Palliative Care for Heart Failure Patients
|ClinicalTrials.gov Identifier: NCT01519479|
Recruitment Status : Completed
First Posted : January 27, 2012
Last Update Posted : March 31, 2015
|Condition or disease||Intervention/treatment|
|Heart Failure||Other: Palliative Care Consultation Other: Control|
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?
|Study Type :||Interventional (Clinical Trial)|
|Actual Enrollment :||232 participants|
|Intervention Model:||Parallel Assignment|
|Masking:||None (Open Label)|
|Primary Purpose:||Supportive Care|
|Official Title:||An Examination of Palliative Care as Standard Practice for Heart Failure Patients|
|Study Start Date :||April 2012|
|Primary Completion Date :||December 2013|
|Study Completion Date :||December 2013|
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
- 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 ]
*Quality of Life-Minnesota Living with Heart Failure questionnaire (MLHF)
- Differential use of medical services- 30 day readmission [ Time Frame: 30 Days ]*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 ]
*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 ]
*Depression- Patient Health Questionnaire (PHQ-9)
Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT01519479
|United States, Minnesota|
|Abbott Northwestern Hospital|
|Minneapolis, Minnesota, United States, 55407|
|Principal Investigator:||Justin Kirven, MD||Abbott Northwestern Hospital|