Quality of Dying in the Intensive Care Unit: Validation of the CAESAR Scale
- Conditions
- AnxietyDepressionPosttraumatic Stress Disorder
- Registration Number
- NCT01549197
- Lead Sponsor
- Assistance Publique - Hôpitaux de Paris
- Brief Summary
The purpose of the study is to evaluate the quality of the dying process in french ICUs (assessed by the CAESAR scale) and to compare physicians', nurses' and relatives perceptions and experiences, with a one-year follow-up of bereaved relatives.
Our hypothesis is that perception of the quality of dying may impact on relatives' experience of bereavement (anxiety, depression, complicated grief, posttraumatic stress disorder (PTSD)).
- Detailed Description
Seventy percent of all deaths occur in the hospital environment, and amongst them 20% occur in intensive care units (ICU). In France, no studies have evaluated the quality of the end-of-life process from both the professional and the lay perspective.
The CAESAR scale has been developed from literature reviews and qualitative interviews with relatives, physicians and nurse to assess quality of dying in ICU. Our hypothesis is that perception of the quality of dying may impact on relatives' experience of bereavement (anxiety, depression, complicated grief, PTSD).
Recruitment & Eligibility
- Status
- COMPLETED
- Sex
- All
- Target Recruitment
- 475
- Adult patients Deceased in the ICU after at least 48 hours of ICU stay
- At least one visit of a relative in the ICU
- no French-speaking relative
Study & Design
- Study Type
- OBSERVATIONAL
- Study Design
- Not specified
- Primary Outcome Measures
Name Time Method CAESAR score Within 3 weeks after patient's death Score on the 32-item CAESAR scale assessing quality of end-of-life process
- Secondary Outcome Measures
Name Time Method Job strain of the physicians and nurses in charge of the patient within 3 weeks following patient's death Score on the Job strain, a validated scale assessing stress in work environment
Anxiety and depression 3 months after patient's death Anxiety and depression of the relative, assessed by the Hospital Anxiety and Depression Scale (HADS)
Post Traumatic Stress Disorder 3 months after patient's death PTSD of relatives assessed by Inventory of Event Scale revised (IES-R)
Complicated Grief 6 months after patients' death Complicated grief assessed by the Inventory of Complicated Grief (ICG) scale
PTSD 12 months after patient's death PTSD assessed by IES-R
Trial Locations
- Locations (47)
Réanimation médicale CHU de la Cavale Blanche
🇫🇷Brest, France
Réanimation CHU ESTAING
🇫🇷Clermont-Ferrand, France
Réanimation polyvalente CH Sud Francilien
🇫🇷Evry, France
Réanimation polyvalente Hôpital Les Oudairies
🇫🇷La Roche sur Yon, France
Réanimation Centre Hospitalier Intercommunal André Grégoire
🇫🇷Montreuil, France
Réanimation médicale Hôpital Saint André
🇫🇷Bordeaux, France
Réanimation polyvalente CH de Dieppe
🇫🇷Dieppe, France
Réanimation Polyvalente Centre Hospitalier de Gonesse
🇫🇷Gonesse, France
Anesthésie-Réanimation CHU de Nantes- Hôtel Dieu
🇫🇷Nantes, France
Service de réanimation médicale et toxicologique CHU Lariboisière
🇫🇷Paris, France
Réanimation Hôpital Font-Pré
🇫🇷Toulon, France
Réanimation Polyvalente Centre Hospitalier Victor Dupouy
🇫🇷Argenteuil, France
Réanimation médicale Centre hospitalier Pays d'Aix
🇫🇷Aix-en-Provence, France
Réanimation Chirurgicale
🇫🇷Caen, France
Réanimation Médicale Hôpital de Caen
🇫🇷Caen, France
Réanimation médicale Hôpital Calmette
🇫🇷Lille, France
Réanimation Médico-Chirugicale CH Chambéry
🇫🇷Chambéry, France
Réanimation médicale Hôpital de La Croix Rousse
🇫🇷Lyon, France
Réanimation polyvalente Centre hospitalier de Versailles
🇫🇷Le Chesnay, France
Réanimation polyvalente Hôpital Roger Salengro
🇫🇷Lille, France
Service de réanimation Institut Paoli Calmettes
🇫🇷Marseille, France
Réanimation polyvalente GH Edouard Herriot
🇫🇷Lyon, France
Réanimation polyvalente CH Bretagne Sud
🇫🇷Lorient, France
Service d'anesthésie et de réanimation Chu Timone
🇫🇷Marseille, France
Service d'anesthésie et de réanimation Hôpital Nord
🇫🇷Marseille, France
Réanimation Médicale Groupement Hospitalier Edouard Herriot
🇫🇷Lyon, France
Service de réanimation polyvalente CHR - Hôpital de la Source
🇫🇷Orléans, France
Service de réanimation Hôpital Saint Joseph
🇫🇷Paris, France
Service de réanimation, détresses respiratoires et infections sévères Hôpital Nord
🇫🇷Marseille, France
Réanimation Centre hospitalier Marc Jacquet
🇫🇷Melun, France
Réanimation Anesthésie CHU Saint Eloi
🇫🇷Montpellier, France
Réanimation médicale CHU de Nancy- Hôpital central
🇫🇷Nancy, France
Reanimation medicale, Hôpital Saint Louis
🇫🇷Paris, France
réanimation chirurgicale Groupe Hospitalier Universitaire Carémeau
🇫🇷Nîmes, France
Réanimation chirurgicale Hôpital Saint-Louis
🇫🇷Paris, France
Neuro-réanimation chirurgicale Groupe hospitalier Pitié-Salpêtrière
🇫🇷Paris, France
Réanimation polyvalente au CH d'Annecy
🇫🇷Pringy, France
Service de réanimation médicale Hôpital Victor Provo
🇫🇷Roubaix, France
Réanimation médicale Hôpital Cochin
🇫🇷Paris, France
Réanimation médico-chirurgicale CH de Roanne
🇫🇷Roanne, France
Service de réanimation médicale CHU CH Nicolle
🇫🇷Rouen, France
Service de réanimation polyvalente CH de Saint Lô
🇫🇷Saint Lô, France
Réanimation médicale Hôpital Chatilliez
🇫🇷Tourcoing, France
Réanimation polyvalente Centre hospitalier d'Angoulême
🇫🇷Saint Michel, France
Service de réanimation polyvalente CH de Valenciennes
🇫🇷Valenciennes, France
Réanimation Polyvalente CH Bretagne Atlantique
🇫🇷Vannes, France
Service de réanimation médico-chirurgicale Institut Gustave Roussy
🇫🇷Villejuif, France