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Psychological Impact of Medical Evacuations on Families of Patients Admitted to Intensive Care Unit for Severe COVID-19

Not Applicable
Completed
Conditions
COVID-19
Stress Disorders, Post-Traumatic
Interventions
Other: Revised Impact of Event Scale
Other: Hospital Anxiety and Depression scale
Other: 36-Item Short Form Survey
Other: satisfaction survey
Other: semi-directed interview with trusted person on the general experience of the patient's medical evacuation
Other: semi-directed interview with trusted person on the general experience of hospitalization in intensive care
Registration Number
NCT05421182
Lead Sponsor
Centre Hospitalier Metropole Savoie
Brief Summary

At the "Métropole Savoie" hospital, to deal with the daily influx of severe patients during the second wave of COVID-19, 23 patients had to be transferred away from their home city and far from their families as part of a medical evacuation (EVASAN).

The purpose of the study is to investigate whether there is an association between medical evacuations and the occurrence of psychological disorders such as post-traumatic stress, anxiety or depression occurring within 6 to 10 months in families of evacuated patients.

The investigators want to compare the prevalence of psychological disorders in the families of patients evacuated for a serious form of COVID-19 (cases) compared to that of families of patients not evacuated (controls) hospitalized for a serious form of COVID-19.

Detailed Description

The case group is trusted person of evacuated patient. The control group is trusted person of not evacuated patient.

The trusted person of the group control will be matched to trusted patient of the case group on :

their relationship with the patient (spouse/ascendant/descendant/other) and on criteria specific to the patient: sex, age range ( \<75 years or ≥ 75 years), invasive ventilation and becoming at 3 months post COVID-19 (survivor / non survivor)

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
30
Inclusion Criteria

Trusted person of patients admitted to the Adult Intensive Care Unit (ICU) of the "Metropole Savoie"hospital

  • during the second wave of COVID-19 in France
  • for a serious form of COVID-19
  • hospitalized more than 72 hours in ICU

the case group is trusted person of evacuated patient. the control group is trusted person of not evacuated patient.

Non -inclusion criteria :

Trusted Person Refusing patient Medical Evacuation

Exclusion Criteria

Not provided

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
Interview of the trusted person of evacuated patient36-Item Short Form SurveyThe interview of the trusted person of evacuated patient will be done 8 months (+/-2 months) after the medical evacuation. The interview will be carried out by a psychologist or by a doctor from the ICU
Interview of the trusted person of evacuated patientsatisfaction surveyThe interview of the trusted person of evacuated patient will be done 8 months (+/-2 months) after the medical evacuation. The interview will be carried out by a psychologist or by a doctor from the ICU
Interview of the trusted person of the not evacuated patientRevised Impact of Event ScaleThe interview of the trusted person of the not evacuated patient will be done 8 months (+/-2months) after the ICU admission The interview will be carried out by a psychologist or by a doctor from the ICU.
Interview of the trusted person of the not evacuated patientHospital Anxiety and Depression scaleThe interview of the trusted person of the not evacuated patient will be done 8 months (+/-2months) after the ICU admission The interview will be carried out by a psychologist or by a doctor from the ICU.
Interview of the trusted person of the not evacuated patientsatisfaction surveyThe interview of the trusted person of the not evacuated patient will be done 8 months (+/-2months) after the ICU admission The interview will be carried out by a psychologist or by a doctor from the ICU.
Interview of the trusted person of evacuated patientRevised Impact of Event ScaleThe interview of the trusted person of evacuated patient will be done 8 months (+/-2 months) after the medical evacuation. The interview will be carried out by a psychologist or by a doctor from the ICU
Interview of the trusted person of evacuated patientHospital Anxiety and Depression scaleThe interview of the trusted person of evacuated patient will be done 8 months (+/-2 months) after the medical evacuation. The interview will be carried out by a psychologist or by a doctor from the ICU
Interview of the trusted person of the not evacuated patient36-Item Short Form SurveyThe interview of the trusted person of the not evacuated patient will be done 8 months (+/-2months) after the ICU admission The interview will be carried out by a psychologist or by a doctor from the ICU.
Interview of the trusted person of evacuated patientsemi-directed interview with trusted person on the general experience of the patient's medical evacuationThe interview of the trusted person of evacuated patient will be done 8 months (+/-2 months) after the medical evacuation. The interview will be carried out by a psychologist or by a doctor from the ICU
Interview of the trusted person of the not evacuated patientsemi-directed interview with trusted person on the general experience of hospitalization in intensive careThe interview of the trusted person of the not evacuated patient will be done 8 months (+/-2months) after the ICU admission The interview will be carried out by a psychologist or by a doctor from the ICU.
Primary Outcome Measures
NameTimeMethod
Comparison of the prevalence of post-traumatic stress disorder, among families of patients with severe COVID-19 evacuated to another region (case) compared to families of matched patients with severe COVID-19 not evacuated to another region (controls).at 8months (+/-2 months) after medical evacuations for the case group, and at 8 months (+/-2 months) after ICU admission for the control group

the post-traumatic stress disorder of the trusted person is assessed by the Impact of Event Scale - Revised (IES-R), at 8months (+/-2 months) after medical evacuations for the case group, and at 8 months (+/-2 months) after Intensive Care Unit (ICU) admission for the control group

Secondary Outcome Measures
NameTimeMethod
Qualitative analysis by a psychologist of a semi-structured interview of the testimony and specific experience of families at 8 months.at 8 months (+/- 2months) in families of patients hospitalized in intensive care for a serious form of COVID-19.

semi-structured interview

Prevalence of anxiety and/or depression symptoms questionnaire in families of patients hospitalized with severe COVID-19.at 8 months (+/- 2months) in families of patients hospitalized in intensive care for a serious form of COVID-19.

Association between medical evacuations and the occurrence of symptoms of anxiety and/or depression at 8 months in families of patients hospitalized in intensive care for a serious form of COVID19. anxiety and/or depression symptoms assessed by the Hospital Anxiety and Depresion Scale (HADS)

Quality of Life in families of patients with severe COVID-19at 8 months (+/- 2months) in families of patients hospitalized in intensive care for a serious form of COVID-19.

Quality of Life assessed by Medical Outcomes Study Short Form 36 (SF-36)

Satisfaction with the communication between the health care team and the family of the patient hospitalized with severe form of COVID19at 8 months (+/- 2months) in families of patients hospitalized in intensive care for a serious form of COVID-19.

satisfaction is measured using a simple digital scale,

Trial Locations

Locations (1)

CH Metropole Savoie

🇫🇷

Chambéry, France

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