End Of Life in the Critically Ill patiEnt
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 发起方
- 入组人数
- 514
- 试验地点
- 111
- 主要终点
- 15 items questionnaire CAESAR
研究概览
简要总结
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.
详细描述
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.
研究设计
- 研究类型
- Observational
- 观察模型
- Cohort
- 时间视角
- Prospective
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Caregivers of intensive care unit whose patient has recently deceased
排除标准
- •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
结局指标
主要结局
15 items questionnaire CAESAR
时间窗: 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.
次要结局
- Analogic visual scale (0 to 10)(Depending of end-of-life duration, usually 6 hours.)
- 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)