NCT06245525

Brief Summary

The primary objective of the current survey study is to obtain detailed information about European intensive care unit (ICU) clinicians' awareness of palliative care and relevant, local end-of-life (EoL) legislation.

Trial Health

87
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
523

participants targeted

Target at P75+ for all trials

Timeline
Completed

Started Apr 2024

Shorter than P25 for all trials

Geographic Reach
1 country

1 active site

Status
completed

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

First Submitted

Initial submission to the registry

January 15, 2024

Completed
23 days until next milestone

First Posted

Study publicly available on registry

February 7, 2024

Completed
3 months until next milestone

Study Start

First participant enrolled

April 22, 2024

Completed
9 months until next milestone

Primary Completion

Last participant's last visit for primary outcome

January 8, 2025

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

January 8, 2025

Completed
Last Updated

January 23, 2025

Status Verified

January 1, 2025

Enrollment Period

9 months

First QC Date

January 15, 2024

Last Update Submit

January 20, 2025

Conditions

Keywords

palliative careend-of-life legislationadvance directivedo not attempt cardiopulmonary resuscitationanalgesiasedationeuthanasiatreatment limitation

Outcome Measures

Primary Outcomes (3)

  • Clinicians' perceptions of palliative care.

    The absolute numbers of positive (i.e. yes) responses to question groups 10 through 14 of survey section 2. This will comprise the palliative care score, which ranges from 0 to 24, with greater values indicating a higher quality of palliative care practice.

    February 1 to July 1 2024.

  • Clinicians' perceptions of legislation relevant to palliative care.

    The absolute numbers of positive (i.e. yes) responses to question groups 15 through 23 of section 3. This will comprise the end-of-life legislation score, which ranges from 0 to 49, with greater values indicating higher level of awareness of a comprehensive legal framework.

    February 1 to July 1 2024.

  • Clinicians' percreptions of their daily end-of-life and palliative care practice.

    The absolute numbers of positive (i.e. yes) responses to question groups 24 and 25 of section 4. This will comprise the end-of-life and palliative care practice score, which ranges from 0 to 13, with higher values indicating a higher quality of end-of-life practice.

    February 1 to July 1 2024.

Secondary Outcomes (2)

  • Clinicians' perceptions of palliative care, in the presence of country end-of-life legislation.

    February 1 to July 1 2024.

  • Clinicians' perceptions of palliative care, in the absence of country end-of-life legislation.

    February 1 to July 1 2024.

Other Outcomes (1)

  • Independent predictors of a high palliative care score

    February 1 to July 1 2024.

Interventions

This is not an interventional study

Eligibility Criteria

Sexall
Healthy VolunteersNo
Age GroupsChild (0-17), Adult (18-64), Older Adult (65+)
Sampling MethodNon-Probability Sample
Study Population

Physicians or nurses working in European intensive care units (ICUs), or in ICUs in Israel.

You may qualify if:

  • European and Iraeli intensive care unit physicians or nurses.

You may not qualify if:

  • Absence of informed consent for study participation.

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

Evaggelismos General Hospital

Athens, Attica, 10676, Greece

Location

Related Publications (25)

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    PMID: 27242109BACKGROUND
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    PMID: 31785697BACKGROUND
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    PMID: 22115975BACKGROUND
  • Mentzelopoulos SD, Slowther AM, Fritz Z, Sandroni C, Xanthos T, Callaway C, Perkins GD, Newgard C, Ischaki E, Greif R, Kompanje E, Bossaert L. Ethical challenges in resuscitation. Intensive Care Med. 2018 Jun;44(6):703-716. doi: 10.1007/s00134-018-5202-0. Epub 2018 May 10.

    PMID: 29748717BACKGROUND
  • Vitale C, de Nonneville A, Fichaux M, Salas S. Medical staff opposition to a deep and continuous palliative sedation request under Claeys-Leonetti law. BMC Palliat Care. 2019 Jan 8;18(1):2. doi: 10.1186/s12904-018-0384-3.

