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Completed

NCT Number: NCT03424109

Primary Palliative Care for Emergency Medicine (PRIM-ER)

This proposal builds upon the evaluation of Primary Palliative Care Education, Training, and Technical Support for Emergency Medicine (PRIM-ER) implemented in a cluster-randomized, stepped wedge design in 33 Emergency Departments (EDs).

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Key information

Conditions

Emergencies Disease Attributes Pathologic Processes Pathological Conditions, Signs and Symptoms

Age range

66 year and older

Sex eligibility

All sexes

Study type

Observational

Primary location

New York University School of Medicine

New York, 10016, United States

Who can participate

Healthy volunteers accepted: No

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

Inclusion criteria

  • Patients must demonstrate one-year mortality of at least 30 percent (score > 6) according to the Gagne Index, a validated instrument used to measure all cause one-year mortality in community-dwelling older adults, calculated based on their prior 12 months before the index ED visit of Medicare claims.

Exclusion criteria

  • ED patients transferred from a nursing home on the index ED visit will be excluded since prediction of mortality and disposition of such patients differs from community-dwelling adults.
  • Patients currently receiving hospice at the time of the index ED visit will also be excluded since they have already received services.

Treatment and study plan

healthcare service utilization in the six months following the ED visit

Behavioral

The analysis of the effect of PRIM-ER on ED disposition using a generalized linear binomial model with random site level effects.

Primary outcomes

  1. Acute Care Admission

    Time frame: Index Visit

    Proportion of eligible patients whose disposition is to an acute care setting (inpatient, non-palliative service).

Secondary outcomes

  1. Proportion of Patients With Emergency Department (ED) Revisits

    Time frame: Up to Month 6

    Measured as the proportion of patients with at least one ED revisit in the six months following the index ED visit (Count)

  2. Inpatient Days

    Time frame: Up to Month 6

    Measured as the proportion of patients who had at least one inpatient stay in the six months following the index ED visit (Count).

  3. Home Health Use

    Time frame: Up to Month 6

    Proportion of patients with any home health use in the six months following the index ED visit (Yes/No)

  4. Hospice Use

    Time frame: Up to Month 6

    Proportion of patients with any hospice use in the six months following the index ED visit (Yes/No).

  5. Proportion of Patients Who Died at Month 6 Post-Index Visit

    Time frame: Up to Month 6

  6. Survival: Time-to-event

    Time frame: Up to Month 6

    Number of days from index ED visit to death among those who died within six months following the index ED visit (Count of days)

Sponsors and collaborators

Lead sponsor

NYU Langone Health

Other

Collaborators

  • Memorial Sloan Kettering Cancer Center
  • National Center for Complementary and Integrative Health (NCCIH)
  • National Institutes of Health (NIH)

Registry information

Important dates

Study start
2019
Primary completion
2022
Study completion
2022
First posted
Feb 6, 2018
Registry last updated
Jun 22, 2025

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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