The goal of this clinical trial is to determine the effectiveness of a palliative care protocol in improving the quality of care of adult patients at high risk of dying hospitalized in the critical care unit. Assessing symptom burden (dyspnea, pain and/or anxiety/agitation) until death or day 5 (whichever comes first) Researchers will compare the impact of the palliative care protocol with standard care to see if it improves the quality of care. Participants will: 1. Symptom management. 2. Respect for the autonomy of the patient and his/her family environment. 3. Respectful management of clinical information. 4. Provision of holistic care and support.
We designed a stepped wedge cluster randomized trial The study is implementation in 5 Chilean hospitals, admitting 248 patients. Pre-intervention (control): The practices of each ICU will be maintained, until the moment that according to randomization corresponds the beginning of the intervention, in each center. Post-intervention: Palliative care protocol to improve the quality of care
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
248
1. Symptom management 2. Respect for patient and family autonomy. 3. Respectful management of clinical information. 4. Provision of holistic care and support.
Verónica Rojas
Santiago, Me, Chile
RECRUITINGBurden of symptoms present in the last 24 hours prior to death (or end of follow-up).
The percentage of patients with at least one episode of pain, dyspnea, agitation, or anxiety
Time frame: From recruitment until death or day 5 of follow up
Family satisfaction
Family satisfaction in relatives of adult patients at high risk of death.
Time frame: Up to 4 week after death or hospital discharge
This platform is for informational purposes only and does not constitute medical advice. Always consult a qualified healthcare professional.