Advance Care Planning (ACP) in Elderly Cardiac Surgery Patients

A Feasibility Study on: Advance Care Planning (ACP) in Elderly Cardiac Surgery Patients

Status

UNKNOWN

Phases

Unknown

Study type

Observational

Source

ClinicalTrials.gov

Registry ID

NCT02680327

Acronym

DIMAN

Enrollment

Registered

2016-02-11

Start date

2015-10-31

Completion date

2016-07-31

Last updated

2016-02-11

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Advanced Care Planning

Brief summary

This is a prospective epidemiological pilot study to evaluate the feasibility of recruiting and retaining patients in a large multicenter study that will audit Advanced Care Planning (ACP) practices and satisfaction with End Of Life (EOL) communication and decision-making in patients undergoing cardiac surgery using the current validated questionnaires and methodology.

Detailed description

Study Procedures: Once patients have signed an informed consent they will be asked to complete the ACP evaluation questionnaire. Their level of frailty will be assessed with the 5-meter walk test. Two weeks after discharge (+ or - 7 days) they will be contacted by phone in order to complete 3 sections of the CANHELP questionnaire. Study Tools Patient questionnaires: 1. ACP Evaluation questionnaire: 5 questions about advance care planning on admission to hospital from CANHELP study (time predicted 10 minutes) 2. CANHELP questionnaire (sections relationship with doctors, communication and decision making) 2 weeks after discharge (time predicted 25 minutes) Patient test: 1. 5-minute gait speed Patient Assessment Data 2. Standard Demographics 3. Anthropometric data 4. Cardiac variables 5. Comorbidities 6. Lab Values 7. Frailty (assessed using 5-meter gait speed) Post-surgical outcome data (will be sought in the chart after 30 days post-surgery) 1. Outcome 2. Complications

Interventions

None listed

Study design

Observational model

COHORT

Time perspective

PROSPECTIVE

Eligibility

Sex/Gender

ALL

Age

70 Years to 95 Years

Healthy volunteers

Inclusion criteria

* Age and over 70 years * Admitted for cardiac surgery; * Able to speak English or French;

Exclusion criteria

* Age under 70 years; * Unable to participate in the follow-up telephone survey; * Unable to speak English or French.

Design outcomes

Primary

Measure	Time frame	Description
Screen failure rate	1 month	To evaluate the screen failure rate
Successful study completion	1 month	To estimate the proportion of patients who successfully completed all the study tasks;
Time frame	1 month	To evaluate the time frame required to enroll and complete the study for 35 patients;
Gait test	1 month	To evaluate the length of time required perform the gait test (in minutes);
patient retention	1 month	To evaluate patient retention (percent of patients who complete the study);

Secondary

Measure	Time frame	Description
Prevalence of ACP	1 month	To determine, from the perspective of the acutely ill patient, the prevalence of Advanced Care Planning (ACP) directives;
Percentage of frail patients	1 month	To evaluate proportion of patients evaluated as frail using the 5-meter walk test;
Level of correlation between level of frailty and satisfaction with decision making.	1 month	To evaluate the level of correlation between satisfaction with decision making and level of frailty.
Overall satisfaction	1 month	To assess the patient's overall satisfaction with goals of care communication (question 1 of CANHELP questionnaire; (5 point Likert scale));

Countries

Canada

Contacts

Primary ContactJennifer Cogan, MD, FRCPC

jennifer.cogan@gmail.com514-376-3330

Outcome results