NCT06483958

Palliative Care Protocol for Adult Patients Hospitalized in Critical Care Units.

Palliative Care Protocol for Adult Patients at High Risk of Death in Critical Care Units: A Multicentric Stepped Wedge Cluster Randomised Trial

• Status: Unknown
• Phase: N/A
• Study type: Interventional
• Enrollment: 248 (estimated)
• Sponsor: University of Chile · Academic / Other
• Sex: All
• Age: 18 Years
• Healthy volunteers: Not accepted

Summary

The goal of this clinical trial is to determine the effectiveness of a palliative care protocol in improving the quality of care of adult patients at high risk of dying hospitalized in the critical care unit. Assessing symptom burden (dyspnea, pain and/or anxiety/agitation) until death or day 5 (whichever comes first) Researchers will compare the impact of the palliative care protocol with standard care to see if it improves the quality of care. Participants will: 1. Symptom management. 2. Respect for the autonomy of the patient and his/her family environment. 3. Respectful management of clinical information. 4. Provision of holistic care and support.

Detailed description

We designed a stepped wedge cluster randomized trial The study is implementation in 5 Chilean hospitals, admitting 248 patients. Pre-intervention (control): The practices of each ICU will be maintained, until the moment that according to randomization corresponds the beginning of the intervention, in each center. Post-intervention: Palliative care protocol to improve the quality of care

Conditions

• End of Life Care
• Critical Illness
• Palliative Care

Interventions

Type	Name	Description
BEHAVIORAL	palliative care protocol	1. Symptom management 2. Respect for patient and family autonomy. 3. Respectful management of clinical information. 4. Provision of holistic care and support.

Timeline

• Start date: 2024-01-02
• Primary completion: 2025-07-31
• Completion: 2025-12-30
• First posted: 2024-07-03
• Last updated: 2024-07-03

Locations

1 site across 1 country: Chile