N/A
N=50,458
Primary Palliative Care for Emergency Medicine (PRIM-ER)
Emergencies
Bottom Line
View on ClinicalTrials.gov: NCT03424109 ↗Enrolled (actual)
50,458
Serious AEs
—
Results posted
Jun 2025
Primary outcome: Primary: Acute Care Admission — 0.644; 0.613 Proportion of participants
Study Design & Population
- Study type
- Observational
- Phase
- N/A
- Interventions
- healthcare service utilization in the six months following the ED visit (Behavioral)
- Age
- Older Adult · 66+ yrs
- Sex
- All
- Sponsor
- NYU Langone Health
- Primary completion
- Dec 2022
Outcome Measures
| Outcome | Result | p-value |
|---|---|---|
| PRIMARY Acute Care Admission |
0.644; 0.613 | — |
| SECONDARY Proportion of Patients With Emergency Department (ED) Revisits |
0.6; 0.6 | — |
| SECONDARY Inpatient Days |
0.410; 0.366 | — |
| SECONDARY Home Health Use |
0.420; 0.381 | — |
| SECONDARY Hospice Use |
0.177; 0.172 | — |
| SECONDARY Proportion of Patients Who Died at Month 6 Post-Index Visit |
0.281; 0.287 | — |
| SECONDARY Survival: Time-to-event |
17.3; 17.1 | — |
Summary
This proposal builds upon the evaluation of Primary Palliative Care Education, Training, and Technical Support for Emergency Medicine (PRIM-ER) implemented in a cluster-randomized, stepped wedge design in 33 Emergency Departments (EDs).
Eligibility Criteria
Inclusion Criteria
- Patients must demonstrate one-year mortality of at least 30 percent (score > 6) according to the Gagne Index, a validated instrument used to measure all cause one-year mortality in community-dwelling older adults, calculated based on their prior 12 months before the index ED visit of Medicare claims.
Exclusion Criteria
- ED patients transferred from a nursing home on the index ED visit will be excluded since prediction of mortality and disposition of such patients differs from community-dwelling adults.
- Patients currently receiving hospice at the time of the index ED visit will also be excluded since they have already received services.
Data sourced from ClinicalTrials.gov (NCT03424109). 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.