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EPIC - Enhancing palliative care in ICU

EPIC - Enhancing palliative care in ICU

Period: 1.1.24-31.12.29

Funding code: EU Horizon 101137221

The EPIC project aims to sustainably improve palliative care for critically ill patients and their families in the ICU. An interdisciplinary consortium collaborates to provide a novel harmonized palliative care practice model using telemedicine. The project is the first European interventional study on palliative care in the ICU, using a systems-based approach with proactive patient identification, checklist and blended learning targeted to specific requirements of ICU clinicians. Effectiveness of the new model is assessed through a stepped wedge randomized trial with 7 clinical centers from 5 European countries, 23 multi-disciplinary ICUs and enrolment of 2001 patients. Primary outcome is a reduction in ICU stay to relieve suffering. Cost implications and cost effectiveness will be assessed from different perspectives. An evidence-based patient decision aid for critically ill patients is developed. Additional outcomes serve deepen our understanding of barriers and facilitators and provide ethical recommendations for the use of telepalliative care in civic society.

The vision of EPIC is to contribute to a mind shift from a narrow focus on prolonging life towards more holistic care. Telemedicine offers a low-cost solution to spread the model to all regions in Europe and open new avenues for patient-centered care. A European patient and family advisory group is implemented to engage patients and family members from the start and co-create open-access information to increase acceptance of palliative care. The Department of Palliative Medicine at the University Hospital Erlangen is responsible for this subproject  together with Charité in Berlin.

Contact: Maria Heckel, Sandra Kurkowski

Maria.Heckel(at)uk-erlangen.de

Phone: 09131 85-97972

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