Effects of a 24/7 Palliative Care Service Integration in a Metropolitan Area on Non-oncologic Patients
NCT ID: NCT05640076
Last Updated: 2023-07-13
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
2831 participants
OBSERVATIONAL
2023-04-01
2023-06-01
Brief Summary
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The main question\[s\] it aims to answer are:
* Does the introduction of a remote telephonic consultation availability affect the rate of ED access of non-oncologic Palliative-care followed patients during their last 90 days of life?
* Does the introduction of a remote telephonic consultation availability have an effect on the rate of EMS requests for these patients during their last 90 days of life?
* Which are the main topics of the calls to the Palliative Care Service?
Due to the emergence of COVID-19 pandemic during the study period, a parallel cohort of oncologic patients under 24/7 palliative care by the same service during both the observation periods will be used as reference.
Participants will be followed up from the date of taking-over request to the Palliative Care Service to their death or the end of the period of observation if followup began during their last 90 days of life.
Otherwise, for those being already under home palliative care at the 90th day before their death, follow up will begin at that day.
Researchers will compare two time periods to see if the introduction of a remote telephonic consultation availability has an effect on the supra-mentioned aims.
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Detailed Description
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Conditions
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Study Design
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COHORT
RETROSPECTIVE
Study Groups
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2018-19 - Oncologic patients under home palliative care
Oncologic patients took over from the Metropolitan Palliative Care Service and receiving home palliative care within their last 90 days of life between 1/1/2018 and 31/12/2019
24/7 Telephonic Palliative Care Service availability
Metropolitan Palliative Care Service-implemented 24/7 telephonic availability service for the patients, their relatives, the EMS and Primary Care physicians taking care of them.
After consultation, if the information and medical suggestions are not sufficient, an urgent ambulatory or home visit could be planned.
2018-19 - Non-oncologic patients under home palliative care
Non-oncologic patients took over from the Metropolitan Palliative Care Service and receiving home palliative care within their last 90 days of life between 1/1/2018 and 31/12/2019
No interventions assigned to this group
2021-2022 - Oncologic patients under home palliative care
Oncologic patients took over from the Metropolitan Palliative Care Service and receiving home palliative care within their last 90 days of life between 1/1/2021 and 31/12/2022
24/7 Telephonic Palliative Care Service availability
Metropolitan Palliative Care Service-implemented 24/7 telephonic availability service for the patients, their relatives, the EMS and Primary Care physicians taking care of them.
After consultation, if the information and medical suggestions are not sufficient, an urgent ambulatory or home visit could be planned.
2021-2022 - Non-Oncologic patients under home palliative care
Non-oncologic patients took over from the Metropolitan Palliative Care Service and receiving home palliative care within their last 90 days of life between 1/1/2021 and 31/12/2022
24/7 Telephonic Palliative Care Service availability
Metropolitan Palliative Care Service-implemented 24/7 telephonic availability service for the patients, their relatives, the EMS and Primary Care physicians taking care of them.
After consultation, if the information and medical suggestions are not sufficient, an urgent ambulatory or home visit could be planned.
Interventions
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24/7 Telephonic Palliative Care Service availability
Metropolitan Palliative Care Service-implemented 24/7 telephonic availability service for the patients, their relatives, the EMS and Primary Care physicians taking care of them.
After consultation, if the information and medical suggestions are not sufficient, an urgent ambulatory or home visit could be planned.
Eligibility Criteria
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Inclusion Criteria
* Residency in Bologna Metropolitan city
Exclusion Criteria
* Residency outside Bologna Metropolitan City
18 Years
ALL
No
Sponsors
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IRCCS Azienda Ospedaliero-Universitaria di Bologna
OTHER
Azienda Usl di Bologna
OTHER_GOV
Responsible Party
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Locations
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Azienda Unità Sanitaria Locale
Bologna, , Italy
IRCCS - Policlinico Universitario S.Orsola - Malpighi
Bologna, , Italy
Countries
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References
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Burge F, Lawson B, Johnston G. Family physician continuity of care and emergency department use in end-of-life cancer care. Med Care. 2003 Aug;41(8):992-1001. doi: 10.1097/00005650-200308000-00012.
Barbera L, Paszat L, Chartier C. Indicators of poor quality end-of-life cancer care in Ontario. J Palliat Care. 2006 Spring;22(1):12-7.
Gamblin V, Prod'homme C, Lecoeuvre A, Bimbai A-, Luu J, Hazard PA, Da Silva A, Villet S, Le Deley MC, Penel N. Home hospitalization for palliative cancer care: factors associated with unplanned hospital admissions and death in hospital. BMC Palliat Care. 2021 Jan 26;20(1):24. doi: 10.1186/s12904-021-00720-7.
Thomsen JL, Parner ET. Methods for analysing recurrent events in health care data. Examples from admissions in Ebeltoft Health Promotion Project. Fam Pract. 2006 Aug;23(4):407-13. doi: 10.1093/fampra/cml012. Epub 2006 Apr 4.
Valenti D, Gamberini L, Allegri D, Tartaglione M, Moggia F, Del Giudice D, Baroni R, Di Mirto CVF, Tamanti J, Rosa S, Paoletti S, Bruno L, Peterle C, Cuomo AMR, Bertini A, Giostra F, Mengoli F; Collaborators. Effects of 24/7 palliative care consultation availability on the use of emergency department and emergency medical services resources from non-oncological patients: a before-and-after observational cohort study. BMJ Support Palliat Care. 2024 Dec 19;14(e3):e2788-e2797. doi: 10.1136/spcare-2023-004412.
Other Identifiers
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FEDERATION
Identifier Type: -
Identifier Source: org_study_id
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