End Of Life in the Critically Ill patiEnt
- Conditions
- Terminal IllnessIntensive Care Unit Syndrome
- Registration Number
- NCT03392857
- Lead Sponsor
- French Society for Intensive Care
- Brief Summary
The purpose of this multicentric study is to evaluate the perception of the quality of the end of life in intensive care units seen from the side of the caregivers, trough the CAESAR scale.
- Detailed Description
More than 20% of deaths occur in hospital after a stay in intensive care units; up to half of them happens as result of a treatment limitation. Ensuring end-of-life quality is important, not only because is a moral duty of all caregivers, but also to prevent negative effects in close relatives of dead patients.
In an assessment of quality of in-hospital deaths involving 3793 patients, only 35% of the deaths were judged to be of acceptable quality by the nurses.
Assessment tools have been developed recently on this topic. Most studies have focused on the perception of end-of-life quality by close relatives, particularly through the CAESAR scale in the most recent one.
The main purpose of this multicentric study is to evaluate the perception of the quality of the end-of-life in intensive care units seen from the side of the caregivers, in relation to the new French legislative framework.
Recruitment & Eligibility
- Status
- COMPLETED
- Sex
- All
- Target Recruitment
- 514
- Caregivers of intensive care unit whose patient has recently deceased
- Refusal of participation by caregivers
- Refusal of participation by family of deceased patient
- Patient in cardiac arrest at the time of ICU admission.
- Age of deceased patient was under 18 years
- Patient in brain death
Study & Design
- Study Type
- OBSERVATIONAL
- Study Design
- Not specified
- Primary Outcome Measures
Name Time Method 15 items questionnaire CAESAR Depending of end-of-life duration, usually 6 hours. The CAESAR scale assesses perceptions of palliative stage of patient's pathology, of patient's comfort, of presence and care of close relatives, with a score for each item ranging from 1 (traumatic experience) to 5 (soothing). The purpose of our study is to assess the perception of end-of-life quality seen from the caregivers' side, using the CAESAR scale.
- Secondary Outcome Measures
Name Time Method Analogic visual scale (0 to 10) Depending of end-of-life duration, usually 6 hours. Analogic visual scale on end-of-life quality seen from the caregiver's side
Variables associated with the perception by caregivers of end-of-life quality time needed for the enrollment of caregivers of 5 to 15 consecutive deceased patients per center (depending on the size of the center): usually 1 month Evaluate the variables associated with the perception by caregivers of end-of-life quality: proportion of treatment limitations, frequencies of conflicts between close relatives of dead patients and caregivers, frequencies end-of-life deep sedations, detailed description of current sedation practices, proportion of treatments, monitoring and blood tests maintained after treatment limitation during end-of-life .
Trial Locations
- Locations (111)
Hôpital Saint-Esprit
🇫🇷Agen, France
Centre Hospitalier Alès en Cévennes
🇫🇷Alès, France
CHU Amiens
🇫🇷Amiens, France
CHU d'Angers
🇫🇷Angers, France
Hopital Privé d'Antony
🇫🇷Antony, France
CH d'Argenteuil
🇫🇷Argenteuil, France
Hopital Mercy
🇫🇷Ars-Laquenexy, France
Centre Hospitalier René Dauffaut
🇫🇷Avignon, France
CHU Besancon
🇫🇷Besançon, France
Hopital Nord Franche Comté
🇫🇷Belfort, France
CHU Pellegrin
🇫🇷Bordeaux, France
Hopital Avicenne
🇫🇷Bobigny, France
CH Germon et Gauthier
🇫🇷Beuvry, France
Hopital St-Andre
🇫🇷Bordeaux, France
Hopital Ambroise Pare
🇫🇷Boulogne Billancourt, France
Centre Hospitalier fleyriat
🇫🇷Bourg-en-Bresse, France
HIA Clermont Tonnerre
🇫🇷Brest, France
CHRU de la Cavale Blanche
🇫🇷Brest, France
CHU Caen
🇫🇷Caen, France
