Status:
RECRUITING
Eliciting Informed Goals of Care in Elderly Patients
Lead Sponsor:
Royal Victoria Hospital, Canada
Collaborating Sponsors:
Royal Victoria Regional Health Centre
Conditions:
Goals of Care
Patient Preference
Eligibility:
All Genders
80+ years
Phase:
NA
Brief Summary
Patient-centered medical care considers a patient's values and goals for their health and well-being. Healthcare providers use this information to formulate a medical care plan that is aligned with th...
Detailed Description
Objectives: 1. To determine the impact of facilitated Goals of Care Discussions (GOCDs) on the number of ICU, ventilator, and dialysis days during the index hospitalization (or until death) (composit...
Eligibility Criteria
Inclusion
- Hospitalized patients ≥ 80 years old with an acute medical or surgical condition admitted to any hospital ward
- Previously or currently documented CODE STATUS preferences include any life sustaining therapies
- Duration of admission ≥ 24 hours
- English speaking, or translator present
- Competent patient or substitute decision maker
Exclusion
- Treating physician, patient, or substitute decision maker declines
- Documented resuscitation preferences for comfort or supportive care
- New diagnosis of life-limiting illness on this hospital admission, for example, new diagnosis of metastatic cancer
- Clinically unstable, admitted to an intensive care unit, or currently receiving acute life support treatment (mechanical ventilation, acute dialysis, or inotropic/vasopressor support)
- Readmission after index hospitalization
- Pre-existing need for chronic mechanical ventilation (invasive mechanical ventilation via tracheostomy \> 90 days) or maintenance dialysis (peritoneal or hemodialysis \> 90 days)
Key Trial Info
Start Date :
October 3 2023
Trial Type :
INTERVENTIONAL
Allocation :
ESTIMATED
End Date :
June 1 2027
Estimated Enrollment :
1200 Patients enrolled
Trial Details
Trial ID
NCT06002113
Start Date
October 3 2023
End Date
June 1 2027
Last Update
November 21 2025
Active Locations (1)
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1
Royal Victoria Regional Health Centre
Barrie, Ontario, Canada, L4M6M2