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Embedded Palliative Care in the MICU
Sponsor: Washington University School of Medicine
Summary
The goal of this study is to investigate whether embedding a hospice and palliative care practitioner within a medical intensive care unit will improve patient outcomes and healthcare usage. The practitioner will work solely within the medical intensive care units and offer timely as well as proactive consultations based on clinical criteria and estimated mortality risk. The study team will compare patients seen by the practitioner to patients in an adjacent ICU and historical patients to determine whether patient care is improved by this intervention.
Official title: Impact of an Embedded Palliative Care and Hospice Practitioner in the Medical ICU
Key Details
Gender
All
Age Range
18 Years - Any
Study Type
INTERVENTIONAL
Enrollment
2600
Start Date
2024-07-29
Completion Date
2027-06
Last Updated
2025-07-16
Healthy Volunteers
No
Interventions
Embedded Hospice and Palliative Care Practitioner
The hospice and palliative care practitioner will be embedded in one medical intensive care unit for the first half of the study timeframe, after which the practitioner will expand to both medical intensive care units. While active in a medical intensive care unit, the practitioner will proactively trigger palliative care consultations based on clinical criteria and estimated mortality risk, in addition to providing immediate availability for standard-of-care hospice or palliative care consultations.
Embedded Hospice and Palliative Care Practitioner (Group Effect)
While the hospice and palliative care practitioner is active in one medical intensive care unit with respect to triggering consultations, the other medical intensive care unit can still utilize the practitioner's services for standard-of-care hospice or palliative care consultations.
None (Historical)
This control arm includes historical patients admitted to the medical intensive care units prior to the study's enrollment timeframe.
Locations (1)
Barnes Jewish Hospital
St Louis, Missouri, United States