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)).
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).
Study Type
OBSERVATIONAL
Enrollment
475
CAESAR score
Score on the 32-item CAESAR scale assessing quality of end-of-life process
Time frame: Within 3 weeks after patient's death
Job strain of the physicians and nurses in charge of the patient
Score on the Job strain, a validated scale assessing stress in work environment
Time frame: within 3 weeks following patient's death
Anxiety and depression
Anxiety and depression of the relative, assessed by the Hospital Anxiety and Depression Scale (HADS)
Time frame: 3 months after patient's death
Post Traumatic Stress Disorder
PTSD of relatives assessed by Inventory of Event Scale revised (IES-R)
Time frame: 3 months after patient's death
Complicated Grief
Complicated grief assessed by the Inventory of Complicated Grief (ICG) scale
Time frame: 6 months after patients' death
PTSD
PTSD assessed by IES-R
Time frame: 6 months after patient's death
PTSD
PTSD assessed by IES-R
Time frame: 12 months after patient's death
This platform is for informational purposes only and does not constitute medical advice. Always consult a qualified healthcare professional.
Réanimation médicale Centre hospitalier Pays d'Aix
Aix-en-Provence, France
Réanimation Polyvalente Centre Hospitalier Victor Dupouy
Argenteuil, France
Réanimation médicale Hôpital Saint André
Bordeaux, France
Réanimation médicale CHU de la Cavale Blanche
Brest, France
Réanimation Chirurgicale
Caen, France
Réanimation Médicale Hôpital de Caen
Caen, France
Réanimation Médico-Chirugicale CH Chambéry
Chambéry, France
Réanimation CHU ESTAING
Clermont-Ferrand, France
Réanimation polyvalente CH de Dieppe
Dieppe, France
Réanimation polyvalente CH Sud Francilien
Évry, France
...and 37 more locations