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Eliciting Informed Goals of Care in Elderly Patients

RecruitingNAAges 80 Years - anyAllRoyal Victoria Hospital, Canada
NCT06002113 on ClinicalTrials.gov ↗
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In plain words

What the trial is, and whether it could suit you

Patient-centered medical care considers a patient's values and goals for their health and well-being. Healthcare providers use this information to formulate a medical care plan that is aligned with these expectations. This shared-decision making process should occur with every medical decision, but it is especially important whenever decisions about end-of-life care are being considered. Eliciting patient preferences about resuscitation and life-support treatments in the event of life-threatening illnesses are considered to be a standard of excellent and appropriate medical care. Unfortunately, these discussions don't happen consistently and even when they do occur, are rarely ideal. The consequences can be devastating, often resulting in the delivery of unwanted medical care that can be associated with significant physical and mental suffering among patients and their families. In respo

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📋 Eligibility rules (as published)
Inclusion Criteria: * Hospitalized patients ≥ 80 years old with an acute medical or surgical condition admitted to any hospital ward * Previously or currently documented CODE STATUS preferences include any life sustaining therapies * Duration of admission ≥ 24 hours * English speaking, or translator present * Competent patient or substitute decision maker Exclusion Criteria: * Treating physician, patient, or substitute decision maker declines * Documented resuscitation preferences for comfort or supportive care * New diagnosis of life-limiting illness on this hospital admission, for example, new diagnosis of metastatic cancer * Clinically unstable, admitted to an intensive care unit, or currently receiving acute life support treatment (mechanical ventilation, acute dialysis, or inotropic/vasopressor support) * Readmission after index hospitalization * Pre-existing need for chronic mechanical ventilation (invasive mechanical ventilation via tracheostomy \> 90 days) or maintenance dialysis (peritoneal or hemodialysis \> 90 days)
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What it tests

  • GOCD Tool
  • Usual care
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Where

1 site
Royal Victoria Regional Health Centre
Barrie, Canada
🤝 Taking part is your choice, and you can leave at any time. Only the trial team can confirm you are eligible — always decide together with your own doctor.
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