Advance Care Planning (ACP) in Elderly Cardiac Surgery Patients — DIMAN  

Advanced Care Planning Clinical Trial

Official title: A Feasibility Study on: Advance Care Planning (ACP) in Elderly Cardiac Surgery Patients

Status Recruiting

Clinical Trial Summary

This is a prospective epidemiological pilot study to evaluate the feasibility of recruiting and retaining patients in a large multicenter study that will audit Advanced Care Planning (ACP) practices and satisfaction with End Of Life (EOL) communication and decision-making in patients undergoing cardiac surgery using the current validated questionnaires and methodology.

Clinical Trial Description

Study Procedures:

Once patients have signed an informed consent they will be asked to complete the ACP evaluation questionnaire. Their level of frailty will be assessed with the 5-meter walk test. Two weeks after discharge (+ or - 7 days) they will be contacted by phone in order to complete 3 sections of the CANHELP questionnaire.

Study Tools

Patient questionnaires:

1. ACP Evaluation questionnaire: 5 questions about advance care planning on admission to hospital from CANHELP study (time predicted 10 minutes)

2. CANHELP questionnaire (sections relationship with doctors, communication and decision making) 2 weeks after discharge (time predicted 25 minutes)

Patient test:

1. 5-minute gait speed

Patient Assessment Data

2. Standard Demographics

3. Anthropometric data

4. Cardiac variables

5. Comorbidities

6. Lab Values

7. Frailty (assessed using 5-meter gait speed)

Post-surgical outcome data (will be sought in the chart after 30 days post-surgery)

1. Outcome

2. Complications ;

Study Design

Observational Model: Cohort, Time Perspective: Prospective

Related Conditions & MeSH terms

• Advanced Care Planning

• NCT number: NCT02680327
• Study type: Observational
• Source: Montreal Heart Institute
• Contact: Jennifer Cogan, MD, FRCPC
• Phone: 514-376-3330
• Email: jennifer.cogan@gmail.com
• Status: Recruiting
• Phase: N/A
• Start date: October 2015
• Completion date: July 2016