Critical Care and Palliative Care Medicine Together in the ICU

N/ACompletedNCT03520023

Mayo Clinic95 enrolled

Overview

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.

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

SUPPORTIVE_CARE

Masking

NONE

Enrollment

Conditions

Palliative Care Intensive Care Unit Hospice

Interventions

Palliative Care ConsultOTHER

Consult of hospital palliative care service for those meeting study inclusion criteria

Eligibility

Sex: ALLMin age: 18 Years

Medical Language ↔ Plain English

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

Locations (1)

Mayo Clinic in Florida

Jacksonville, Florida, United States

Outcomes

Primary Outcomes

Patient satisfaction

Measure will assessed by using the family satisfaction with care in the intensive care unit form (FS-ICU 24)

Time frame: 1 year

Secondary Outcomes

ICU length of stay

Time frame: 1 year

Ventilator Days

Time frame: 1 year

Percentage admission to hospice

Time frame: 1 year

Data from ClinicalTrials.gov

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