To hear about similar clinical trials, please enter your email below
Trial Title:
Evaluation of Preoperative Acceptance of Proactive Palliative Care Intervention
NCT ID:
NCT05575791
Condition:
Cancer
Heart Failure
Chronic Obstructive Pulmonary Disease
Postoperative Complications
Conditions: Official terms:
Lung Diseases, Obstructive
Pulmonary Disease, Chronic Obstructive
Postoperative Complications
Study type:
Observational [Patient Registry]
Overall status:
Recruiting
Study design:
Time perspective:
Prospective
Summary:
Advances in medicine have led to an increased life expectancy even with complex disease
courses of malignant diseases.
This leads to frequent critical situations for patients and high risk surgical
interventions. The majority of patients and their practitioners are not prepared for the
consequences of a complex and possibly fatal course.
Palliative medicine makes it possible to anticipate the further course of the disease. As
a result, palliative medicine has become increasingly important. The beginning of
palliative medical interventions has extended from accompaniment limited to the dying
phase to earlier phases of the disease.
An early integration of palliative medicine showed a positive effect on the quality of
life, the degree of depression and survival in patients suffering from cancer, for
example. Furthermore, patients were more able to accept a change in therapy goal at the
end of life. Similar results were shown for patients with a non-malignant severe disease
such as COPD or heart failure.
What needs further investigating is how to adequately screen and identify the patient
populations who could benefit from early palliative care, so that they are prepared for
potentially critical and life-threatening situations.
The investigator's objective is therefore whether the Anesthesiology Outpatient Clinic is
a suitable screening location for initiating early integrated palliative care for
patients with a serious, life-shortening illness and a high perioperative risk.
Criteria for eligibility:
Study pop:
The participants will be selected out of the population consulted at the anesthesiology
outpatient clinic of the University hospital Berlin - Charite.
Sampling method:
Non-Probability Sample
Criteria:
Inclusion Criteria:
- over 18 years
- one elective operation with medium or high cardiac risk
And in addition at least one of the following criteria:
- serious comorbidity pulmonary: Emphysema and / or COPD >= 2 after GOLD cardiac: NYHA
> = 2
- and / or a metastatic malignancy
- ASA physical status classification >= 3 and pre-frail or frail
Exclusion Criteria:
- legal care
- Emergency operation
- any reasons which contradict inclusion in studies , e.g. cognitive deficit and lack
of language skills
- Pregnant / breastfeeding women
Gender:
All
Minimum age:
19 Years
Maximum age:
N/A
Healthy volunteers:
No
Locations:
Facility:
Name:
Department of Anesthesia and operative intensive Care, Campus Benjamin Franklin, Charité - University Hospital Berlin
Address:
City:
Berlin-Steglitz
Zip:
12203
Country:
Germany
Status:
Recruiting
Contact:
Last name:
Sascha Treskatsch, MD
Phone:
004930-450 551522
Email:
sascha.tresktasch@charite.de
Start date:
December 1, 2022
Completion date:
November 30, 2023
Lead sponsor:
Agency:
Charite University, Berlin, Germany
Agency class:
Other
Source:
Charite University, Berlin, Germany
Record processing date:
ClinicalTrials.gov processed this data on November 12, 2024
Source: ClinicalTrials.gov page:
https://clinicaltrials.gov/ct2/show/NCT05575791
