Embedded Palliative Care in the MICU

Part of paid clinical trials in St Louis, Missouri.

Sponsor
Washington University School of Medicine
Study ID
NCT06574672
Status
Recruiting
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Conditions

  • Critical Illness
  • End of Life
  • Quality of Life

Eligibility Criteria

Sex
ALL
Age
18 Years - N/A
Healthy Volunteers
Not accepted

Interventions

  • Embedded Hospice and Palliative Care Practitioner — OTHER
    The hospice and palliative care practitioner will be embedded in one medical intensive care unit for the first half of the study timeframe, after which the practitioner will expand to both medical intensive care units. While active in a medical intensive care unit, the practitioner will proactively trigger palliative care consultations based on clinical criteria and estimated mortality risk, in addition to providing immediate availability for standard-of-care hospice or palliative care consultations.
  • Embedded Hospice and Palliative Care Practitioner (Group Effect) — OTHER
    While the hospice and palliative care practitioner is active in one medical intensive care unit with respect to triggering consultations, the other medical intensive care unit can still utilize the practitioner's services for standard-of-care hospice or palliative care consultations.
  • None (Historical) — OTHER
    This control arm includes historical patients admitted to the medical intensive care units prior to the study's enrollment timeframe.

Study Details

The goal of this study is to investigate whether embedding a hospice and palliative care practitioner within a medical intensive care unit will improve patient outcomes and healthcare usage. The practitioner will work solely within the medical intensive care units and offer timely as well as proactive consultations based on clinical criteria and estimated mortality risk. The study team will compare patients seen by the practitioner to patients in an adjacent ICU and historical patients to determine whether patient care is improved by this intervention.

Key Dates

Start date
Jul 29, 2024
Status verified
Jul 2025
Primary completion
Jun 30, 2026
Completion
Jun 30, 2027

Study Design

Enrollment
2,600 participants (estimated)
Allocation
RANDOMIZED
Intervention model
SEQUENTIAL
Primary purpose
SUPPORTIVE_CARE

Arms

  • Experimental: Prospective Hospice and Palliative Care Intervention
    This arm comprises patients admitted to the specific medical intensive care unit in which the hospice and palliative care practitioner is currently active. This will include all patients admitted to a single medical intensive care unit during the anticipated first half of the intervention timeframe, followed by all patients admitted to both medical intensive care units during the second half of the intervention timeframe.
  • Active Comparator: Prospective Standard of Care
    This arm comprises patients admitted to the medical intensive care unit in which the hospice and palliative care practitioner is not currently active, but which may experience a group effect due to the study's ongoing enrollment and the practitioner's presence. This will include all patients admitted to a single medical intensive care unit during the anticipated first half of the intervention timeframe, prior to the practitioner becoming active in both intensive care units.
  • Placebo Comparator: Historical Controls
    This arm comprises historical patients admitted to the medical intensive care units in the year prior to study enrollment.

Primary Outcome Measure

ICU Length of Stay [ Time Frame: From date of enrollment until hospital discharge, assessed up to 1 year ]

Central Contacts

Locations (1)

FacilityCityStateZIPSite coordinators
Barnes Jewish HospitalSt LouisMissouri63110
Stephen Chi, MD
[email protected]
314-273-6176
Stephen Chi, MD (PRINCIPAL_INVESTIGATOR)

Find similar trials in St Louis, MO

By research site
Barnes Jewish Hospital· St Louis, MO

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