Family involvement in treatment decisions for very old ICU patients
Official title: The VIP-3 (Very Old Intensive Care Patients) Study: Decision-making in the Older Intensive Care Unit (ICU) Patient: How Are Family Meetings Implemented Across Diverse Cultures in Europe?
Run by St George's, University of London · NCT07035951 · Data updated 2026-11-12
This study observes how families and ICU teams communicate with patients 75 and older to see how family meetings affect planning and care.
Quick facts
| Study type | Observational |
|---|---|
| Ages | 75 Years and up |
| Sex | All |
| Enrollment | 2000 (estimated) |
| Sponsor | St George's, University of London Academic / other |
| Locations | 1 site (London) |
| Status | Recruiting |
| Started | June 16, 2025 |
| Main results expected | June 1, 2027 |
| Study ends | December 1, 2027 |
| Registry record updated | September 15, 2026 |
| Trial ID | NCT07035951 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Ideal candidates are adults aged 75 or older admitted to the ICU with an expected stay of at least 3 days at participating centers.
✕Probably not a fit
Patients without available family support or those who do not experience family meetings may not experience a direct benefit from study observations.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
This prospective observational study will enroll ICU patients aged 75+ with expected stays of at least 3 days to examine how family meetings are conducted and how communication between staff, patients, and relatives occurs. Researchers will collect basic demographics, frailty, daily living activities, and comorbidities from admission and track whether a family meeting occurs and what information is shared. The goal is to describe current practices across centers and identify variation in approaches to family involvement in decision-making. Consent practices will vary by country, reflecting local norms and regulations. The study does not test an intervention but aims to map real-world communication and its potential impact on care planning.
Why it matters
Potential benefit: Understanding current family-meeting practices could inform policies to support shared decision-making and improve alignment between patient preferences and care.
How similar studies have gone: Previous work suggests substantial variation in family-meeting practices, indicating a need to document and compare approaches in different regions.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: * Patients admitted to the Intensive Care Unit (ICU) of participating centres * Age 75 years and above * Expected Length of stay (LOS) \> 3 days Exclusion Criteria: * Refusal to participate * Limitation of treatment upon ICU arrival (other than Cardiopulmonary Resuscitation-CPR) * Planned admission
Where it's running
-
St George's University Hospitals NHS Foundation Trust
London, United Kingdom Recruiting
Study contacts
- Principal investigator: Susannah Leaver, PhD FRCP FICM — St George's Hospital
- Study coordinator: Nikki Yun
- Email: vip3.study@stgeorges.nhs.uk
- Phone: +44208 725 0249
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How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.