Promoting Palliative Care for Heart Failure Patients

Is this trial a fit for you?

A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.

What this trial studies

Healthcare providers at two Yale-affiliated hospitals will use a new clinical decision support tool integrated with a validated 1-year mortality risk model to prompt timely palliative care referrals for hospitalized heart failure patients. Eligible providers include attending physicians, trainees, nurse practitioners, physician assistants, and palliative care or quality/safety staff who have hospital privileges and are on admitting teams. Patients must be adults with heart failure, elevated NT-proBNP, and recent IV diuretic use during admission. The trial compares standard care to care augmented by the decision support tool, with post-trial surveys and interviews to assess feasibility and impact on care planning.

Why it matters

Who can join: the full rules

Inclusion Criteria:

Healthcare providers must meet the following criteria:

* Are an attending physician, fellow, or resident, advanced practice nurse, or physician associate
* Has ordering privileges
* Are members of one of the hospitals' admitting teams (e.g., hospitalist service, cardiology service)
* Anticipate employment at one of the two study sites for the 15-month trial period.

Or

* Palliative care team member
* Hospital administrator/quality and safety personnel

Patients of providers enrolled in the study must meet the following criteria for heart failure during hospitalization:

* Age 18 years of age or older
* N-terminal pro-B-type natriuretic peptide values of \>500 pg/ml
* Received intravenous diuretics within 24 hours of admission.

Exclusion Criteria:

* Pregnant at the time of admission.

Where it's running

• Yale New Haven Hospital Saint Raphael
  New Haven, Connecticut, United States Recruiting
• Yale New Haven Hospital York Street
  New Haven, Connecticut, United States Recruiting

Study contacts

• Principal investigator: Shelli Feder, PhD — Yale University
• Study coordinator: Shelli Feder, PhD
• Email: shelli.feder@yale.edu
• Phone: 937-239-2801

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Other studies for the same condition or treatment. Recruiting studies are listed first.

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How to take part

1. Review the eligibility criteria above with your treating physician.
2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.