View Clinical Trial (Medical Research Study)
Changing the Paradigm of In-Hospital Cardiopulmonary Resuscitation With Informed Assent
| City: |
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Burlington |
| State: |
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Vermont |
| Zip Code: |
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05405 |
| Conditions: |
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Oxygen Dependent COPD - Advanced Malignancy |
| Purpose: |
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Outcomes after in-hospital cardiopulmonary resuscitation (CPR) are very poor, particularly
in patients with oxygen dependent chronic obstructive pulmonary disease (COPD) or metastatic
cancer. Recent work found that in-hospital CPR is being performed more often before death
with unchanging survival and that fewer CPR survivors are being discharged home, thus
suggesting that CPR is increasingly performed without benefit and that the burden of this
ineffective treatment is increasing. Unlike other medical procedures, CPR has become the
default provided to all patients even those with tremendously poor outcomes. It is time to
change the paradigm of CPR. Through comparing an innovative "informed assent" approach
toward in-hospital CPR (informing patients that their underlying chronic illness makes
outcomes of CPR so poor that CPR is not performed while allowing them to disagree) versus
usual care in a group of chronically ill patients with reduced life expectancy, the
investigators aspire to demonstrate that CPR delivery can be reduced. And in addition that
DNR status increases, while preserving patient quality of life and decreasing the burden of
this ineffective treatment to both patients and families. If effective, this informed assent
intervention has the potential to revolutionize how the investigators discuss CPR with the
investigators chronically ill patients.
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| Study Summary: |
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| Criteria: |
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Inclusion Criteria:
- 18 years or older
- Oxygen dependent COPD or Advanced Malignancy
- Life expectancy of less than two years
Exclusion Criteria:
- Subjects who have already firmly decided to undergo CPR
- Subjects enrolled in a hospice program
- Subjects unable to speak English
- Subjects incapable of making their own decisions at the time of enrollment
- Subjects cared for by the study investigator
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| NCT ID: |
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NCT01558817 |
| Primary Contact: |
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Renee Stapleton, MD, PhD
Phone: 802-656-7975
Email: renee.stapleton@uvm.edu
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| Backup Contact: |
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N/A |
| Location Contact: |
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Burlington, Vermont 05405
United States
There is no listed contact information for this specific location.
Site Status: Recruiting |
| Data Source: |
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ClinicalTrials.gov |
| Date Processed: |
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May 23, 2013 |
| Modifications to this listing: |
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