Primary Palliative Care for Emergency Medicine (PRIM-ER)



Status:Not yet recruiting
Conditions:Hospital
Therapuetic Areas:Other
Healthy:No
Age Range:66 - Any
Updated:2/9/2019
Start Date:June 2019
End Date:February 2023
Contact:Alexander Bragg
Email:alexander.bragg@nyumc.org
Phone:(646) 501-4033

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Trial Summary
Trial Overview
Inclusion Criteria
This proposal builds upon the evaluation of Primary Palliative Care Education, Training, and
Technical Support for Emergency Medicine (PRIM-ER) implemented in 33 Emergency Departments
(EDs). This is a retrospective cohort study that seeks to measure the effect of PRIM-ER on
older adults with serious illness on aspects of: 1) ED disposition to an acute setting; 2)
healthcare utilization in the 6 months following the index ED visit; 3) survival following
the index ED visit; and 4) determine site, provider, and patient-level characteristics that
are associated with variation in impact of PRIM-ER across sites.


Inclusion Criteria:

- Patients must demonstrate one-year mortality of at least 30 percent (score > 6)
according to the Gagne Index, a validated instrument used to measure all cause
one-year mortality in community-dwelling older adults, calculated based on their prior
12 months before the index ED visit of Medicare claims.

Exclusion Criteria:

- ED patients transferred from a nursing home on the index ED visit will be excluded
since prediction of mortality and disposition of such patients differs from
community-dwelling adults.

- Patients currently receiving hospice at the time of the index ED visit will also be
excluded since they have already received services.
We found this trial at
1
site
New York University School of Medicine
550 1st Ave
New York, New York 10016
(212) 263-7300
Principal Investigator: Corita Grudzen, MD
Phone: 646-501-4033
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