Quality of Dying in the Intensive Care Unit: Validation of the CAESAR Scale

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

Status

Completed

Phases

Unknown

Study type

Observational

Source

ClinicalTrials.gov

Registry ID

NCT01549197

Acronym

CAESAR

Enrollment

475

Registered

2012-03-09

Start date

2011-08-31

Completion date

2012-11-30

Last updated

2012-11-20

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Anxiety, Depression, Posttraumatic Stress Disorder

Keywords

PTSD

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).

Interventions

None listed

Study design

Observational model

COHORT

Time perspective

PROSPECTIVE

Eligibility

Sex/Gender

ALL

Age

18 Years to No maximum

Healthy volunteers

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

Design outcomes

Primary

Measure	Time frame	Description
CAESAR score	Within 3 weeks after patient's death	Score on the 32-item CAESAR scale assessing quality of end-of-life process

Secondary

Measure	Time frame	Description
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	6 months after patient's death	PTSD assessed by IES-R

Countries

France

Outcome results