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Trial Review
The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been endorsed by the ANZCTR. Before participating in a study, talk to your health care provider and refer to this
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Trial registered on ANZCTR
Registration number
ACTRN12625000891426
Ethics application status
Approved
Date submitted
18/06/2025
Date registered
15/08/2025
Date last updated
15/08/2025
Date data sharing statement initially provided
15/08/2025
Type of registration
Retrospectively registered
Titles & IDs
Public title
Quality Indicators of End-of-Life Care for Elderly Patients from Residential Aged Care Facilities
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Scientific title
Quality Indicators of End-of-Life Care for Elderly Patients from Residential Aged Care Facilities
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Secondary ID [1]
314695
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Nil known
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Universal Trial Number (UTN)
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Palliative Care
337878
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Condition category
Condition code
Public Health
334208
334208
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0
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Health service research
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Intervention/exposure
Study type
Observational
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Patient registry
False
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Target follow-up duration
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Target follow-up type
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Description of intervention(s) / exposure
Timeframe of retrospective data review: 1st July 2022 to 30th June 2024
Specialist community palliative care referral, which is a standard practice that residents at an aged care facility may access regardless of their involvement in this study. This involves at least one-on-one face-to-face consultation by a specialist palliative care clinical nurse consultant and/or specialist palliative medicine physician. During this review as part of standard routine clinical practice a patient-assessed and a physician-assessed score is recorded for symptom severity using the Palliative Care Problem Severity Score (PCPSS) and the Symptom Assessment Scale (SAS). Based on this assessment a decision may be made to prescribe medicines directed towards symptom management and comfort care and we will record if opioids, benzodiazepines, anti-emetics, antipsychotics or anti-secretory agents were prescribed to the patient. This retrospective data review will include review of the medicines recorded/prescribed by the community palliative care team for all patients admitted to the community palliative care service.
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Intervention code [1]
331301
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Not applicable
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Comparator / control treatment
No control group
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Control group
Uncontrolled
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Outcomes
Primary outcome [1]
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Primary palliative care diagnosis
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Assessment method [1]
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Review of facility care records and hospital medical records
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Timepoint [1]
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Final palliative care team review prior to death.
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Secondary outcome [1]
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Congruence of place of death with preferences
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Assessment method [1]
448848
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Advance care directive determined by review of facility care records
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Timepoint [1]
448848
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Final palliative care team review prior to death.
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Secondary outcome [2]
448850
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Prescription of end-of-life care medications (e.g. opioids, benzodiazepines, anti-emetics, anti-psychotics and anti0secretory agents)
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Assessment method [2]
448850
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Review of the medication chart
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Timepoint [2]
448850
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Final palliative care team review prior to death.
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Secondary outcome [3]
450498
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Palliative Care Symptom Severity Score
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Assessment method [3]
450498
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Palliative Care Symptom Severity Score documented in the medical record
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Timepoint [3]
450498
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The last palliative care team review of the patient prior to death
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Secondary outcome [4]
450499
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Symptom Assessment Scale
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Assessment method [4]
450499
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The Symptom Assessment Scale recorded in the medical record
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Timepoint [4]
450499
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At the time of the last palliative care team review prior to patient death
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Secondary outcome [5]
450812
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Family meeting
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Assessment method [5]
450812
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Documentation in the medical record of a family meeting being held with the palliative care team during the end-of-life period.
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Timepoint [5]
450812
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Any of the palliative care team reviews prior to patient death
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Secondary outcome [6]
450813
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Medical treatment decision maker
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Assessment method [6]
450813
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Documentation of the patient's nominated or default medical treatment decision maker in the medical record.
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Timepoint [6]
450813
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Time of death.
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Secondary outcome [7]
450814
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Advanced Care Plan
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Assessment method [7]
450814
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Documentation of the presence or absence of the patient's advanced care planning documents/wishes in the medical record.
