Status:
COMPLETED
Improving Decisions About CPR
Lead Sponsor:
Ottawa Hospital Research Institute
Collaborating Sponsors:
Canadian Frailty Network
The Ottawa Hospital Academic Medical Association
Conditions:
CPR Decision-Making
Eligibility:
All Genders
55+ years
Phase:
NA
Brief Summary
Objective The primary objective is to evaluate the efficacy of a multi-faceted, clinical decision support intervention aimed at improving the quality of decisions about Cardio Pulmonary Resuscitation...
Detailed Description
Methodological Approach The study will be a randomized controlled trial comparing a multi-faceted decision support intervention to usual care for hospitalized patients. The primary objective of this ...
Eligibility Criteria
Inclusion
- Eligible to receive CPR
- Satisfying at least one of the following criteria groups
- 55 years of age or older with one or more of the following diagnoses:
- Chronic obstructive lung disease (2 of the 3 of: baseline PaCO2 of \> 45 torr, cor pulmonale; respiratory failure episode within the preceding year; forced expiratory volume in 1 sec \<0.5 L)
- Congestive heart failure (New York Heart Association class IV symptoms and left ventricular ejection fraction \< 25%)
- Cirrhosis (confirmed by imaging studies or documentation of esophageal varices and one of three conditions; hepatic coma, child's class C liver disease, or child's class B liver disease with gastrointestinal bleeding)
- Cancer (metastatic cancer or stage IV lymphoma)
- End-stage dementia (inability to perform all ADLs, mutism or minimal verbal output secondary to dementia, bed-bound state prior to acute illness).
- 80 years of age or older and admitted to hospital from the community for an acute medical or surgical condition.
- If none of the above criteria are met, any patient whose death within the next 6 months would not surprise any member of their care team.
- At least 55 years old and predicted risk of death in the next 12 months of \>=10% as calculated with the HOMR Now! Score
Exclusion
- Patients or SDMs who do not speak English.
- Patients or SDMs who do not provide informed consent.
Key Trial Info
Start Date :
October 1 2017
Trial Type :
INTERVENTIONAL
Allocation :
ACTUAL
End Date :
October 22 2018
Estimated Enrollment :
200 Patients enrolled
Trial Details
Trial ID
NCT03287895
Start Date
October 1 2017
End Date
October 22 2018
Last Update
December 26 2018
Active Locations (2)
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1
The Ottawa Hospital General Campus
Ottawa, Ontario, Canada, K1H 8L6
2
Ottawa Hospital Civic Campus
Ottawa, Ontario, Canada, K1Y 4E9