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Feasibility, Acceptability, and Barriers to Implementation of a Geriatrics Bundle in the ICU

Feasibility, Acceptability, and Barriers to Implementation of a Geriatrics Bundle in the Intensive Care Unit (ACE-ICU)

NCT04652453•Yale University

Summary

Despite the known benefits of geriatric care models among hospitalized older adults outside the intensive care unit (ICU), few studies have addressed the needs of older adults in the ICU; for example, sensory impairment, functional decline, and de-prescribing of potentially inappropriate medications (PIMs) are rarely addressed in routine ICU practice. This pilot study will evaluate the feasibility, acceptability, and barriers to implementation of a geriatrics bundle (occupational therapy, assessment and treatment of hearing impairment, and de-prescribing PIMs) in the ICU.

Detailed Description

Outcome 4 was updated 11/8/23.

Eligibility

Age

65 - No limit years

Sex

ALL

Healthy Volunteers

Inclusion Criteria

•1. Age \> 65 years
•2. Hospitalized in the Medical Intensive Care Unit (MICU) on the York Street campus of Yale-New Haven Hospital.
•3. Has not opted out of research

Exclusion Criteria

•1. Unable to provide informed consent and no proxy available
•2. Advance directive of "comfort measures only" (CMO) or change to CMO anticipated during this hospital admission
•3. Planned discharge to hospice
•4. Primary language other than English
•5. Tracheostomy with long-term ventilator dependence
•6. Patients with non-family conservators (e.g. a lawyer serving as the conservator for the patient)
•7. Unable to participate in the OT and hearing impairment interventions due to cognitive status (e.g. advanced dementia, anoxic brain injury, vegetative state, etc) or the need for deep sedation (e.g. if treatment of the critical illness requires deep sedation and neuromuscular blockade, such as in severe ARDS \[the acute respiratory distress syndrome\])
•8. COVID-19 positive
•9. Already receiving OT in the ICU

Locations (1)

Yale-New Haven Hospital

New Haven, Connecticut, United States

Key Dates

Start Date

January 19, 2021

Primary Completion Date

December 22, 2021

Completion Date

December 22, 2021

Last Updated

February 16, 2024

Enrollment

ACTUAL participants

Conditions

Intensive Care Unit Syndrome

Interventions

Geriatrics Bundle

OTHER

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Data Source & Attribution

This clinical trial information is sourced from ClinicalTrials.gov, a service of the U.S. National Institutes of Health.

ClinicalTrials.gov last update: February 16, 2024Data synced to Clareo: March 29, 2026

Modifications: This data has been reformatted for display purposes. Eligibility criteria have been parsed into inclusion/exclusion sections. Location data has been geocoded to enable distance-based search. For the authoritative and most current information, please visit ClinicalTrials.gov.

Neither the United States Government nor Clareo Health make any warranties regarding the data. Check ClinicalTrials.gov frequently for updates.

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Feasibility, Acceptability, and Barriers to Implementation of a Geriatrics Bundle in the ICU

Inclusion Criteria

Exclusion Criteria

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