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Timepoint [7]
450814
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Time of death
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Eligibility
Key inclusion criteria
Age greater than or equal to 65 years
Residing in residential aged care facility
Death between 1st July 2022 and 30th June 2024 at a Cabrini Health site or who were admitted to the Cabrini Palliative Homecare service at their residential aged care facility at the time of death
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Minimum age
65
Years
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Maximum age
No limit
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
Death at a non-Cabrini health service our outside of the residential aged care facility
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Study design
Purpose
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Duration
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Selection
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Timing
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Statistical methods / analysis
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Recruitment
Recruitment status
Completed
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Date of first participant enrolment
Anticipated
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Actual
7/11/2024
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Date of last participant enrolment
Anticipated
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Actual
7/11/2024
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Date of last data collection
Anticipated
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Actual
1/08/2025
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Sample size
Target
400
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Accrual to date
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Final
400
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Recruitment in Australia
Recruitment state(s)
VIC
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Funding & Sponsors
Funding source category [1]
319245
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Hospital
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Name [1]
319245
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Cabrini Health
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Address [1]
319245
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Country [1]
319245
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Australia
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Primary sponsor type
Hospital
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Name
Cabrini Health
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Address
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Country
Australia
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Secondary sponsor category [1]
321717
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None
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Name [1]
321717
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Address [1]
321717
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Country [1]
321717
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
317822
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Alfred Hospital Ethics Committee
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Ethics committee address [1]
317822
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https://www.alfredhealth.org.au/research/ethics-research-governance
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Ethics committee country [1]
317822
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Australia
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Date submitted for ethics approval [1]
317822
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04/11/2024
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Approval date [1]
317822
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06/11/2024
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Ethics approval number [1]
317822
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Ethics committee name [2]
317824
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Cabrini Research and Governance
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Ethics committee address [2]
317824
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Cabrini Research and Governance, Level 2, 154 Wattletree Road, Malvern VIC 3144
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Ethics committee country [2]
317824
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Australia
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Date submitted for ethics approval [2]
317824
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05/12/2024
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Approval date [2]
317824
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09/12/2024
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Ethics approval number [2]
317824
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Summary
Brief summary
The aim of this study is to describe a sample of residential aged care facility (RACF) residents who died in hospital (in emergency, in the acute ward or in the palliative care unit) or at the RACF to quantify easily measurable components of quality end-of-life care. Specific objectives are as follows: 1. To understand the sociodemographic details of end-of-life care patients from residential aged care facilities, including diagnosis, age, sex, cultural and linguistically diverse background, and type of RACF placement. 2. To describe quality indicators of end-of-life care in patients from residential aged care facilities, such as the presence of an advanced care directive, congruence of place of death with preferences, and symptom management. 3. To understand the specialist palliative care and end-of-life care needs of patients from residential aged care facilities, including level of engagement with the various arms of the specialist palliative care service and use of end-of-life care medications. 4. To understand the factors associated with transfer from a residential aged care facility to hospital for end-of-life care. 5. To understand barriers to quality end-of-life care in residential aged care facilities.
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Trial website
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
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Dr Merlina Sulistio
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Address
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Cabrini Health, 181-183 Wattletree Road, Malvern VIC 3144
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Country
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Australia
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Phone
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+61 03 9508 1163
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Fax
142270
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Email
142270
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[email protected]
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Contact person for public queries
Name
142271
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Elizabeth Brookes
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Address
142271
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Cabrini Health, 181-183 Wattletree Road, Malvern VIC 3144
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Country
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Australia
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Phone
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+61 03 9508 1163
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Fax
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Email
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[email protected]
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Contact person for scientific queries
Name
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Elizabeth Brookes
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Address
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Cabrini Health, 181-183 Wattletree Road, Malvern VIC 3144
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Country
142272
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Australia
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Phone
142272
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+61 03 9508 1163
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Fax
142272
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Email
142272
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[email protected]
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Data sharing statement
Will the study consider sharing individual participant data?
No
What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
Documents added manually
No documents have been uploaded by study researchers.
Documents added automatically
No additional documents have been identified.
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