Study Results
The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.
Basic Information
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COMPLETED
NA
571 participants
INTERVENTIONAL
2005-11-30
2008-05-31
Brief Summary
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Detailed Description
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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.
Conditions
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Study Design
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NON_RANDOMIZED
PARALLEL
SUPPORTIVE_CARE
NONE
Study Groups
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Intensive Communication
regular family meeting every 5 days.
Intensive Communication System
Regular family meetings once a week, using a standard protocol
Control
usual care
No interventions assigned to this group
Interventions
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Intensive Communication System
Regular family meetings once a week, using a standard protocol
Other Intervention Names
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Eligibility Criteria
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Inclusion Criteria
Exclusion Criteria
18 Years
ALL
No
Sponsors
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Case Western Reserve University
OTHER
Responsible Party
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Barbara J. Daly
Principal Investigator
Principal Investigators
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Barbara J Daly, PhD, RN
Role: PRINCIPAL_INVESTIGATOR
Case Western Reserve University
Locations
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University Hosptials Case Medical center
Cleveland, Ohio, United States
Countries
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References
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Daly BJ, Douglas SL, O'Toole E, Gordon NH, Hejal R, Peerless J, Rowbottom J, Garland A, Lilly C, Wiencek C, Hickman R. Effectiveness trial of an intensive communication structure for families of long-stay ICU patients. Chest. 2010 Dec;138(6):1340-8. doi: 10.1378/chest.10-0292. Epub 2010 Jun 24.
Other Identifiers
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