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.
|Study Design:||Allocation: Randomized
Endpoint Classification: Efficacy Study
Intervention Model: Parallel Assignment
Masking: Open Label
Primary Purpose: Supportive Care
|Official Title:||An Examination of Palliative Care as Standard Practice for Heart Failure Patients|
- 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 ] [ Designated as safety issue: No ]
*Quality of Life-Minnesota Living with Heart Failure questionnaire (MLHF)
- Differential use of medical services- 30 day readmission [ Time Frame: 30 Days ] [ Designated as safety issue: No ]*Number of readmissions in 30 days of discharge from initial enrollment hospitalization.
- 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 ] [ Designated as safety issue: No ]
*Symptom Severity - Edmonton Symptom Assessment scale (ESAS)
- Is there an impact on depression with the addition of palliative care intervention? [ Time Frame: Change from baseline in depression score at 3 months ] [ Designated as safety issue: No ]
*Depression- Patient Health Questionnaire (PHQ-9)
|Study Start Date:||April 2012|
|Estimated Study Completion Date:||April 2014|
|Estimated Primary Completion Date:||December 2013 (Final data collection date for primary outcome measure)|
Experimental: Palliative Care Consultation
Participant will get one palliative care consultation while in the hospital. The participants desire for subsequent palliative care visits will be determined and mutually agreed upon at the initial consultation.
Other: Palliative Care Consultation
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.
Active Comparator: Control
Usual care for HF patient which may include a palliative care consult if ordered by treating physician.
The control group would receive usual care and could receive a palliative consult if ordered by the treating provider
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?
|United States, Minnesota|
|Abbott Northwestern Hospital|
|Minneapolis, Minnesota, United States, 55407|
|Principal Investigator:||Justin Kirven, MD||Abbott Northwestern Hospital|