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Completed

NCT Number: NCT01519479

Palliative Care for Heart Failure Patients

The purpose of this study is to assess the impact of palliative care consultation on quality of life and symptom management for patients hospitalized with acute heart failure with a randomized control trial at Abbott Northwestern Hospital.

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Key information

Conditions

Heart Failure Cardiovascular Diseases Heart Diseases

Age range

18 year and older

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

Abbott Northwestern Hospital

Minneapolis, Minnesota, 55407, United States

About this study

Research questions:

Q1. Does the provision of palliative care to heart failure patients yield higher quality of life, increased symptom management, or reduced depression compared to heart failure patients not receiving palliative care?

Q2. Does the provision of palliative care to heart failure patients result in differential use of medical services (lower hospital days and readmission) compared to heart failure patients not receiving systematic palliative care?

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • Abbott Northwestern Hospital inpatient adults with a diagnosis of acute heart failure

Exclusion criteria

  • Are not an inpatient at Abbott Northwestern Hospital
  • Are in the ICU
  • On a ventilator
  • Are pre-or post heart transplant
  • Have a ventricular assist device (VAD)
  • Determined to be actively dying
  • Have cognitive impairments such that informed consent would not be possible,
  • Are not proficient in the English language

Treatment and study plan

Palliative Care Consultation

Other

Intervention patient would receive an inpatient palliative care consultation to focus on comprehensive symptom assessment, create goals of care/treatment plan which include recommendations and referrals.

Other names: palliative care consults, palliative care medicine

Control

Other

The control group would receive usual care and could receive a palliative consult if ordered by the treating provider

Other names: palliative care consult, palliative care medicine

Primary outcomes

  1. Is there an impact on quality of life with the addition of palliative care intervention?

    Time frame: Change from baseline in quality of life score at 3 months

    Assessment Tools:

    *Quality of Life-Minnesota Living with Heart Failure questionnaire (MLHF)

Secondary outcomes

  1. Differential use of medical services- 30 day readmission

    Time frame: 30 Days

    *Number of readmissions in 30 days of discharge from initial enrollment hospitalization.

  2. Is there an impact on Symptom Severity with the addition of palliative care

    Time frame: Change from baseline in symptom severity score at 3 months

    Assessment tool:

    *Symptom Severity - Edmonton Symptom Assessment scale (ESAS)

  3. Is there an impact on depression with the addition of palliative care intervention?

    Time frame: Change from baseline in depression score at 3 months

    Assessment Tool:

    *Depression- Patient Health Questionnaire (PHQ-9)

Sponsors and collaborators

Lead sponsor

Allina Health System

Other

Registry information

Official study title

An Examination of Palliative Care as Standard Practice for Heart Failure Patients

Important dates

Study start
2012
Primary completion
2013
Study completion
2013
First posted
Jan 27, 2012
Registry last updated
Mar 18, 2019

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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