Trial · NCT04281784
Project to Improve Communication About Serious Illness--Hospital Study: Pragmatic Trial (Trial 1)
NCT04281784, Not applicable, Completed, University of Washington; results first posted 2022-08-01
3 sourcestrials-2026-11-12-0.5.0
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ConductScience Library. Project to Improve Communication About Serious Illness--Hospital Study: Pragmatic Trial (Trial 1). Trials, record NCT04281784. Release trials-2026-11-12-0.5.0, 12 Nov 2026. https://conductscience.org/library/trials/NCT04281784
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Trial
As registered on ClinicalTrials.gov, in the graph's capture of the registry.
- Title
- Project to Improve Communication About Serious Illness--Hospital Study: Pragmatic Trial (Trial 1)
- NCT number
- NCT04281784
- Status
- Completed
- Phases
- Not applicable
- Enrollment
- 2,512 participants, actual
- Lead sponsor
- University of Washington
- 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
- First posted
- 2020-02-24
- Last updated
- 2025-04-04
- Results first posted
- 2022-08-01
Source ClinicalTrials.gov
Registered outcomes9
Each outcome the trial registered, primary first, in ClinicalTrials.gov's words.
| List | Outcome | Time frame | Description |
|---|---|---|---|
| Primary | Proportion of Patients With EHR Documentation of Goals of Care Discussions | Assessed for the period between randomization and 30 days following randomization | The primary outcome is the proportion of patients who have a goals-of-care (GOC) discussion that has been documented in the EHR in the period between randomization and 30 days following randomization The proportion is the number of patients with GOC documentation over the number of patients in each study arm. Documentation of goals-of-care discussions will be evaluated using our NLP/ML methods. |
| Secondary | Intensity of Care/ICU Use: ICU Admissions | Assessed for the period between randomization and 30 days following randomization | Secondary outcomes include measures of intensity of care, including utilization metrics: Number of ICU admissions during the patient's (index) hospital stay will be collected from the EHR. |
| Secondary | Intensity of Care/ICU Use: ICU Length of Stay (Number of Days Alive and Out of the ICU) | Assessed for the period between randomization and 30 days following randomization | Secondary outcomes include measures of intensity of care, including utilization metrics: Number of days alive and out of the ICU within 30 days from randomization will be collected from the EHR. |
| Secondary | Intensity of Care/Hospital Use: Hospital Length of Stay (Number of Days Alive and Out of the Hospital) | Assessed for the period between randomization and 30 days following randomization | Secondary outcomes include measures of intensity of care, including utilization metrics: Number of days alive and out of the hospital within 30 days from randomization will be collected from the EHR. |
| Secondary | Intensity of Care: Hospital Readmissions 30 Days | Assessed for the period between randomization and 30 days following randomization | Secondary outcomes include measures of intensity of care, including utilization metrics: Proportion of patients readmitted to the hospital following index hospitalization. |
| Secondary | Intensity of Care: ICU Admissions 30 Days | Assessed for the period between randomization and 30 days following randomization | Secondary outcomes include measures of intensity of care, including utilization metrics: Proportion of patients who received ICU care. |
| Secondary | Total Hospitalization Costs, Randomization to 30 Days After Randomization | Assessed for the period between randomization and 30 days later | Secondary outcomes include measures of intensity of care, including costs of inpatient care, collected from UW Medicine Finance Office and adjusted for inflation. |
| Secondary | All-cause Mortality at 30 Days After Randomization (Safety Outcome) | 30 days after randomization | From Washington State death certificates |
| Secondary | Total Hospitalization Costs, Randomization to Index Hospitalization Discharge | Index hospital stay | Secondary outcomes include measures of intensity of care, including costs of inpatient care, collected from UW Medicine Finance Office and adjusted for inflation. Assessed for the period between randomization and discharge for the index hospital stay. |
Source ClinicalTrials.gov
Outcomes9
Each outcome the trial posted results for, in ClinicalTrials.gov's words.
| Type | Outcome | Time frame | Population | Units | Measured as |
|---|---|---|---|---|---|
| PRIMARY | Proportion of Patients With EHR Documentation of Goals of Care Discussions | Assessed for the period between randomization and 30 days following randomization | Participants | COUNT_OF_PARTICIPANTS | |
| SECONDARY | Intensity of Care/ICU Use: ICU Admissions | Assessed for the period between randomization and 30 days following randomization | |||
| SECONDARY | Intensity of Care/ICU Use: ICU Length of Stay (Number of Days Alive and Out of the ICU) | Assessed for the period between randomization and 30 days following randomization | days | MEAN | |
| SECONDARY | Intensity of Care/Hospital Use: Hospital Length of Stay (Number of Days Alive and Out of the Hospital) | Assessed for the period between randomization and 30 days following randomization | days | MEAN | |
| SECONDARY | Intensity of Care: Hospital Readmissions 30 Days | Assessed for the period between randomization and 30 days following randomization | Participants | COUNT_OF_PARTICIPANTS | |
| SECONDARY | Intensity of Care: ICU Admissions 30 Days | Assessed for the period between randomization and 30 days following randomization | Participants | COUNT_OF_PARTICIPANTS | |
| SECONDARY | Total Hospitalization Costs, Randomization to 30 Days After Randomization | Assessed for the period between randomization and 30 days later | (Data unavailable from Finance Office for two patients.) | US dollars | MEAN |
| SECONDARY | All-cause Mortality at 30 Days After Randomization (Safety Outcome) | 30 days after randomization | Participants | COUNT_OF_PARTICIPANTS | |
| SECONDARY | Total Hospitalization Costs, Randomization to Index Hospitalization Discharge | Index hospital stay | (Data unavailable from Finance Office for two patients.) | US dollars | MEAN |
Source ClinicalTrials.gov
Results by group20
Each measurement the trial posted, group by group, in the words and numbers it posted.
