[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"health-study-detail:100560248":3},{"organization":4,"armGroups":7,"interventions":26,"overallOfficials":40,"centralContacts":44,"locations":49,"responsibleParty":67,"collaborators":31,"id":70,"slug":71,"hasResults":72,"nctId":73,"briefTitle":74,"officialTitle":75,"acronym":31,"eligibilityCriteria":76,"healthyVolunteers":72,"sex":77,"minAge":78,"maxAge":31,"enrollmentInfo":79,"targetDuration":31,"studyType":82,"phases":83,"briefSummary":85,"conditions":86,"keywords":90,"overallStatus":52,"whyStopped":31,"lastUpdateSubmitDate":94,"lastUpdatePostDateStruct":95,"startDateStruct":98,"completionDateStruct":100,"leadSponsor":102,"locationsCount":103},{"fullName":5,"class":6},"Washington University School of Medicine","OTHER",[8,14,20],{"label":9,"type":10,"description":11,"interventionNames":12},"Prospective Hospice and Palliative Care Intervention","EXPERIMENTAL","This arm comprises patients admitted to the specific medical intensive care unit in which the hospice and palliative care practitioner is currently active. This will include all patients admitted to a single medical intensive care unit during the anticipated first half of the intervention timeframe, followed by all patients admitted to both medical intensive care units during the second half of the intervention timeframe.",[13],"Other: Embedded Hospice and Palliative Care Practitioner",{"label":15,"type":16,"description":17,"interventionNames":18},"Prospective Standard of Care","ACTIVE_COMPARATOR","This arm comprises patients admitted to the medical intensive care unit in which the hospice and palliative care practitioner is not currently active, but which may experience a group effect due to the study's ongoing enrollment and the practitioner's presence. This will include all patients admitted to a single medical intensive care unit during the anticipated first half of the intervention timeframe, prior to the practitioner becoming active in both intensive care units.",[19],"Other: Embedded Hospice and Palliative Care Practitioner (Group Effect)",{"label":21,"type":22,"description":23,"interventionNames":24},"Historical Controls","PLACEBO_COMPARATOR","This arm comprises historical patients admitted to the medical intensive care units in the year prior to study enrollment.",[25],"Other: None (Historical)",[27,32,36],{"type":6,"name":28,"description":29,"armGroupLabels":30,"otherNames":31},"Embedded Hospice and Palliative Care Practitioner","The hospice and palliative care practitioner will be embedded in one medical intensive care unit for the first half of the study timeframe, after which the practitioner will expand to both medical intensive care units. While active in a medical intensive care unit, the practitioner will proactively trigger palliative care consultations based on clinical criteria and estimated mortality risk, in addition to providing immediate availability for standard-of-care hospice or palliative care consultations.",[9],null,{"type":6,"name":33,"description":34,"armGroupLabels":35,"otherNames":31},"Embedded Hospice and Palliative Care Practitioner (Group Effect)","While the hospice and palliative care practitioner is active in one medical intensive care unit with respect to triggering consultations, the other medical intensive care unit can still utilize the practitioner's services for standard-of-care hospice or palliative care consultations.",[15],{"type":6,"name":37,"description":38,"armGroupLabels":39,"otherNames":31},"None (Historical)","This control arm includes historical patients admitted to the medical intensive care units prior to the study's enrollment timeframe.",[21],[41],{"name":42,"affiliation":5,"role":43},"Stephen Chi, MD","PRINCIPAL_INVESTIGATOR",[45],{"name":42,"role":46,"phone":47,"phoneExt":31,"email":48},"CONTACT","314-273-6176","chis@wustl.edu",[50],{"facility":51,"status":52,"city":53,"state":54,"zip":55,"country":56,"countryCode":57,"cosmosGeoPoint":58,"geoPoint":63,"contacts":64},"Barnes Jewish Hospital","RECRUITING","St Louis","Missouri","63110","United States","US",{"type":59,"coordinates":60},"Point",[61,62],-90.19789,38.62727,{"lat":62,"lon":61},[65,66],{"name":42,"role":46,"phone":47,"phoneExt":31,"email":48},{"name":42,"role":43,"phone":31,"phoneExt":31,"email":31},{"type":43,"investigatorFullName":68,"investigatorTitle":69,"investigatorAffiliation":5,"oldNameTitle":31,"oldOrganization":31},"Stephen Wen-Yan Chi","Assistant Professor","100560248","embedded-palliative-care-in-the-micu-100560248",false,"NCT06574672","Embedded Palliative Care in the MICU","Impact of an Embedded Palliative Care and Hospice Practitioner in the Medical ICU","Inclusion Criteria:\n\n* Patients admitted to the medical intensive care units at a tertiary referral center\n* Patients must be at least 18 years of age\n\nExclusion Criteria:\n\n* None","ALL","18 Years",{"count":80,"type":81},2600,"ESTIMATED","INTERVENTIONAL",[84],"NA","The goal of this study is to investigate whether embedding a hospice and palliative care practitioner within a medical intensive care unit will improve patient outcomes and healthcare usage. The practitioner will work solely within the medical intensive care units and offer timely as well as proactive consultations based on clinical criteria and estimated mortality risk. The study team will compare patients seen by the practitioner to patients in an adjacent ICU and historical patients to determine whether patient care is improved by this intervention.",[87,88,89],"Critical Illness","End of Life","Quality of Life",[91,92,93],"Palliative Care","Hospice","Medical ICU","2025-07-14",{"date":96,"type":97},"2025-07-16","ACTUAL",{"date":99,"type":97},"2024-07-29",{"date":101,"type":81},"2027-06",{"name":5,"class":6},1]