Feasibility of the Comfort Measures Only Time Out (CMOT)
NCT05861323 · Status: ACTIVE_NOT_RECRUITING · Phase: NA · Type: INTERVENTIONAL · Enrollment: 184
Last updated 2026-01-26
Summary
Nearly 25% of Americans die in intensive care units (ICUs). Most deaths in ICUs are expected and involve the removal of ventilator support, or palliative withdrawal of mechanical ventilation (WMV). Prior work by the Principal Investigator (PI) found that patient suffering can be common; with 30-59% of patients going through this process experiencing distress. Thus, experts and national organizations have called for evidence to inform guidelines for WMV. This research study will 1) develop and refine a Comfort Measures Only Time out (CMOT) intervention consisting of a structured time out with check-list protocol for the ICU team (nurse, physician, respiratory therapist) to improve the process of WMV. and 2) Pilot test the CMOT intervention in 4 ICUs (2 medical/2 surgical) among 40 WMV patients.
Conditions
- End of Life
- Respiratory Failure
- Ventilatory Failure
- Coma
- Aging
Interventions
- BEHAVIORAL
-
Comfort Measures Only Time out (CMOT)
This is a brief intensive care unit team (nurse, physician, advanced practice provider, respiratory therapist) intervention to improve communication and care of patients at end of life in the intensive care unit setting.
Sponsors & Collaborators
-
National Institute on Aging (NIA)
collaborator NIH -
Hebrew SeniorLife
collaborator OTHER -
Beth Israel Deaconess Medical Center
lead OTHER
Principal Investigators
-
Corey R Fehnel, MD, MPH · Co-Director, Neuroscience Intensive Care Unit
Study Design
- Allocation
- NA
- Purpose
- SUPPORTIVE_CARE
- Masking
- NONE
- Model
- SINGLE_GROUP
Eligibility
- Min Age
- 18 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2023-10-20
- Primary Completion
- 2024-08-27
- Completion
- 2026-08-31
Countries
- United States
Study Locations
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