UMIN-ICDS Clinical Trial

Unique ID issued by UMIN UMIN000061742
Receipt number R000070652
Scientific Title End-of-Life Care in Emergency Departments: a scoping review
Date of disclosure of the study information 2026/05/29
Last modified on 2026/05/29 20:56:23

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Basic information

Public title

End-of-Life Care in Emergency Departments: a scoping review

Acronym

End-of-Life Care in Emergency Departments: a scoping review

Scientific Title

End-of-Life Care in Emergency Departments: a scoping review

Scientific Title:Acronym

End-of-Life Care in Emergency Departments: a scoping review

Region

Japan


Condition

Condition

N/A

Classification by specialty

Emergency medicine Nursing

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

To identify and summarize what is currently known about end-of-life care provided in the emergency department to patients who are transported to the emergency department and are considered to be at the end of life, as well as to their families.

Basic objectives2

Others

Basic objectives -Others

To map the components and characteristics of end-of-life care provided in the emergency department setting.

Trial characteristics_1


Trial characteristics_2


Developmental phase



Assessment

Primary outcomes

End-of-life care provided in the emergency department

Key secondary outcomes



Base

Study type

Others,meta-analysis etc


Study design

Basic design


Randomization


Randomization unit


Blinding


Control


Stratification


Dynamic allocation


Institution consideration


Blocking


Concealment



Intervention

No. of arms


Purpose of intervention


Type of intervention


Interventions/Control_1


Interventions/Control_2


Interventions/Control_3


Interventions/Control_4


Interventions/Control_5


Interventions/Control_6


Interventions/Control_7


Interventions/Control_8


Interventions/Control_9


Interventions/Control_10



Eligibility

Age-lower limit

18 years-old <=

Age-upper limit


Not applicable

Gender

Male and Female

Key inclusion criteria

1) Studies involving patients and their families who were transported to or presented at the emergency department due to acute onset, injury, or exacerbation of symptoms, and who are considered to be at the end of life.
2) Patients who are judged or estimated to be at high risk of death within hours, days, or weeks.
3) Studies that include descriptions of care provided to patients nearing the end of life and their families.

Eligible study designs:
Randomized controlled trials, observational studies, quasi-experimental studies, before-and-after studies, cross-sectional studies, cohort studies, qualitative studies, case studies, mixed-methods studies, and quality improvement (QI) studies.
Languages:
English and Japanese

Key exclusion criteria

1) Studies conducted in settings such as intensive care units (ICUs) rather than emergency departments.
2) Studies focusing on palliative care provided as part of a planned or predictable trajectory of end-of-life care in patients with chronic conditions.
3) Studies involving patients with chronic illness who visit the emergency department for monitoring or management purposes (e.g., temporary medication adjustment) during the course of their illness.
4) Studies involving patients who are relatively stable and expected to be discharged home after the emergency department visit.
5) Studies limited to the timing or process of do-not-attempt-resuscitation (DNAR) orders or discussions.

Excluded study designs:
Letters to the editor, commentaries, narrative reviews, systematic reviews, guidelines and position statements issued by academic societies, conference abstracts, articles published in non-academic magazines, commercial publications, and studies for which the full text is not available.

Target sample size



Research contact person

Name of lead principal investigator

1st name Ayako
Middle name
Last name Fukushima

Organization

Mie University

Division name

Graduate School of Medicine

Zip code

514-8507

Address

2-174 Edobashi, Tsu

TEL

011-688-2367

Email

fukushima-ay@hus.ac.jp


Public contact

Name of contact person

1st name Ayako
Middle name
Last name Fukushima

Organization

Mie University

Division name

Graduate School of Medicine

Zip code

514-8507

Address

2-174 Edobashi, Tsu

TEL

011-688-2367

Homepage URL


Email

fukushima-ay@hus.ac.jp


Sponsor or person

Institute

Mie University

Institute

Department

Personal name



Funding Source

Organization

Japan Society for the Promotion of Science

Organization

Division

Category of Funding Organization

Japanese Governmental office

Nationality of Funding Organization



Other related organizations

Co-sponsor


Name of secondary funder(s)



IRB Contact (For public release)

Organization

N/A

Address

N/A

Tel

N/A

Email

N/A


Secondary IDs

Secondary IDs

NO

Study ID_1


Org. issuing International ID_1


Study ID_2


Org. issuing International ID_2


IND to MHLW



Institutions

Institutions



Other administrative information

Date of disclosure of the study information

2026 Year 05 Month 29 Day


Related information

URL releasing protocol


Publication of results

Unpublished


Result

URL related to results and publications


Number of participants that the trial has enrolled


Results


Results date posted


Results Delayed


Results Delay Reason


Date of the first journal publication of results


Baseline Characteristics


Participant flow


Adverse events


Outcome measures


Plan to share IPD


IPD sharing Plan description



Progress

Recruitment status

Preinitiation

Date of protocol fixation

2026 Year 05 Month 19 Day

Date of IRB


Anticipated trial start date

2026 Year 05 Month 19 Day

Last follow-up date

2027 Year 03 Month 31 Day

Date of closure to data entry


Date trial data considered complete


Date analysis concluded



Other

Other related information

Data sources and search strategy
A comprehensive literature search will be conducted to clarify end-of-life care provided in emergency departments.
Electronic databases to be searched will include Ichushi-Web (Japan Medical Abstracts Society), the Cochrane Central Register of Controlled Trials (CENTRAL) in the Cochrane Library, PubMed (MEDLINE), and PsycINFO (APA PsycInfo).
All studies published up to May 19, 2026 will be included. The search will be conducted using keywords related to "emergency department", "end of life", and "end-of-life care".

Selection of studies in included studies
Two review authors will independently check to ensure that studies meet the inclusion criteria. Any discrepancies in study selection will be resolved by discussion or discussion with a third author.


Management information

Registered date

2026 Year 05 Month 29 Day

Last modified on

2026 Year 05 Month 29 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/icdr_e/ctr_view.cgi?recptno=R000070652