The purpose of this study is to assess the impact of palliative care consultation on quality of life and symptom management for patients hospitalized with acute heart failure with a randomized control trial at Abbott Northwestern Hospital.
Research questions: Q1. Does the provision of palliative care to heart failure patients yield higher quality of life, increased symptom management, or reduced depression compared to heart failure patients not receiving palliative care? Q2. Does the provision of palliative care to heart failure patients result in differential use of medical services (lower hospital days and readmission) compared to heart failure patients not receiving systematic palliative care?
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
SUPPORTIVE_CARE
Masking
NONE
Enrollment
232
Intervention patient would receive an inpatient palliative care consultation to focus on comprehensive symptom assessment, create goals of care/treatment plan which include recommendations and referrals.
The control group would receive usual care and could receive a palliative consult if ordered by the treating provider
Abbott Northwestern Hospital
Minneapolis, Minnesota, United States
Is there an impact on quality of life with the addition of palliative care intervention?
Assessment Tools: \*Quality of Life-Minnesota Living with Heart Failure questionnaire (MLHF)
Time frame: Change from baseline in quality of life score at 3 months
Differential use of medical services- 30 day readmission
\*Number of readmissions in 30 days of discharge from initial enrollment hospitalization.
Time frame: 30 Days
Is there an impact on Symptom Severity with the addition of palliative care
Assessment tool: \*Symptom Severity - Edmonton Symptom Assessment scale (ESAS)
Time frame: Change from baseline in symptom severity score at 3 months
Is there an impact on depression with the addition of palliative care intervention?
Assessment Tool: \*Depression- Patient Health Questionnaire (PHQ-9)
Time frame: Change from baseline in depression score at 3 months
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