Status:
COMPLETED
Advance Care Planning in Patients With Heart Failure in Denmark
Lead Sponsor:
Nordsjaellands Hospital
Collaborating Sponsors:
Rigshospitalet, Denmark
University of Southern Denmark
Conditions:
Heart Failure
Advance Care Planning
Eligibility:
All Genders
18+ years
Phase:
NA
Brief Summary
Advance care planning (ACP) represents a process whereby a patient, in consultation with healthcare professionals, family members and important others, makes decisions about his or her future healthca...
Detailed Description
Background Advance care planning (ACP) represents a way to fulfil patients' end-of-life preferences and wishes and the opportunity to improve the quality of life (QoL) for patients with life-limiting ...
Eligibility Criteria
Inclusion
- Inclusion criteria - patients:
- At least 18 years of age
- Able to speak and understand Danish
- Not expected to die within 1 month assessed by a cardiologist or a heart failure specialist nurse
- Cognitively able to participate in the intervention
- Disease specific criteria - patients (minimum two must be fulfilled):
- Classified as being in NYHA III-IV by a cardiologist or heart failure specialist nurse and documented in the patient record.
- Progressive functional decline (physical and mental) and dependence in most activities of daily living based on clinical assessment by a cardiologist or a heart failure specialist nurse.
- Severe symptoms despite optimal pharmacological and non-pharmacological treatment assessed by a cardiologist or a heart failure specialist nurse.
- Two or more acute episodes that required admission to hospital over the last 6 months including the current admission.
- Heart transplantation and mechanical circulatory support (MCS) ruled out.
- Cardiac cachexia assessed clinically defined as a 'complex metabolic syndrome associated with underlying illness and characterized by loss of muscle with or without loss of fat mass'.
- Clinically judged by a cardiologist, palliative specialist or heart failure specialist nurse to have a life expectancy within 1-12 month.
- Inclusion criteria - caregivers:
- • At least 18 years of age
- Exclusion criteria:
- Unable to speak or communicate in Danish
- Cognitively unable to participate to collaboration and complete questionnaires
Exclusion
Key Trial Info
Start Date :
February 1 2022
Trial Type :
INTERVENTIONAL
Allocation :
ACTUAL
End Date :
January 31 2023
Estimated Enrollment :
20 Patients enrolled
Trial Details
Trial ID
NCT05269875
Start Date
February 1 2022
End Date
January 31 2023
Last Update
April 4 2023
Active Locations (1)
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1
Department of Cardiology, North Zeeland Hospital
Hillerød, Denmark, 3500