NCT03325985

Emergency Medicine Palliative Care Access

Emergency Medicine Palliative Care Access (EMPallA)

• Status: Completed
• Phase: N/A
• Study type: Interventional
• Enrollment: 1,606 (actual)
• Sponsor: NYU Langone Health · Academic / Other
• Sex: All
• Age: 50 Years
• Healthy volunteers: Not accepted

Summary

This is a two-arm, multi-site randomized controlled trial of 1,350 older adults (50+ years) with either advanced cancer (defined as metastatic solid tumor) or poor prognosis end-stage organ failure (New York Heart Association (NYHA) Class III or IV Congestive Heart Failure (CHF), End-Stage Renal Disease (ESRD), defined as Glomerular Filtration Rate (GFR) \< 15 ml/min/m2 or dialysis ; or Global Initiative for Chronic Obstructive Lung Disease (GOLD) Stage III or higher, or oxygen-dependent chronic obstructive pulmonary disease (COPD) who present to the Emergency Department (ED), along with 675 of their informal caregivers. Investigators will compare the effectiveness of two distinct palliative care models: a) nurse-led telephonic case management; and b) facilitated, outpatient specialty palliative care.

Conditions

• Advanced Cancer
• End Stage Organ Failure

Interventions

Type	Name	Description
BEHAVIORAL	Nurse-led telephonic case management	Telephonic meetings with a palliative care nurse. Palliative care is specialized medical care focused on providing a personalized layer of support dedicated to helping patients and their families cope with a serious illness.
BEHAVIORAL	Facilitated,outpatient specialty palliative care	In-person or telehealth palliative care visits with a palliative care provider. Palliative care is specialized medical care focused on providing a personalized layer of support dedicated to helping patients and their families cope with a serious illness.

Timeline

• Start date: 2018-03-28
• Primary completion: 2023-08-24
• Completion: 2023-08-24
• First posted: 2017-10-30
• Last updated: 2025-01-13
• Results posted: 2025-01-13

Locations

18 sites across 1 country: United States