Critical Care and Palliative Care Medicine Together in the ICU

Palliative Care Clinical Trial

Official title:

Does Early vs Usual Palliative Care Consultation Augment the Critical Care Physician to Decrease Healthcare Utilization and Increase Caregiver Satisfaction

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT03520023
• Other study ID #: 18-001107
• Status: Completed
• Phase: N/A
• Start date: September 4, 2018
• Est. completion date: March 1, 2020

Study information

• Verified date: October 2020
• Source: Mayo Clinic
• Contact: n/a
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

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.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 95
• Est. completion date: March 1, 2020
• Est. primary completion date: March 1, 2020
• Accepts healthy volunteers: No
• Gender: All
• Age group: 18 Years and older

Eligibility

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

Related Conditions & MeSH terms

• Hospice
• Intensive Care Unit
• Palliative Care

Intervention

Other:
• Palliative Care Consult
Consult of hospital palliative care service for those meeting study inclusion criteria

Locations

Country	Name	City	State
United States	Mayo Clinic in Florida	Jacksonville	Florida

Sponsors (1)

Lead Sponsor	Collaborator
Mayo Clinic

Country where clinical trial is conducted

United States, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Patient satisfaction	Measure will assessed by using the family satisfaction with care in the intensive care unit form (FS-ICU 24)	1 year
Secondary	ICU length of stay		1 year
Secondary	Ventilator Days		1 year
Secondary	Percentage admission to hospice		1 year

External Links

•   Mayo Clinic Clinical Trials