The purpose of this study is to evaluate the effectiveness and implementation considerations of a video aid to improve communication and patient-centered outcomes in older injured adults
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
HEALTH_SERVICES_RESEARCH
Masking
DOUBLE
Enrollment
270
A video conversation aid which provides information regarding life-sustaining care and encourages further goals of care discussions with a healthcare provider will be shown to patients or their surrogates (for those incapacitated and unable to make their own decisions) on admission or within 48 hours whenever feasible
Participants and/or surrogates will participate in discussions surrounding life-sustaining care at healthcare provider discretion.
The University of Texas Health Science Center at Houston
Houston, Texas, United States
RECRUITINGNumber of participants who had a transition in code status from full code
Data will be reported categorically as number of participants who transitioned from full code to DNR/DNI, DNR, ok for intubation, or Comfort measures only
Time frame: at time of discharge (about 5 days after admission)
Percentage of participants that recognize survival after Cardiopulmonary resuscitation (CPR) as less than 50 percent as assessed by a survey
Time frame: at time of discharge (about 5 days after admission)
Number of participants that received information about life-sustaining care outcomes as assessed by a survey
Time frame: at time of discharge (about 5 days after admission)
Number of participants that desire more information regarding life-sustaining care as assessed by a survey
Time frame: at time of discharge (about 5 days after admission)
Number of participants that had hospital-free days
Time frame: in the first 30 days after admission
Number of participants that had ICU-free days
Time frame: at time of discharge (about 5 days after admission)
Discharge disposition
Data will be reported categorically as number of participants that were discharged to home, nursing facility, rehab facility, long term care hospital, hospice or number of participants that die
Time frame: at time of discharge (about 5 days after admission)
Number of participants that had ventilator-free days
This platform is for informational purposes only and does not constitute medical advice. Always consult a qualified healthcare professional.
Time frame: at time of discharge (about 5 days after admission)
Decisional conflict score as assessed by the Decisional Conflict Scale
This is a 4 item questionnaire, each is scored as 0(no) or 1(yes), for a maximum score of 4, higher score indicating no decisional conflict
Time frame: at time of discharge (about 5 days after admission)
Number of interventional procedures
Procedures include tracheostomy, feeding tube placement, dialysis initiation
Time frame: at time of discharge (about 5 days after admission)