A Study of Communication Between Clinicians, Patients, and Families in the Intensive Care Unit (ICU)

Part of paid clinical trials in Chicago, Illinois.

Sponsor
University of Wisconsin, Madison
Study ID
NCT06042621
Status
Enrolling By Invitation

Conditions

  • Acute Respiratory Failure
  • Communication
  • Critical Care
  • Decision Making
  • Life-Supporting Treatments
  • Mechanical Ventilation
  • Palliative Care

Eligibility Criteria

Sex
ALL
Age
18 Years - N/A
Healthy Volunteers
Accepted

Study Details

The purpose of this study is to investigate a specific approach to patient care called a time-limited trial (TLT). This approach is sometimes used for people who develop critical illness and are cared for in an intensive care unit (ICU). A time-limited trial is a plan made together by medical teams, patients with critical illness (if they can take part), and their families or other important people helping to make their healthcare decisions. A time-limited trial starts with a discussion of the patient's goals and wishes. Then, a plan is made to use ICU treatments for a set period of time to give the patient the chance to recover. After this time, the patient's response to treatment will be reviewed to help guide what to do next. Medical teams consider this kind of plan when it is not clear if a patient can recover to a quality of life that is acceptable to them. With a time-limited trial, patients, families, and medical teams experience this uncertainty together. The main goal of this study is to find the best way to use TLTs for patients in the ICU who have trouble breathing and need mechanical ventilation to help them breathe. The hypothesis is that optimal time-limited trial delivery will reduce the time patients with acute respiratory failure spend in the ICU and will improve the intensive care unit experiences for their families and clinicians.

Key Dates

Start date
Jan 17, 2024
Status verified
Feb 2026
Primary completion
Mar 31, 2028
Completion
Mar 31, 2028

Study Design

Enrollment
7,818 participants (estimated)

Arms

  • Arm: Participants
    Participants will be selected from patients who are admitted to an intensive care unit (ICU) at the University of Wisconsin Hospital, UnityPoint Health - Meriter Hospital, Hospital of the University of Pennsylvania, Penn Presbyterian Medical Center, or Northwestern Memorial Hospital.
  • Arm: Surrogates
    Surrogate participants will be the primary surrogate/s for an eligible patient.
  • Arm: ICU Team Members
    ICU Team Member participants will be members of the hospital staff providing care for an eligible patient.

Primary Outcome Measure

Intensive Care Unit (ICU) length of stay [ Time Frame: Through participant study completion, an average of 8 days ]

Locations (5)

FacilityCityStateZIPSite coordinators
Northwestern Memorial HospitalChicagoIllinois60611-
Hospital of the University of PennsylvaniaPhiladelphiaPennsylvania19104-
Penn Presbyterian Medical CenterPhiladelphiaPennsylvania19104-
UnityPoint Health - Meriter HospitalMadisonWisconsin53715-
University of Wisconsin-MadisonMadisonWisconsin53792-

Find similar trials in Chicago, IL

By research site
Northwestern Memorial Hospital· Chicago, ILHospital of the University of Pennsylvania· Philadelphia, PAPenn Presbyterian Medical Center· Philadelphia, PAUnityPoint Health - Meriter Hospital· Madison, WIUniversity of Wisconsin-Madison· Madison, WI

Related Studies