Patient Perspectives on Advance Care Planning Discussions Prior to Cardiac Surgery

Status

UNKNOWN

Phases

Unknown

Study type

Observational

Source

ClinicalTrials.gov

Registry ID

NCT04796233

Enrollment

Registered

2021-03-12

Start date

2021-10-31

Completion date

2023-03-31

Last updated

2021-09-01

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

Conditions

Cardiac Surgery

Keywords

Advance Care Planning

Brief summary

The purpose of this study is to explore patient perspectives on Advance Care Planning (ACP) prior to cardiac surgery, including perceptions of benefits, drawbacks, and barriers to ACP.

Detailed description

In this study, we plan to interview 40 patients who are scheduled to undergo cardiac surgery about their perspectives on preoperative ACP and discussion of their values, goals of care, and preferences for prolonged care in hospital prior to having surgery. We plan to conduct and audio record one-on-one interviews that are structured around standard questions about ACP. After recordings are completed, we plan to conduct an analysis of the interviews to find common themes and ideas that participants have about preoperative advance care planning. These results will help us understand whether patients value and wish to participate in advance care planning prior to major surgery, and will help to guide the structure and content of preoperative advance care plan programs in the future.

Interventions

None listed

Study design

Observational model

COHORT

Time perspective

CROSS_SECTIONAL

Eligibility

Sex/Gender

ALL

Age

18 Years to No maximum

Healthy volunteers

Inclusion criteria

* Adult patients undergoing cardiac surgical procedures that involve a sternotomy, thoracotomy, or cardiopulmonary bypass for any indication. * Age \> 18 * English-speaking

Exclusion criteria

* Emergency surgery, regardless of indication or procedure * Minor/percutaneous cardiac procedure * Lack of decisional capacity due to dementia or other neurocognitive dysfunction * Previously decided upon advance care directives * Still considering surgery or not yet booked for an operation

Design outcomes

Primary

Measure	Time frame	Description
Interview	30-35 Minute interview	Patient perspectives and attitudes regarding advance care planning (ACP) with a focus on patient values and goals prior to cardiac surgery.

Countries

Canada

Contacts

Primary ContactMichael Tylee, MD

michael.tylee@uhn.ca(416) 340-5164

Backup ContactJo Carroll

jo.carroll@uhn.ca416-340-4800

Outcome results