Can a simple communication tool cut unnecessary ICU care?
NCT ID NCT04181294
First seen Jun 27, 2026 · Last updated Jun 27, 2026
Summary
This study tested a new way for doctors and families to talk about ICU care for very sick patients with advanced illnesses. Instead of continuing treatments indefinitely, they used 'time-limited trials' — agreements to try treatments for a set period and then check if the patient is improving. The goal was to see if this approach could reduce the amount of non-beneficial ICU treatments without increasing deaths. The study involved 209 patients and trained ICU staff in this communication method.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- Time-limited trial communication protocol
- What this could lead to
- If successful, this approach could help doctors and families make better decisions about ICU care, reducing unnecessary suffering and healthcare costs.
- What could go wrong
- This is a completed quality improvement study, not a treatment trial. Results may not apply to all ICUs or patient populations.
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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209 people
The number who actually took part.
- Started
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Aug 2017
- Finished
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Dec 2019
- 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.
Inclusion Criteria: * Patients admitted to the medical ICU who are determined on admission by the treating ICU physicians to be at high risk for potentially non-beneficial treatments based on ICU Admission and Triage Guidelines from the Society of Critical Care Medicine Exclusion Criteria: * Patients who cannot communicate for themselves and do not have surrogate decision-makers
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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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Harbor UCLA Medical Center
Torrance, California, 90509, United States
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Los Angeles County-University of Southern California Medical Center
Los Angeles, California, 90033, United States
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Olive View Medical Center
Sylmar, California, 91342, United States
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