Early Palliative Care Consultation in the Medical ICU: A Cluster Randomized Crossover Trial.

ABSTRACT:

Objectives

To assess the impact of early triggered palliative care consultation on the outcomes of high-risk ICU patients.

Design

Single-center cluster randomized crossover trial.

Setting

Two medical ICUs at Barnes Jewish Hospital.

Patients

Patients (n = 199) admitted to the medical ICUs from August 2017 to May 2018 with a positive palliative care screen indicating high risk for morbidity or mortality.

Interventions

The medical ICUs were randomized to intervention or usual care followed by washout and crossover, with independent assignment of patients to each ICU at admission. Intervention arm patients received a palliative care consultation from an interprofessional team led by board-certified palliative care providers within 48 hours of ICU admission.<

SUBMITTER: Ma J 

PROVIDER: S-EPMC6861688 | biostudies-literature | 2019 Dec

REPOSITORIES: biostudies-literature