Intensive Communication for Chronically Critically Ill
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|ClinicalTrials.gov Identifier: NCT01057238|
Recruitment Status : Completed
First Posted : January 27, 2010
Last Update Posted : July 27, 2016
|Condition or disease||Intervention/treatment||Phase|
|Critical Care||Other: Intensive Communication System||Not Applicable|
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.
|Study Type :||Interventional (Clinical Trial)|
|Actual Enrollment :||571 participants|
|Intervention Model:||Parallel Assignment|
|Masking:||None (Open Label)|
|Primary Purpose:||Supportive Care|
|Official Title:||Intensive Communication for Chronically Critically Ill|
|Study Start Date :||November 2005|
|Actual Primary Completion Date :||April 2008|
|Actual Study Completion Date :||May 2008|
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
- length of stay and depression [ Time Frame: ICU admission, Day 5, discharge, and 2 months ]
To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.
Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT01057238
|United States, Ohio|
|University Hosptials Case Medical center|
|Cleveland, Ohio, United States, 44106|
|Principal Investigator:||Barbara J Daly, PhD, RN||Case Western Reserve University|