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A Multifaceted Intervention Strategy for Relatives of End-of-life Patients in the Emergency Department

RecruitingNAAges 18 Years - anyAllAssistance Publique - Hôpitaux de Paris
NCT06733974 on ClinicalTrials.gov ↗
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In plain words

What the trial is, and whether it could suit you

In France, a study has reported that about 0.2% of patients visiting the ED died in the ED. A large survey of 145 EDs in 3 French speaking countries has reported that a median of 2 patients dies each week in each ED and its observation unit. After the death of a loved one, prolonged grief disorder (PGD) is a bereavement-specific syndrome that is defined as intense, prolonged yearning and preoccupation with thoughts of the deceased. PGD prevalence after the loss of a relative was 10% (95%CI 7-14) in the general population.Post-traumatic stress disorder (PTSD) is a mental health condition that is triggered by experiencing a terrifying event. Symptoms may include flashbacks, nightmares, and severe anxiety. The reported lifetime PTSD prevalence is 7% among adults in the general population. Admission and death in the hospital can be a traumatic and stressful experience for relatives, and is

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📋 Eligibility rules (as published)
Inclusion Criteria: \- Relative of a patient, that is dying in the ED, defined by an anticipated life expectancy of less than 72H with previous do not resuscitate order or treatment withholding. If several relative are present, participation to the trial will be offered in priority to the patient's trustworthy person, the relative most involved in the patient's care, the partner, a parent or child, another family member. * Age \>= 18 years * Agrees to be followed-up by phone interview at 3 and 6 months * Informed oral consent * Relative with health insurance (except AME). Exclusion Criteria: * Relative of a patient under 18 years of age * Relative who do not understand, read, or speak French * Relatives of organ donor patients (these relatives benefit from specific support and communication by the transplant coordination teams) * Inability to follow up * Participation in another intervention trial * Relative under legal protection (tutorship or curatorship) * Relative deprived of their liberty by a judicial or administrative decision * Relative physically unable to give his/her oral consent
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What it tests

  • Multi-faceted Intervention
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Where

1 site
Emergency Department Hospital Pitié-Salpêtrière
Paris, France
🤝 Taking part is your choice, and you can leave at any time. Only the trial team can confirm you are eligible — always decide together with your own doctor.
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