Heart Failure
Conditions
Keywords
Congestive Heart Failure, Heart Failure, Palliative Care, Palliative Medicine
Brief summary
The purpose of this study is to assess the impact of palliative care consultation on quality of life and symptom management for patients hospitalized with acute heart failure with a randomized control trial at Abbott Northwestern Hospital.
Detailed description
Research questions: Q1. Does the provision of palliative care to heart failure patients yield higher quality of life, increased symptom management, or reduced depression compared to heart failure patients not receiving palliative care? Q2. Does the provision of palliative care to heart failure patients result in differential use of medical services (lower hospital days and readmission) compared to heart failure patients not receiving systematic palliative care?
Interventions
Intervention patient would receive an inpatient palliative care consultation to focus on comprehensive symptom assessment, create goals of care/treatment plan which include recommendations and referrals.
OTHERControl
The control group would receive usual care and could receive a palliative consult if ordered by the treating provider
Sponsors
Allina Health System
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
SUPPORTIVE_CARE
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* Abbott Northwestern Hospital inpatient adults with a diagnosis of acute heart failure
Exclusion criteria
* Are not an inpatient at Abbott Northwestern Hospital * Are in the ICU * On a ventilator * Are pre-or post heart transplant * Have a ventricular assist device (VAD) * Determined to be actively dying * Have cognitive impairments such that informed consent would not be possible, * Are not proficient in the English language
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Is there an impact on quality of life with the addition of palliative care intervention? | Change from baseline in quality of life score at 3 months | Assessment Tools: \*Quality of Life-Minnesota Living with Heart Failure questionnaire (MLHF) |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Differential use of medical services- 30 day readmission | 30 Days | \*Number of readmissions in 30 days of discharge from initial enrollment hospitalization. |
| Is there an impact on Symptom Severity with the addition of palliative care | Change from baseline in symptom severity score at 3 months | Assessment tool: \*Symptom Severity - Edmonton Symptom Assessment scale (ESAS) |
| Is there an impact on depression with the addition of palliative care intervention? | Change from baseline in depression score at 3 months | Assessment Tool: \*Depression- Patient Health Questionnaire (PHQ-9) |
Countries
United States
Outcome results
None listed