New tool aims to improve tough talks in the ICU for older trauma patients
NCT ID NCT05780918
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
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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
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About 7,600 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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Jul 2023
- Expected to finish
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Dec 2026
An estimate. End dates often move.
- Lead sponsor
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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
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18 years and older
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
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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
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Froedtert Hospital - Medical College of Wisconsin
Milwaukee, Wisconsin, 53226, United States
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Grady Memorial Hospital - Morehouse School of Medicine
Atlanta, Georgia, 30314, United States
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Harborview Medical Center - University of Washington
Seattle, Washington, 98195, United States
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Lehigh Valley Health Network
Allentown, Pennsylvania, 18103, United States
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Rhode Island Hospital - Brown University
Providence, Rhode Island, 02912, United States
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Shock Trauma - University of Maryland Medical Center
Baltimore, Maryland, 20742, United States
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University of Alabama at Birmingham
Birmingham, Alabama, 35294, United States
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University of California Davis Medical Center
Davis, California, 95616, United States
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