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There is evidence to suggest that patients make different end-of-life decisions if they understand the risks, benefits and alternatives of CPR and mechanical ventilation. This study will examine whether evidence-based informed consent impacts patients choices and healthcare outcomes compared to routine care.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Script and Video | Experimental | Patients in the Script and CPR/Mechanical ventilation video arm will receive information on CPR and mechanical ventilation via a script and a video. |
|
| Script only | Experimental | Patients in the Script only arm will receive information on CPR and mechanical ventilation via a script only. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Script and CPR/Mechanical ventilation video. | Other | Patients will be randomized to receive the script (see addendum) plus video. Video was produced by and is the property of the study investigators. |
| Measure | Description | Time Frame |
|---|---|---|
| Number of patients opting out of routine care - no intubation | Number of patients in each group who opt out of intubation 48 hours after admission. | 48 hours |
| Number of patients opting out of routine care - no CPR | Number of patients in each group who opt out of CPR within 48 hours of admission. | 48 hours |
| Measure | Description | Time Frame |
|---|---|---|
| Hospital Mortality | Number of deaths in each group in the hospital | Length of patient's hospital stay |
| 30-day mortality | Number of deaths in each group after 30 days. |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Imran Naqvi, MD | Jewish Hospital of Cincinnati | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| The Jewish Hospital | Cincinnati | Ohio | 45236 | United States |
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| 30 days |
| 90 day mortality | Number of deaths in each group in 90 days. | 90 days |
| Number of patients undergoing CPR | Number of patients in each group who undergo CPR during their hospitalization. | Length of patient's hospital stay |
| Number of patients undergoing intubation | Number of patients in each group who undergo intubation during their hospital stay. | Length of patient's hospital stay |
| ID | Term |
|---|---|
| D006333 | Heart Failure |
| D007239 | Infections |
| D018805 | Sepsis |
| D058186 | Acute Kidney Injury |
| D020521 | Stroke |
| ID | Term |
|---|---|
| D006331 | Heart Diseases |
| D002318 | Cardiovascular Diseases |
| D018746 | Systemic Inflammatory Response Syndrome |
| D007249 | Inflammation |
| D010335 | Pathologic Processes |
| D013568 | Pathological Conditions, Signs and Symptoms |
| D051437 | Renal Insufficiency |
| D007674 | Kidney Diseases |
| D014570 | Urologic Diseases |
| D052776 | Female Urogenital Diseases |
| D005261 | Female Urogenital Diseases and Pregnancy Complications |
| D000091642 | Urogenital Diseases |
| D052801 | Male Urogenital Diseases |
| D002561 | Cerebrovascular Disorders |
| D001927 | Brain Diseases |
| D002493 | Central Nervous System Diseases |
| D009422 | Nervous System Diseases |
| D014652 | Vascular Diseases |
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