End-of-life in French Intensive Care Units: Perception of the Quality of Dying and Experience of Physicians, Nurses and Relatives. Validation of the CAESAR Scale
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Anxiety
- Sponsor
- Assistance Publique - Hôpitaux de Paris
- Enrollment
- 475
- Locations
- 47
- Primary Endpoint
- CAESAR score
- Status
- Completed
- Last Updated
- 13 years ago
Overview
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).
Investigators
Eligibility Criteria
Inclusion Criteria
- •Adult patients Deceased in the ICU after at least 48 hours of ICU stay
- •At least one visit of a relative in the ICU
Exclusion Criteria
- •no French-speaking relative
Outcomes
Primary Outcomes
CAESAR score
Time Frame: Within 3 weeks after patient's death
Score on the 32-item CAESAR scale assessing quality of end-of-life process
Secondary Outcomes
- Job strain of the physicians and nurses in charge of the patient(within 3 weeks following patient's death)
- Anxiety and depression(3 months after patient's death)
- Post Traumatic Stress Disorder(3 months after patient's death)
- Complicated Grief(6 months after patients' death)
- PTSD(12 months after patient's death)