    PMID: 30621684BACKGROUND
  • Mercadante S, Gregoretti C, Cortegiani A. Palliative care in intensive care units: why, where, what, who, when, how. BMC Anesthesiol. 2018 Aug 16;18(1):106. doi: 10.1186/s12871-018-0574-9.

    PMID: 30111299BACKGROUND
  • Sesma-Mendaza A, Aranguren-Sesma M, Estraviz-Pardo F, Lizarazu-Armendariz E, Goni-Viguria R. Nurses' knowledge about palliative care in a critical care unit. Enferm Intensiva (Engl Ed). 2022 Oct-Dec;33(4):197-205. doi: 10.1016/j.enfie.2021.10.003. Epub 2022 Nov 5.

    PMID: 36347801BACKGROUND
  • Mentzelopoulos SD, Couper K, Raffay V, Djakow J, Bossaert L. Evolution of European Resuscitation and End-of-Life Practices from 2015 to 2019: A Survey-Based Comparative Evaluation. J Clin Med. 2022 Jul 11;11(14):4005. doi: 10.3390/jcm11144005.

    PMID: 35887769BACKGROUND
  • Mentzelopoulos SD, Couper K, Voorde PV, Druwe P, Blom M, Perkins GD, Lulic I, Djakow J, Raffay V, Lilja G, Bossaert L. European Resuscitation Council Guidelines 2021: Ethics of resuscitation and end of life decisions. Resuscitation. 2021 Apr;161:408-432. doi: 10.1016/j.resuscitation.2021.02.017. Epub 2021 Mar 24.

    PMID: 33773832BACKGROUND
  • Sprung CL, Ricou B, Hartog CS, Maia P, Mentzelopoulos SD, Weiss M, Levin PD, Galarza L, de la Guardia V, Schefold JC, Baras M, Joynt GM, Bulow HH, Nakos G, Cerny V, Marsch S, Girbes AR, Ingels C, Miskolci O, Ledoux D, Mullick S, Bocci MG, Gjedsted J, Estebanez B, Nates JL, Lesieur O, Sreedharan R, Giannini AM, Fucinos LC, Danbury CM, Michalsen A, Soliman IW, Estella A, Avidan A. Changes in End-of-Life Practices in European Intensive Care Units From 1999 to 2016. JAMA. 2019 Nov 5;322(17):1692-1704. doi: 10.1001/jama.2019.14608.

    PMID: 31577037BACKGROUND
  • Davidson JE, Aslakson RA, Long AC, Puntillo KA, Kross EK, Hart J, Cox CE, Wunsch H, Wickline MA, Nunnally ME, Netzer G, Kentish-Barnes N, Sprung CL, Hartog CS, Coombs M, Gerritsen RT, Hopkins RO, Franck LS, Skrobik Y, Kon AA, Scruth EA, Harvey MA, Lewis-Newby M, White DB, Swoboda SM, Cooke CR, Levy MM, Azoulay E, Curtis JR. Guidelines for Family-Centered Care in the Neonatal, Pediatric, and Adult ICU. Crit Care Med. 2017 Jan;45(1):103-128. doi: 10.1097/CCM.0000000000002169.

    PMID: 27984278BACKGROUND
  • Virdun C, Luckett T, Lorenz K, Davidson PM, Phillips J. Dying in the hospital setting: A meta-synthesis identifying the elements of end-of-life care that patients and their families describe as being important. Palliat Med. 2017 Jul;31(7):587-601. doi: 10.1177/0269216316673547. Epub 2016 Dec 8.

    PMID: 27932631BACKGROUND
  • Leemans K, Deliens L, Van den Block L, Vander Stichele R, Francke AL, Cohen J. Systematic Quality Monitoring For Specialized Palliative Care Services: Development of a Minimal Set of Quality Indicators for Palliative Care Study (QPAC). Am J Hosp Palliat Care. 2017 Jul;34(6):532-546. doi: 10.1177/1049909116642174. Epub 2016 Apr 7.

