergency Medicine (PRIM-ER)

NYU Langone Health logo

NYU Langone Health

Status

Active, not recruiting

Conditions

Emergencies

Treatments

Behavioral: healthcare service utilization in the six months following the ED visit

Study type

Observational

Funder types

Other
NIH

Identifiers

NCT03424109
5UH3AT009844 (U.S. NIH Grant/Contract)
17-01819

Details and patient eligibility

About

This proposal builds upon the evaluation of Primary Palliative Care Education, Training, and Technical Support for Emergency Medicine (PRIM-ER) implemented in 33 Emergency Departments (EDs). This is a retrospective cohort study that seeks to measure the effect of PRIM-ER on older adults with serious illness on aspects of: 1) ED disposition to an acute setting; 2) healthcare utilization in the 6 months following the index ED visit; 3) survival following the index ED visit; and 4) determine site, provider, and patient-level characteristics that are associated with variation in impact of PRIM-ER across sites.

Enrollment

57,717 estimated patients

Sex

All

Ages

66+ years old

Volunteers

No Healthy Volunteers

Inclusion criteria

  • Patients must demonstrate one-year mortality of at least 30 percent (score > 6) according to the Gagne Index, a validated instrument used to measure all cause one-year mortality in community-dwelling older adults, calculated based on their prior 12 months before the index ED visit of Medicare claims.

Exclusion criteria

  • ED patients transferred from a nursing home on the index ED visit will be excluded since prediction of mortality and disposition of such patients differs from community-dwelling adults.
  • Patients currently receiving hospice at the time of the index ED visit will also be excluded since they have already received services.

Trial design

57,717 participants in 1 patient group

Beneficiaries with a one-year mortality of at least 30%
Description:
The patient cohort will be extracted via the Centers for Medicare and Medicaid Services (CMS) Research Data Assistance Center (ResDAC) using a two-step process to maximize diversity, and minimize intentional or unintentional exclusions based on risk, age, health literacy, demographics, or expected adherence.
Treatment:
Behavioral: healthcare service utilization in the six months following the ED visit

Trial contacts and locations

1

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Data sourced from clinicaltrials.gov

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