Traumatic Injury
Conditions
Brief summary
The purpose of this study is to evaluate the effectiveness and implementation considerations of a video aid to improve communication and patient-centered outcomes in older injured adults
Interventions
BEHAVIORALVideo conversation aid
A video conversation aid which provides information regarding life-sustaining care and encourages further goals of care discussions with a healthcare provider will be shown to patients or their surrogates (for those incapacitated and unable to make their own decisions) on admission or within 48 hours whenever feasible
BEHAVIORALUsual Care
Participants and/or surrogates will participate in discussions surrounding life-sustaining care at healthcare provider discretion.
Sponsors
The University of Texas Health Science Center, Houston
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
HEALTH_SERVICES_RESEARCH
Masking
DOUBLE (Caregiver, Outcomes Assessor)
Eligibility
Sex/Gender
ALL
Age
65 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* English or Spanish speaking * admitted to any level of care following trauma
Exclusion criteria
* Prisoners * Existing do not resuscitate (DNR)/do not intubate (DNI) * Patients admitted while on hospice * Patients not expected to survive over 24-48 hours
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Number of participants who had a transition in code status from full code | at time of discharge (about 5 days after admission) | Data will be reported categorically as number of participants who transitioned from full code to DNR/DNI, DNR, ok for intubation, or Comfort measures only |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Number of participants that received information about life-sustaining care outcomes as assessed by a survey | at time of discharge (about 5 days after admission) | — |
| Number of participants that desire more information regarding life-sustaining care as assessed by a survey | at time of discharge (about 5 days after admission) | — |
| Number of participants that had hospital-free days | in the first 30 days after admission | — |
| Number of participants that had ICU-free days | at time of discharge (about 5 days after admission) | — |
| Percentage of participants that recognize survival after Cardiopulmonary resuscitation (CPR) as less than 50 percent as assessed by a survey | at time of discharge (about 5 days after admission) | — |
| Number of participants that had ventilator-free days | at time of discharge (about 5 days after admission) | — |
| Decisional conflict score as assessed by the Decisional Conflict Scale | at time of discharge (about 5 days after admission) | This is a 4 item questionnaire, each is scored as 0(no) or 1(yes), for a maximum score of 4, higher score indicating no decisional conflict |
| Number of interventional procedures | at time of discharge (about 5 days after admission) | Procedures include tracheostomy, feeding tube placement, dialysis initiation |
| Discharge disposition | at time of discharge (about 5 days after admission) | Data will be reported categorically as number of participants that were discharged to home, nursing facility, rehab facility, long term care hospital, hospice or number of participants that die |
Countries
United States
Contacts
Primary ContactThaddeus J Puzio, MD, MS, FACS
Backup ContactErin Fox
Outcome results
None listed