| Outcome | Group | Category | Value | Spread | Units |
|---|---|---|---|---|---|
| Proportion of Patients With EHR Documentation of Goals of Care Discussions | EHR-based Clinician Jumpstart | GOC documented | 433 | Participants | |
| Proportion of Patients With EHR Documentation of Goals of Care Discussions | Usual Care | GOC documented | 382 | Participants | |
| Proportion of Patients With EHR Documentation of Goals of Care Discussions | EHR-based Clinician Jumpstart | GOC not documented | 822 | Participants | |
| Proportion of Patients With EHR Documentation of Goals of Care Discussions | Usual Care | GOC not documented | 875 | Participants | |
| Intensity of Care/ICU Use: ICU Length of Stay (Number of Days Alive and Out of the ICU) | Usual Care | 27.90 | Standard Deviation 6.12 | days | |
| Intensity of Care/ICU Use: ICU Length of Stay (Number of Days Alive and Out of the ICU) | EHR-based Clinician Jumpstart | 27.83 | Standard Deviation 6.19 | days | |
| Intensity of Care/Hospital Use: Hospital Length of Stay (Number of Days Alive and Out of the Hospital) | Usual Care | 21.99 | Standard Deviation 8.78 | days | |
| Intensity of Care/Hospital Use: Hospital Length of Stay (Number of Days Alive and Out of the Hospital) | EHR-based Clinician Jumpstart | 21.63 | Standard Deviation 9.15 | days | |
| Intensity of Care: Hospital Readmissions 30 Days | EHR-based Clinician Jumpstart | 265 | Participants | ||
| Intensity of Care: Hospital Readmissions 30 Days | Usual Care | 251 | Participants |
1 to 10 of 20Source ClinicalTrials.gov
See all 20 results by groupParticipant flow6
How many started, completed or left each group, period by period.
| Period | Milestone | Group | Participants | Units counted |
|---|---|---|---|---|
| Overall Study | STARTED | EHR-based Clinician Jumpstart | 1,255 | |
| Overall Study | STARTED | Usual Care | 1,257 | |
| Overall Study | COMPLETED | EHR-based Clinician Jumpstart | 1,255 | |
| Overall Study | COMPLETED | Usual Care | 1,257 | |
| Overall Study | NOT COMPLETED | EHR-based Clinician Jumpstart | 0 | |
| Overall Study | NOT COMPLETED | Usual Care | 0 |
Source ClinicalTrials.gov
Adverse events0
Each adverse event the trial posted, group by group: the participants affected out of those at risk.
None in this release.
Adverse event totals6
The totals the trial posted for each group.
| Total | Group | Affected | At risk |
|---|---|---|---|
| Total, all-cause mortality | EHR-based Clinician Jumpstart | 70 | 1,255 |
| Total, all-cause mortality | Usual Care | 64 | 1,257 |
| Total, other adverse events | EHR-based Clinician Jumpstart | 0 | 1,255 |
| Total, other adverse events | Usual Care | 0 | 1,257 |
| Total, serious adverse events | EHR-based Clinician Jumpstart | 0 | 1,255 |
| Total, serious adverse events | Usual Care | 0 | 1,257 |
Source ClinicalTrials.gov
Papers3
The papers the trial lists on ClinicalTrials.gov.
Grants0
The grants NIH RePORTER links to the trial, newest funded first: NIH's, and some of AHRQ's, CDC's, FDA's and VA's. Each shows its title, principal investigators, organization and funder in its newest year.
None in this release.
Trial comparisons4
Comparisons of the trial's two groups, calculated by ConductScience from the counts it posted.
| Comparison | Source |
|---|---|
| EHR-based Clinician Jumpstart vs Usual Care: Intensity of Care: ICU Admissions 30 Days | Trial comparisons |
| EHR-based Clinician Jumpstart vs Usual Care: deaths from any cause | Trial comparisons |
| EHR-based Clinician Jumpstart vs Usual Care: Intensity of Care: Hospital Readmissions 30 Days | Trial comparisons |
| EHR-based Clinician Jumpstart vs Usual Care: serious adverse events | Trial comparisons |
Tests0
The ConductCognition tests this trial's registered outcomes name, as ScienceGraph matched them in trial-tests-2026-11-12-0.2.1.
None in this release.
Data dates
The day each source was copied for this release.
Sources 3
- ClinicalTrials.gov's posted results, through CTTI's AACTFreely available. Acknowledgement requested
- ClinicalTrials.govNo license stated
- NIH RePORTER's clinical studies and project filesPublic domain
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
- NIH RePORTER's clinical studies and project filesPublic domain (NIH RePORTER)
ClinicalTrials.gov's data carry an international copyright outside the United States: https://clinicaltrials.gov/about-site/terms-conditions.
For software
Read this trial from software.
The record and each of its lists are JSON, twenty rows a page. No key.
GET https://conductscience.org/api/trials/v1/NCT04281784
GET https://conductscience.org/api/trials/v1/NCT04281784/registered