Clinical trial · Interventional
Timing of Acute Palliative Care Consultation in Critically Ill Patients
A Randomized Allocation of Palliative Care Consultation in the Emergency Department Compared to Usual Practice
NCT02858778CI-TRIAL-00023393unknownN/AClinicalTrials.gov clinicaltrialsProvenance
- Source
- ClinicalTrials.gov
- Retrieved
- Sep 8, 2026
- Layer
- normalized (units and labels harmonized; values unchanged)
- Run
- ING-CLINICALTRIALS-20260908-000001
Summary
Brief summary (as posted)
A prospective randomized controlled trial studying the ordering of palliative care consultations in the emergency department (Ig) versus later palliative care consultations in the hospital--ICU or hospital ward(Cg). Patients will be randomly allocated to Ig or Cg with a 1:1 ratio.
Conditions
Conditions (11)
Free-text conditions as registered, with the CancerIndex entity they were reconciled to and the match type.
| Condition (as posted) | Mapped entity | Match | Confidence |
|---|---|---|---|
| Chronic Kidney Disease Stage 5 | — | UNRESOLVED | — |
| Dementia | — | UNRESOLVED | — |
| End Stage Cardiac Failure | — | UNRESOLVED | — |
| End Stage Chronic Obstructive Airways Disease | — | UNRESOLVED | — |
| Hepatic Encephalopathy | — | UNRESOLVED | — |
| In-Hospital Cardiac Arrest | — | UNRESOLVED | — |
| Multiple Organ Failure | — | UNRESOLVED | — |
| Multiple Sclerosis | — | UNRESOLVED | — |
| Parkinson's Disease | — | UNRESOLVED | — |
| Sepsis | — | UNRESOLVED | — |
| Solid Organ Cancer | — | UNRESOLVED |
Interventions
Interventions (1)
| Intervention | Type | Mapped drug | Match |
|---|---|---|---|
| Early order of palliative care consultation | Other | — | UNRESOLVED |
Design
Arms and outcomes
Arms (2)
- type
- EXPERIMENTAL
- label
- Interventional group (Ig)
- description
- The interventional group (Ig) will have an early palliative care consultation ordered during their stay in the emergency department.
- interventionNames
- Other: Early order of palliative care consultation
- type
- NO_INTERVENTION
- label
- Control group (Cg)
- description
- The control group will be treated as standard of care. Palliative care consultations may or may not be ordered at the attending physician's discretion.
Primary outcomes (1)
- measure
- The difference in the percentage of patients with a completed advance directive (AD) in Ig vs.Cg
- timeFrame
- 1 year
Secondary outcomes (9)
Eligibility
Eligibility (as posted)
- Sex
- All
- Minimum age
- 65 Years
Show eligibility criteria text
Inclusion Criteria: * Greater than or equal to 65 years old * Treated in a resuscitation room for unstable vital signs or respiratory compromise * One or more of the following: * Advanced or metastatic solid organ cancer * End stage organ failure of the heart, lung/COPD, kidney on dialysis, hepatic encephalopathy * Suspected sepsis * Advanced dementia, end-state multiple sclerosis or Parkinson's disease * Status post cardiac arrest with coma (Glascow coma score \<7) * Patient is from a skilled nursing facility Exclusion Criteria: * Lack decision capacity and have no relative available during ED stay to consent to the study (legally authorized representative-LAR) * Enrolled in hospice care prior to randomization * A copy of a completed advance directive which names a designated proxy provided physically to the medical team prior to randomization * Wearing a DNR bracelet * Have been previously enrolled in this study
References
Publications (0)
Data not yet available
No reference posted for this study.