Centre Hospitalier Jean Rougie
🇫🇷Cahors, France
CH Charleville
🇫🇷Charleville-Mézières, France
Hopital Antoine Beclere
🇫🇷Clamart, France
HIA Percy
🇫🇷Clamart, France
Hopital Louis Mourier
🇫🇷Colombes, France
Centre Hospitalier Compiègne Noyon
🇫🇷Compiègne, France
Groupe Hospitalier Sud Ile de France
🇫🇷Corbeil-Essonnes, France
CH Sud Francilien
🇫🇷Corbeil-Essonnes, France
Clinique des Cèdres
🇫🇷Cornebarrieu, France
CHU Henri Mondor
🇫🇷Creteil, France
CHU Dijon Bourgogne
🇫🇷Dijon, France
Centre Hospitalier Victor Jousselin
🇫🇷Dreux, France
Centre Hospitalier de Dieppe
🇫🇷Dieppe, France
Centre Hospitalier de la Dracénie
🇫🇷Draguignan, France
Hopital Simone Veil
🇫🇷Eaubonne, France
Centre Hospitalier Avranche Granville
🇫🇷Granville, France
Centre Hospitalier de Gueret
🇫🇷Guéret, France
Centre Hospitalier Communal des Alpes du Sud
🇫🇷Gap, France
Hopital Raymond Poincare
🇫🇷Garches, France
CHU Grenoble Alpes
🇫🇷Grenoble, France
Centre Hospitalier de Haguenau
🇫🇷Haguenau, France
Centre Hospitalier des 2 Vallées
🇫🇷Juvisy-sur-Orge, France
Grand Hopital de l'Est Francilien
🇫🇷Jossigny, France
Centre Hospitalier La Rochelle
🇫🇷La Rochelle, France
CHD Les Oudairies
🇫🇷la Roche sur Yon, France
CH Le Mans
🇫🇷Le Mans, France
CHU Réunion Saint Pierre
🇫🇷La Réunion, France
CH de Versailles
🇫🇷Le Chesnay, France
CHU Kremlin-Bicetre
🇫🇷Le Kremlin-Bicêtre, France
Centre hospitalier Saint Philibert
🇫🇷Lomme, France
Centre Hospitalier Bretagne Sud
🇫🇷Lorient, France
CH St-Joseph St-Luc
🇫🇷Lyon, France
Hopital Francois Quesnay
🇫🇷Mantes-la-Jolie, France
Groupe Hospitalier Edouard Herriot
🇫🇷Lyon, France
Hopital Européen Marseille
🇫🇷Marseille, France
HIA Desgenettes Lyon
🇫🇷Lyon, France
Hopital de la Timone
🇫🇷Marseille, France
CHU Marseille Hopital Nord
🇫🇷Marseille, France
CH de Meaux
🇫🇷Meaux, France
GHIRM
🇫🇷Montfermeil, France
Hopital Notre-Dame de Bon Secours
🇫🇷Metz, France
Centre Hospitalier de Mont de Marsan
🇫🇷Mont-de-Marsan, France
CHU Lapeyronie
🇫🇷Montpellier, France
CHU Nancy
🇫🇷Nancy, France
CHU Nantes
🇫🇷Nantes, France
Hopital Laennec
🇫🇷Nantes, France
American Hospital of Paris
🇫🇷Neuilly-sur-Seine, France
CHU Nimes
🇫🇷Nîmes, France
CHR d'Orléans Hopital la Source
🇫🇷Orléans, France
Hopital St Louis
🇫🇷Paris, France
GH Diaconnesses Croix Saint Simon
🇫🇷Paris, France
Institut Mutualiste Montsouris
🇫🇷Paris, France
La Pitié Salpetriere
🇫🇷Paris, France
Cochin
🇫🇷Paris, France
CH Francois Miterrand
🇫🇷Pau, France
HEGP
🇫🇷Paris, France
CHU Necker Enfants Malades
🇫🇷Paris, France
CHU Robert Debré
🇫🇷Paris, France
Hopital Tenon
🇫🇷Paris, France
CHU Poitiers
🇫🇷Poitiers, France
CH de Pontoise
🇫🇷Pontoise, France
CH Poissy
🇫🇷Poissy, France
CH de la Région d'Annecy
🇫🇷Pringy, France
CH Leon Binet
🇫🇷Provins, France
Hopital Privé Claude Galien
🇫🇷Quincy-sous-Sénart, France
CHRU Reims
🇫🇷Reims, France
CHG Rochefort
🇫🇷Rochefort, France
Centre Cardiologique du Nord
🇫🇷Saint-Denis, France
Clinique de l'Union
🇫🇷Saint-Jean, France
CH de St-Malo
🇫🇷St-Malo, France
Hopital Delafontaine
🇫🇷St-Denis, France
HIA Béjin
🇫🇷St-Mande, France
CHU Strasbourg
🇫🇷Strasbourg, France
CHU Toulouse Rangueil
🇫🇷Toulouse, France
Hopital Saint Clair
🇫🇷Sète, France
CHRU Bretonneau
🇫🇷Tours, France
Centre Hospitalier Bretagne Atlantique
🇫🇷Vannes, France
Hopital Privé du Vert Galan
🇫🇷Tremblay-en-France, France
Hopital Jean Bernard
🇫🇷Valenciennes, France
Centre Hospitalier de Troyes
🇫🇷Troyes, France
Institut Gustave Roussy
🇫🇷Villejuif, France
Centre Hospitalier de Valenciennes
🇫🇷Valenciennes, France
Centre hospitalier André Mignot
🇫🇷Versailles, France
Centre Hospitalier de Vichy
🇫🇷Vichy, France
HIA Robert Pique
🇫🇷Villenave-d'Ornon, France
Hopital Privé du Val d'Yerres
🇫🇷Yerres, France
Centre Hospitalier Lucie et Raymond Aubrac
🇫🇷Villeneuve-Saint-Georges, France
Centre Hospitalier Sud Essonne
🇫🇷Étampes, France
Centre Hospitalier de Dax
🇫🇷Dax, France
Hopital Roger Salengro
🇫🇷Lille, France
Hopital l'Archet
🇫🇷Nice, France
CH de St-Brieuc
🇫🇷St-Brieuc, France