NCT05308004Completed
Palliative Care for Persons With ADRD and CI in SNF
Palliative Care Consultations for Persons With Alzheimer's Disease and Related Dementia and Cognitive Impairment in the Medicare Skilled Nursing Facility (SNF) Setting
Source: ClinicalTrials.gov · Last updated 27 Dec 2024
Brief summary (registry, in English)
Alzheimer's disease and related dementias (ADRD) are serious, life limiting illnesses with no known cure. Dementia is the fifth-leading cause of death in older adults and the majority of people with advanced dementia die in nursing homes (NHs). Miller et al reported that 40% of U.S. NH residents dying with advanced dementia received Skilled Nursing Facility (SNF) care in the last 90 days of life, and receipt of this care was associated significantly with poorer end-of-life outcomes, including a higher risk of dying in a hospital, compared to decedents with no SNF care. SNF care is a Medicare post-acute rehabilitation service delivered in NHs focused on intense rehabilitation and/or aggressive, disease-modifying therapies. Regardless of life expectancy, use of SNF care precludes access to Hospice services. Palliative care (PC) offers an evidence-based alternative.
- Status (registry)
- Completed
- Study type
- Interventional
- Enrollment
- 7 (actual)
- First submitted
- 24 Mar 2022
- Start date
- 15 Jun 2022
- Primary completion date
- 24 Apr 2023
- Lead sponsor
- University of Maryland, Baltimore
- Diseases
- Alzheimer disease
- NCT number
- NCT05308004
What you commit to
- Study type: Interventional
- Participants enrolled: 7
- From 15 Jun 2022 to the primary completion date, 24 Apr 2023
- 1 site in 1 country
- Visits and tests: ask the trial team, the registry does not list them
Built from the registry fields of ClinicalTrials.gov. It describes the study design.
Who cannot take part
Copied verbatim from ClinicalTrials.gov and grouped by topic. Only the trial team decides who can take part.
Prior treatment
- Who have previously received or are referred for PC by their primary care team
- Currently receiving hospice care
Other illness
- No documented ADRD diagnosis or history of cognitive impairment in the medical record
Age
- \< 18 years of age
Other
- Patients:
- With a discharge plan within 48 hours of screening
- Who do not have one global indicator of need
- That are non-English speaking, (if verbal)
- If unable to make decisions, do not have an LAR/surrogate decision maker.
- Surrogate/LAR:
- Not a family Member or friend of an eligible patient
- Non-English speaking
Who the study is looking for
- Patients:
- Admitted for SNF post-acute care at a participating NHs following a recent hospitalization
- Age ≥ 60 years old
- Speaks English (if verbal)
- If non-verbal/unable to participate in a conversation and/or unable to make decisions, a legally authorized representative (LAR)/surrogate decision maker who can make decisions for the patient as determined by ACTs staff
- Documented ADRD diagnosis in the medical record or history of cognitive impairment (defined as BIMS score ≤ 12)
- At least one global indicator for PC at SNF admission (provider would not be surprised if patient died within 1 year, believes the patient would benefit from advance care planning or symptom management; frequent hospital or NH SNF admissions; complex care requirements; decline in function; feeding intolerance; unintended decline in weight; or previous hospice assessment or enrollment and subsequent discharge)
- Surrogate/LAR:
- ≥18 years old
- Family member or friend of an eligible patient as determined by ACTs staff
- Speaks English
Age in the registry: 60 years to - · Sex: All · Does not accept healthy volunteers
Sites (1)
Sites in registry order. Save your city in your profile to sort them by distance.
| Site | City | Country | Site status |
|---|---|---|---|
| Acts Continuing Care Retirement Communities Coordinator of this site? Confirm its status | Philadelphia | United States | Unknown status |
This page is information, not medical advice. Discuss any trial with your doctor.