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
Hopital Nord Franche Comté
🇫🇷Belfort, France
CHU Besancon
🇫🇷Besançon, France
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