Comparison · NCT04281784-adac5500
EHR-based Clinician Jumpstart vs Usual Care: Intensity of Care: ICU Admissions 30 Days
Calculated by ConductScience from the counts the trial posted to ClinicalTrials.gov.
2 sourcestrial-comparisons-2026-03-23-0.1.0
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ConductScience Library. EHR-based Clinician Jumpstart vs Usual Care: Intensity of Care: ICU Admissions 30 Days. Trial comparisons, record NCT04281784-adac5500. Release trial-comparisons-2026-03-23-0.1.0, 23 Mar 2026. https://conductscience.org/library/comparisons/NCT04281784-adac5500
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Measures6
Calculated by ConductScience from the counts the trial posted to ClinicalTrials.gov.
| Measure | Value | 95% interval, lower | 95% interval, upper | Method | Note |
|---|---|---|---|---|---|
| Risk in group 1 | 0.268 | 0.244 | 0.293 | wilson | |
| Risk in group 2 | 0.277 | 0.253 | 0.302 | wilson | |
| Risk difference, group 1 minus group 2 | -0.00912 | -0.0439 | 0.0257 | newcombe hybrid score | |
| Risk ratio, group 1 over group 2 | 0.967 | 0.851 | 1.1 | log | |
| Odds ratio, group 1 over group 2 | 0.955 | 0.801 | 1.14 | log | |
| Number needed to treat, for one fewer participant with the outcome on EHR-based Clinician Jumpstart than on Usual Care | 110 | from the risk difference interval | the interval includes no difference |
Source ClinicalTrials.gov
Groups2
Group 2 names the comparator: usual care.
| Group | Title | Description | With the outcome | Analysed | ClinicalTrials.gov code |
|---|---|---|---|---|---|
| Group 1 | EHR-based Clinician Jumpstart | The EHR-based Jumpstart Guide will be developed by extracting data from the EHR to identify documents uploaded prior to the current hospitalization. It will summarize the presence/absence of POLST, advance directives and DPOA documentation and patients' code status.~EHR-based Clinician Jumpstart: The Jumpstart Guide is a communication-priming intervention for clinicians that addresses hospitalized patients' goals of care. The intervention's goal is to prompt clinicians to provide standard of care which includes a discussion with patients or their legal surrogate decision-maker about their goals of care. The one-page Jumpstart Guide provides information to the clinician about prior advance care planning documentation and code status derived from the EHR. The Jumpstart Guides includes tips to improve goals-of-care communication. | 336 | 1,255 | OG000 |
| Group 2 | Usual Care | The clinicians (hospital teams) for patients in the control group will not receive Jumpstart guides. These subjects will receive usual care. | 348 | 1,257 | OG001 |
Source ClinicalTrials.gov
Outcome
- Type
- SECONDARY
- Title
- Intensity of Care: ICU Admissions 30 Days
- Description
- Secondary outcomes include measures of intensity of care, including utilization metrics: Proportion of patients who received ICU care.
- Time frame
- Assessed for the period between randomization and 30 days following randomization
- Population
Source ClinicalTrials.gov
Trial
- Title
- Project to Improve Communication About Serious Illness--Hospital Study: Pragmatic Trial (Trial 1)
- NCT number
- NCT04281784
- Phases
- NA
- Conditions
Dementia, Chronic Disease, Neoplasm Metastasis, Lung Neoplasm, Pulmonary Disease, Chronic Obstructive, Heart Failure，Congestive, Liver Cirrhosis, Kidney Failure, Chronic, Lung Diseases, Interstitial, Peripheral Vascular Disease, Diabetes With End Organ Injury
- Interventions
- EHR-based Clinician Jumpstart
- Lead sponsor
- University of Washington
- Results first posted
- 2022-08-01
- Results on ClinicalTrials.gov
- https://clinicaltrials.gov/study/NCT04281784?tab=results
Source ClinicalTrials.gov
Source
- Release
- trial-comparisons-2026-03-23-0.1.0
- Release manifest SHA-256
- f66225897fbf258b57ea10bdacfd0347d3cdfda93f7f5685234b7e06ea36fa57
- AACT copy
- 2026-03-23
- Tables read
- outcome_counts.parquet, outcome_measurements.parquet, outcomes.parquet, reported_event_totals.parquet, reported_events.parquet, result_groups.parquet, studies.parquet, ctgov_trial.parquet
Source ClinicalTrials.gov
Sources 2
- ClinicalTrials.gov's posted results, through CTTI's AACTFreely available. Acknowledgement requested
- ClinicalTrials.govNo license stated
Each source's terms
- ClinicalTrials.gov's posted results, through CTTI's AACTClinicalTrials.gov data via Aggregate Analysis of ClinicalTrials.gov (AACT), CTTI. CTTI makes its materials freely available and requests acknowledgement. https://aact.ctti-clinicaltrials.org/documentation/299
- ClinicalTrials.govnone stated
ClinicalTrials.gov's data carry an international copyright outside the United States: https://clinicaltrials.gov/about-site/terms-conditions. The measures are ConductScience's calculation from them.
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