Embedded Palliative Care in the MICU Study

This study is looking at whether having a hospice and palliative care practitioner (a specialist in comfort care and support for serious illness) directly working in the Medical Intensive Care Unit (MICU) can improve care for critically ill patients. The practitioner will offer timely consultations based on a patient's needs and estimated risk. Researchers will compare patients who receive care with the embedded practitioner to those in another MICU and to patients treated before the study began. The goal is to see if this approach improves how long patients stay in the ICU and how often their code status (decisions about life support) is adjusted. You may be able to join if you are at least 18 years old and admitted to one of the MICUs at the study's hospital. The study plans to include 2600 patients, but its current status is unclear.

Study design
This is an interventional study that plans to enroll 2600 participants. It compares patients receiving care with an embedded palliative care practitioner to those in another ICU and historical patients.
What's involved
Not specified in the trial record.
Compensation
Not stated in the trial record.
Follow-up
Your ICU length of stay and code status de-escalation will be measured from enrollment until hospital discharge, assessed for up to 1 year.

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NCT06574672

Embedded Palliative Care in the MICU

Recruiting
NAAges 18+InterventionalSupportive care
Washington University School of Medicine
~2,600 participants
Updated 2025-07-16 on ClinicalTrials.gov
What's tested:Embedded Hospice and Palliative Care PractitionerEmbedded Hospice and Palliative Care Practitioner (Group Effect)None (Historical)

At a glance

Recruiting sites
1 of 1 listed site is recruiting right now
RecruitingSuspended, closed, or not yet open
What they're measuring
ICU Length of Stay
Measured over From date of enrollment until hospital discharge, assessed up to 1 year
+1 more outcome measured
Critical Illness
End of Life
Quality of Life
1 sites across 1 states
Missouri1
  • Stephen Chi, MD · PRINCIPAL_INVESTIGATOR · Washington University School of Medicine

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Eligibility criteria

Inclusion

Patients admitted to the medical intensive care units at a tertiary referral center
Patients must be at least 18 years of age

Exclusion

None
  • ICU Length of StayFrom date of enrollment until hospital discharge, assessed up to 1 year

    Length of stay in any intensive care unit during the hospitalization

  • Code Status De-escalationFrom date of enrollment until hospital discharge, assessed up to 1 year

    Frequency of changes in code status to limited code or comfort measures only