N/A
N=62
Triggered Palliative Care for Advanced Dementia
Alzheimer Disease · Dementia
Bottom Line
View on ClinicalTrials.gov: NCT02719938 ↗Enrolled (actual)
62
Serious AEs
0.0%
Results posted
Jan 2019
Primary outcome: Primary: Hospital / Emergency Visits Per 60 Days (no. of Events/Follow-up Days) — .68; .53 events per day — p=0.415
Study Design & Population
- Study type
- Interventional
- Phase
- N/A
- Interventions
- Specialty Palliative Care (Behavioral)
- Age
- Older Adult · 65+ yrs
- Sex
- All
- Sponsor
- University of North Carolina, Chapel Hill
- Primary completion
- Oct 2017
Outcome Measures
| Outcome | Result | p-value |
|---|---|---|
| PRIMARY Hospital / Emergency Visits Per 60 Days (no. of Events/Follow-up Days) |
.68; .53 | 0.415 |
| SECONDARY Patient Comfort End of Life in Dementia (CAD-EOLD) |
34.8; 34.0 | 0.521 |
| SECONDARY Caregiver Strain |
2.3; 2.4 | 0.409 |
| SECONDARY Percent of Participants With Referral to Hospice or Outpatient Palliative Care From Discharge to 60 Days Follow-Up |
25; 3 | 0.019 sig |
| SECONDARY Percent of Participants With Physician Orders for Life Sustaining Treatment (POLST) |
79; 30 | <0.001 sig |
| SECONDARY Number of Palliative Care Domains in Treatment Plan |
7.6; 2.7 | <0.001 sig |
| SECONDARY Number of Participants With Burdensome Treatments |
9; 8 | 0.516 |
Summary
The objective of this study is to generate preliminary data for a large multi-site randomized clinical trial of a model of palliative care consultation for patients with advanced dementia, and for their family caregivers.
Eligibility Criteria
Inclusion Criteria
- Diagnosis of dementia from Alzheimer's or other underlying cause
- Global Deterioration Scale (GDS) Stage 5, 6 or 7
- acute illness hospitalization
Exclusion Criteria
- No English-speaking family decision-maker
- Primary physician expects study to be too stressful for family caregiver
Data sourced from ClinicalTrials.gov (NCT02719938). Outcome figures and adverse-event rates are extracted automatically from the registry's posted results and are provided for clinician reference, not as a substitute for the primary publication.