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Intensive Communication for Chronically Critically Ill

This study has been completed.
Information provided by (Responsible Party):
Barbara J. Daly, Case Western Reserve University Identifier:
First received: January 26, 2010
Last updated: July 25, 2016
Last verified: July 2016
This study was a trial of a formal system of family meetings to support family decision makers of chronically critically ill patients in the intensive care unit.

Condition Intervention
Critical Care Other: Intensive Communication System

Study Type: Interventional
Study Design: Allocation: Non-Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)
Primary Purpose: Supportive Care
Official Title: Intensive Communication for Chronically Critically Ill

Resource links provided by NLM:

Further study details as provided by Barbara J. Daly, Case Western Reserve University:

Primary Outcome Measures:
  • length of stay and depression [ Time Frame: ICU admission, Day 5, discharge, and 2 months ]

Enrollment: 571
Study Start Date: November 2005
Study Completion Date: May 2008
Primary Completion Date: April 2008 (Final data collection date for primary outcome measure)
Arms Assigned Interventions
Experimental: Intensive Communication
regular family meeting every 5 days.
Other: Intensive Communication System
Regular family meetings once a week, using a standard protocol
Other Name: Intervention arm
No Intervention: Control
usual care

Detailed Description:

Formal family meetings have been recommended as a useful approach to assist in goal setting, facilitate decision making, and reduce use of ineffective resources in the ICU. We implemented an "intensive communication system" to test the effect of regular, structured formal family meetings on patient outcomes among long-stay ICU patients

The design was a pre-post, tandem assignment of patients (n=217) receiving usual care and communication, followed by enrollment of intervention patients (n=354), from 5 ICUs. The "intensive communication system" included: (1) family meeting within 5 days of ICU admission and weekly thereafter; (2) each meeting addressed medical update, values and preferences, goals of care; treatment plan, and milestones for judging effectiveness of treatment.

We measured differences between control and intervention patients in indicators of aggressiveness of care or timing of treatment limitation decisions (ICU mortality, LOS, duration of ventilation, treatment limitation orders, or use of tracheostomy or percutaneous gastrostomy). Difference in outcomes among patients who died or who had treatment limitation orders, comparing control and intervention groups, was also examined.


Ages Eligible for Study:   18 Years and older   (Adult, Senior)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   No

Inclusion Criteria:

  • cognitively impaired mechanical ventilation >3 days not expected to be discharged before 5 days having a family decision maker

Exclusion Criteria:

  • no family member hospice referral
  Contacts and Locations
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Please refer to this study by its identifier: NCT01057238

United States, Ohio
University Hosptials Case Medical center
Cleveland, Ohio, United States, 44106
Sponsors and Collaborators
Case Western Reserve University
Principal Investigator: Barbara J Daly, PhD, RN Case Western Reserve University
  More Information

Publications automatically indexed to this study by Identifier (NCT Number):
Responsible Party: Barbara J. Daly, Principal Investigator, Case Western Reserve University Identifier: NCT01057238     History of Changes
Other Study ID Numbers: R01NR008941 ( U.S. NIH Grant/Contract )
Study First Received: January 26, 2010
Last Updated: July 25, 2016

Keywords provided by Barbara J. Daly, Case Western Reserve University:
mechanical ventilation
critical care

Additional relevant MeSH terms:
Critical Illness
Disease Attributes
Pathologic Processes processed this record on September 19, 2017