Cardiac Arrest
Conditions
Keywords
Out-of-hospital, Emergency, Cardiac arrest, Post-traumatic stress disorder
Brief summary
The bereavement generated by the loss of a family member can induce pathological situations: depressive state, anxiety, post-traumatic stress disorder and complicated grief. These morbid factors can be influenced by the death circumstances and in particular by the possibility given to the family to attend the medical management of the patient. This clinical trial aims to evaluate the psychological consequences of bereavement on the relatives according to the possibility of witnessing the cardiopulmonary resuscitation of a family member. This possibility lies within the scope of a strategy of global management of the relatives.
Detailed description
This clinical trial aims to compare the presence of post-traumatic stress disorder on a relative related to the death of a family member: Test group: the medical team will propose to the relative to witness the cardiopulmonary resuscitation. Control group: the medical team will not modify its usual management of care.
Interventions
OTHERUsual strategy
Usual strategy
OTHERModified strategy
Proposition to a relative to witness the cardiopulmonary resuscitation of a family member and debriefing ot the situation
Sponsors
Ministry of Health, France
Assistance Publique - Hôpitaux de Paris
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
PREVENTION
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* Patient victim of a cardiac arrest and resuscitation initiated * Occurrence of cardiac arrest at home * Presence of a relative : * husband or spouse * father or mother * son or daughter * brother or sister * Patient's age ≥ 18 years * Relative's age ≥ 18 years * Consent of the relative to the participation in the study
Exclusion criteria
* No understanding of the explanations (language problem, important agitation) * Non-affiliated to social security
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Percentage of relatives having a score of the Impact of Events Scale (IES) > 30 | 3 months |
Secondary
| Measure | Time frame |
|---|---|
| Psychological follow-up | 3 months |
| Suicide | 3 and 12 months |
| Psychological questionnaires as the hospital anxiety and depression scale (HAD), the Mini International Neuropsychiatric Interview (MINI), the Inventory of Complicated Grief (ICG) | 3 and 12 months |
| Quality of the cardiopulmonary resuscitation | day 0 |
| Questionnaire evaluating the stress of the medical and paramedical team | day 0 |
| Medico-legal recourse | 12 months |
Countries
France
Outcome results
None listed