Improving palliative care for patients in intensive care units
Enhancing Palliative Care in ICU
This study is testing whether specialized consultations can improve palliative care for patients in intensive care units and support their families.
Quick facts
| Phase | Not applicable |
|---|---|
| Study type | Interventional |
| Enrollment | 2040 (estimated) |
| Ages | 18 Years and up |
| Sex | All |
| Sponsor | Charite University, Berlin, Germany Academic / other |
| Locations | 31 sites (Prague and 30 other locations) |
| Trial ID | NCT06605079 on ClinicalTrials.gov |
What this trial studies
This project aims to enhance the quality of palliative care provided to patients in intensive care units (ICUs) by implementing specialized consultations. It evaluates the effectiveness and cost-effectiveness of these consultations as part of a broader initiative funded by the European Commission. The study will involve both patients and their relatives, assessing the need for palliative care through input from ICU physicians. An anonymous survey will also be conducted among healthcare staff to gather insights on the intervention's impact.
Who should consider this trial
Good fit: Ideal candidates include ICU patients over 18 years old who can provide consent or have a legal representative, and whose primary critical illness is not cancer.
Not a fit: Patients who are moribund and expected to die within the next 24 hours may not benefit from this study.
Why it matters
Potential benefit: If successful, this approach could significantly reduce suffering for ICU patients and improve the overall quality of care.
How similar studies have performed: Other studies have shown positive outcomes with similar palliative care interventions in ICU settings, indicating a promising approach.
Eligibility criteria
Show full inclusion / exclusion criteria
Patients: Inclusion Criteria: * Patients in ICU who can give consent and those who can not (via their authorized representative or legal guardian, also possible with delayed consent) * From 18 years * The leading cause of critical illness is not cancer * New admission on the participating ICU \> 72h * Assessment of the need for palliative care by the in-charge physi-cian of the ICU, because (1) there is a significant disagreement about ICU treatment or (2) because the physician considers ther-apy limitations for the patient or (3) the physician considers a benefit from specialized PC consultation for ICU physician, nurse, or patient or family. Exclusion Criteria: \- Patient is moribund and is expected to die within the next 24h Study cohort relatives: Inclusion criteria: \- At least one relative(s) of a patient. This may or may not be the legal representative, depending on national legislation. Exclusion criteria: * Refusal by the relative * Refusal of the patient to participate in the intervention study * \<18 years of age Cohort of employees: Inclusion criteria * Employed on the ITS as a doctor/nurse * Employed in the clinical center as a member of the palliative care consultation service Exclusion criterion Refusal to participate
Where this trial is running
Prague and 30 other locations
- ICU General Resuscitation (RES UP), General University hospital — Prague, Czechia (Recruiting)
- ICU General Resuscitation (RES2) — Prague, Czechia (Recruiting)
- ICU Metabolic, General University hospital — Prague, Czechia (Recruiting)
- Department of Anesthesiology and Intensive Care Medicine (CCM/CVK),Charité - University Medicine Berlin — Mitte, State of Berlin, Germany (Recruiting)
- Department of Anesthesiology and Intensive Care Medicine (CCM/CVK),Charité - University Medicine Berlin — Wedding, State of Berlin, Germany (Recruiting)
- CARITAS Klinik Maria Heimsuchung — Berlin, Germany (Recruiting)
- Charité - Department of Anesthesiology and Intensive Care Medicine CBF — Berlin, Germany (Recruiting)
- Department of Cardiology, Angiology and Intensive Care Medicine | CVK, Charité - University Berlin — Berlin, Germany (Recruiting)
- Evangelisches Krankenhaus Hubertus — Berlin, Germany (Recruiting)
- Unfallkrankenhaus Berlin — Berlin, Germany (Withdrawn)
- Medical and Neurological Intensive Care Unit, University Hospital of Düsseldorf — Düsseldorf, Germany (Recruiting)
- Neurosurgical and Traumatological ICU ZI13, University Hospital of Düsseldorf — Düsseldorf, Germany (Recruiting)
- Surgical Intensive Care Unit CIA1/CIB1, University Hospital of Düsseldorf — Düsseldorf, Germany (Recruiting)
- Universitätsklinikum Halle (Saale): Klinik für Innere Medizin III — Halle, Germany (Recruiting)
- Johanna-Etienne Hospital Neuss, Interdisciplinary ICU — Neuss, Germany (Recruiting)
- Ev. Krankenhaus Paul-Gerhardt-Stift Wittenberg:Angiologie und Kardiologie — Wittenberg, Germany (Withdrawn)
- Department of Intensive Care Medicine, University Hospital of Heraklion — Heraklion, Crete, Greece (Recruiting)
- Department of Intensive Care Medicine, University Hospital of Patras — Pátrai, Rio, Greece (Recruiting)
- Department of Intensive Care Medicine, University Hospital of Alexandroupolis — Alexandroupoli, Greece (Recruiting)
- Cardiothoracic Intensive Care Unit of the Onassis Cardiac Surgery Center — Athens, Greece (Recruiting)
- Department of Intensive Care Medicine, Alexandra General Hospital — Athens, Greece (Recruiting)
- Department of Intensive Care Medicine, Evaggelismos General Hospital — Athens, Greece (Recruiting)
- Department of Intensive Care Medicine, University Hospital of Ioannina — Ioannina, Greece (Recruiting)
- University Hospital of Larissa, Critical Care Department — Larissa, Greece (Recruiting)
- General Intensive Care Unit, Hadassah Medical Organisation — Jerusalem, Israel (Recruiting)
- The Coronary Care Intensive Care Unit, Hadassah Hospital, Ein Kerem — Jerusalem, Israel (Recruiting)
- The Neurosurgical Intensive Care Unit, Hadassah Hospital, Ein Kerem — Jerusalem, Israel (Recruiting)
- S.C. Anestesia e Rianimazione 1 - Terapia Intensiva Cardiochirurgica, Azienda Ospedaliera Universitaria S. Maria della Misericordia — Perugia, Italy (Withdrawn)
- S.C. Anestesia e Rianimazione 2 - Terapia Intensiva, Azienda Ospedaliera Universitaria S. Maria della Misericordia — Perugia, Italy (Recruiting)
- UOC di Anestesia e Rianimazione Cardio Toraco Vascolare dell'AOU San Giovanni di Dio e Ruggi d'Aragona "Scuola Medica Salernitana", Salerno University Hospital — Salerno, Italy (Recruiting)
- S.C. Anestesia - Rianimazione Azienda Ospedaliera Santa Maria - Terni — Terni, Italy (Withdrawn)
Study contacts
- Study coordinator: Claudia Spies, MD, Prof.
- Email: claudia.spies@charite.de
- Phone: +4930450551102
How to participate
- Review the eligibility criteria above with your treating physician.
- Visit the official trial page on ClinicalTrials.gov for the most current contact information and recruitment status.
- Contact the listed study coordinator or principal investigator to request pre-screening. Pre-screening is free and never obligates you to enroll.