Hospice, Intensive Care Unit, Palliative Care
Conditions
Brief summary
Will earlier palliative care medicine consultation in the ICU result in decreased length of stay in the ICU and hospital, as well as, increased patient and family satisfaction. Secondary questions to be answered is if this early consultation changes ICU and hospital death, discharge destinations, hospice admissions, code status changes, and withdrawal of life sustaining interventions.
Interventions
Consult of hospital palliative care service for those meeting study inclusion criteria
Sponsors
Mayo Clinic
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
1. Age \>80 years 2. Apache II score \>14 3. SOFA score \> 9 4. Pre-existing functional dependency (admitted from ALF, SNF, LTAC, etc.) 5. Late stage dementia (bed-bound, nonverbal, incontinent, or unable to self-nourish/tube feed) 6. Stage 4 metastatic disease 7. Consideration to place permanent feeding tube or trach 8. Recurrent ICU admissions in the past year 9. Post-cardiac arrest 10. End-stage disease (lung, ESRD, ESLD) 11. ICU perceived need
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Patient satisfaction | 1 year | Measure will assessed by using the family satisfaction with care in the intensive care unit form (FS-ICU 24) |
Secondary
| Measure | Time frame |
|---|---|
| ICU length of stay | 1 year |
| Ventilator Days | 1 year |
| Percentage admission to hospice | 1 year |
Countries
United States
Outcome results
None listed