    PMID: 27059060BACKGROUND
  • Vuong C, Kittelson S, McCullough L, Yingwei Y, Hartjes T. Implementing primary palliative care best practices in critical care with the Care and Communication Bundle. BMJ Open Qual. 2019 Sep 6;8(3):e000513. doi: 10.1136/bmjoq-2018-000513. eCollection 2019.

    PMID: 31544163BACKGROUND
  • Mentzelopoulos SD, Bossaert L, Raffay V, Askitopoulou H, Perkins GD, Greif R, Haywood K, Van de Voorde P, Xanthos T. A survey of key opinion leaders on ethical resuscitation practices in 31 European Countries. Resuscitation. 2016 Mar;100:11-7. doi: 10.1016/j.resuscitation.2015.12.010. Epub 2016 Jan 14.

    PMID: 26776899BACKGROUND
  • Mentzelopoulos SD, Chen S, Nates JL, Kruser JM, Hartog C, Michalsen A, Efstathiou N, Joynt GM, Lobo S, Avidan A, Sprung CL; End-of-life Practice Score Study Group. Derivation and performance of an end-of-life practice score aimed at interpreting worldwide treatment-limiting decisions in the critically ill. Crit Care. 2022 Apr 13;26(1):106. doi: 10.1186/s13054-022-03971-9.

    PMID: 35418103BACKGROUND
  • Avidan A, Sprung CL, Schefold JC, Ricou B, Hartog CS, Nates JL, Jaschinski U, Lobo SM, Joynt GM, Lesieur O, Weiss M, Antonelli M, Bulow HH, Bocci MG, Robertsen A, Anstey MH, Estebanez-Montiel B, Lautrette A, Gruber A, Estella A, Mullick S, Sreedharan R, Michalsen A, Feldman C, Tisljar K, Posch M, Ovu S, Tamowicz B, Demoule A, DeKeyser Ganz F, Pargger H, Noto A, Metnitz P, Zubek L, de la Guardia V, Danbury CM, Szucs O, Protti A, Filipe M, Simpson SQ, Green C, Giannini AM, Soliman IW, Piras C, Caser EB, Hache-Marliere M, Mentzelopoulos SD; ETHICUS-2 Study Group. Variations in end-of-life practices in intensive care units worldwide (Ethicus-2): a prospective observational study. Lancet Respir Med. 2021 Oct;9(10):1101-1110. doi: 10.1016/S2213-2600(21)00261-7. Epub 2021 Aug 6.

    PMID: 34364537BACKGROUND
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    PMID: 8970487BACKGROUND

MeSH Terms

Conditions

DeathAgnosiaSuicide, Assisted

Condition Hierarchy (Ancestors)

Pathologic ProcessesPathological Conditions, Signs and SymptomsPerceptual DisordersNeurobehavioral ManifestationsNeurologic ManifestationsNervous System DiseasesSigns and SymptomsSuicideSelf-Injurious BehaviorBehavioral SymptomsBehavior

Study Officials

  • Spyros D Mentzelopoulos, MD, PhD

    National and Kapodistrian University of Athens, Greece

    PRINCIPAL INVESTIGATOR
  • Victoria Metaxa, MD, PhD

    King's College NHS trust, London

    PRINCIPAL INVESTIGATOR
  • Hanne-Irene Jensen, PhD, CCN

    Lillebaelt hospital, University of Southern Denmark

    STUDY DIRECTOR
  • Christiane Hartog, MD, PhD

    Charite University, Berlin, Germany

    STUDY CHAIR

Study Design

Study Type
observational
Observational Model
OTHER
Time Perspective
OTHER
Sponsor Type
OTHER
Responsible Party
PRINCIPAL INVESTIGATOR
PI Title
Professor of Intensive Care Medicine

Study Record Dates

First Submitted

January 15, 2024

First Posted

February 7, 2024

Study Start

April 22, 2024

Primary Completion

January 8, 2025

Study Completion

January 8, 2025

Last Updated

January 23, 2025

Record last verified: 2025-01

Data Sharing

IPD Sharing
Will not share

Locations