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New tool aims to improve tough talks in the ICU for older trauma patients

NCT ID NCT05780918

What the study statuses mean

This study's is highlighted.

Recruitment status, easiest to join first

Recruiting now
This trial is taking on new participants right now.
Not yet recruiting
Registered, but not yet taking participants.
By invitation only
Not open to general applications. Only people the study team invites can take part.
Paused
Paused for now. It may or may not start again.
Ongoing This study
Running, but no longer taking on new participants.
Completed
The trial has finished. Results may not be published yet.
Stopped early
Stopped early, before it reached the end. That can be for many reasons, including safety.
Cancelled
Cancelled before anyone took part.

Expanded access (not trials)

Expanded access
Not a trial. This treatment can be requested outside a study, case by case, for people who qualify.
Expanded access (paused)
Not a trial. The treatment can normally be requested outside a study, but is unavailable right now.
Expanded access (ended)
Not a trial. The treatment could once be requested outside a study, but no longer can.
Approved
The treatment has been approved, so it is available normally rather than through this programme.

When the status isn't known

Details not published
The full record has not been published yet, so there is little to show here.
Status unknown
This status has not been confirmed recently, so it may be out of date.

First seen Jun 26, 2026 · Last updated Jun 27, 2026 · Updated 1 time

Summary

This study tests a communication tool called Best Case/Worst Case-ICU for older adults (50+) with serious injuries in the ICU. The tool helps doctors, patients, and families discuss possible outcomes and treatment options using simple graphics. Researchers will measure if it improves the quality of communication and reduces stress for clinicians and families.

What this could mean

Our plain-language read of the trial. This is informational only, not medical advice or a prediction.

Active substance
Best Case/Worst Case-ICU Communication Tool (a scenario planning and graphic aid tool)
What this could lead to
If it works, this could improve how doctors talk with older patients and families about serious injuries, making communication clearer and reducing stress for everyone.
What could go wrong
This is a large trial but tests a communication tool, not a drug or cure. The benefits may be modest and depend on how well doctors use the tool in real settings.

This is an AI summary of the original study and may miss details. Read our disclaimer.

Study facts

What this study's own registry entry says, in plain language.

Phase

Not a phased trial

Phase numbers describe drug development. The registry uses this when they do not apply, as it does for trials of devices, procedures or behaviour changes, and for observational studies.

Participants

About 7,600 people

The number the study aims to enrol. It can still change while the study runs.

Started

Jul 2023

Expected to finish

Dec 2026

An estimate. End dates often move.

Lead sponsor

Other sponsor

The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.

Who can take part

This study's own entry requirements. Only the study team can say for certain whether you qualify.

Ages

18 years and older

Sex

Anyone

Healthy volunteers

Not accepted

This study is not open to healthy volunteers. The entry requirements below say who it is open to.

Show the full entry requirements

Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.

Patients Inclusion Criteria: * aged 50 and older * admitted to the ICU for 3 or more days after serious injury Exclusion Criteria: * none Family Members Inclusion Criteria: * aged 18 and older * patient's family member or informally designated "like family" or primary surrogate decision maker * speak English or Spanish Exclusion Criteria: * does not have decision-making capacity Clinicians Inclusion Criteria: * provide care in the trauma ICU (including attending trauma surgeons, fellows, residents, advance practice providers, bedside nurses and medical assistants, respiratory techs and physical therapists, social workers, and chaplains) Exclusion Criteria: * do not provide care in the trauma ICU

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Conditions

The condition(s) this trial relates to.

As listed by the trial registrant

The condition terms exactly as the trial's registrant entered them.

Contacts and locations

Locations

  • Froedtert Hospital - Medical College of Wisconsin

    Milwaukee, Wisconsin, 53226, United States

  • Grady Memorial Hospital - Morehouse School of Medicine

    Atlanta, Georgia, 30314, United States

  • Harborview Medical Center - University of Washington

    Seattle, Washington, 98195, United States

  • Lehigh Valley Health Network

    Allentown, Pennsylvania, 18103, United States

  • Rhode Island Hospital - Brown University

    Providence, Rhode Island, 02912, United States

  • Shock Trauma - University of Maryland Medical Center

    Baltimore, Maryland, 20742, United States

  • University of Alabama at Birmingham

    Birmingham, Alabama, 35294, United States

  • University of California Davis Medical Center

    Davis, California, 95616, United States

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