Ignite Creation Date:
2024-05-05 @ 7:30 PM
Last Modification Date:
2024-10-26 @ 9:50 AM
Study NCT ID:
NCT00685893
Status:
COMPLETED
Last Update Posted:
2013-06-27
First Post:
2008-05-27
Brief Title:
Integrating Palliative and Critical Care IPACC Study
Sponsor:
University of Washington
Organization:
University of Washington
Study Overview
Official Title:
An ICU Intervention to Improve End-of-Life Care
Status:
COMPLETED
Status Verified Date:
2013-06
Last Known Status:
None
Delayed Posting:
No
If Stopped, Why?:
Not Stopped
Has Expanded Access:
False
If Expanded Access, NCT#:
N/A
Has Expanded Access, NCT# Status:
N/A
Acronym:
IPACC
Brief Summary:
The purpose of this research study is to evaluate an intervention to improve the care given to patients who are dying in the intensive care unit ICU and their families This study is a multi-center randomized trial of a multi-faceted quality improvement intervention designed to improve the quality of palliative and end-of-life care in the ICU setting The intervention targets the hospital and the outcome evaluation occurs at the level of the individual patient and family with surveys completed by family members and nurses as well as standardized medical record review
Detailed Description:
Because of the severity of illness the intensive care unit ICU is a setting where death is prevalent and where the majority of deaths involve decisions to withhold or withdraw life-sustaining therapies There is substantial data to suggest that the quality of end-of-life care in the ICU is poor Many patients die with moderate to severe pain physicians are often unaware of patients wishes regarding end-of-life care and the care patients receive is often not consistent with their treatment preferences Our study aims to evaluate the effectiveness of a multi-faceted intervention to improve the quality of care for patients dying in or shortly after a stay in the ICU using a randomized controlled study of 12 hospitals In addition we plan to examine the variability in and predictors of the quality of dying and end-of-life care in community hospital ICUs with the purpose of identifying the current quality of end-of-life care and the institutional clinician and patient factors associated with the quality of this care We will evaluate the successful and unsuccessful components of the intervention and describe the institutional and clinician facilitators and barriers to the interventions implementation with a focus on identifying interventions to improve care for the dying at other sites
Study Oversight
Has Oversight DMC:
None
Is a FDA Regulated Drug?:
None
Is a FDA Regulated Device?:
None
Is an Unapproved Device?:
None
Is a PPSD?:
None
Is a US Export?:
None
Is an FDA AA801 Violation?:
None
Secondary IDs
| Secondary ID | Type | Domain | Link |
|---|---|---|---|
| R01NR005226 | NIH | None | httpsreporternihgovquickSearchR01NR005226 |