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To verify with a specific questionnaire, the families' perceived quality of end-of-life care and of dying in the last 3 months of life of 168 patients (Chronic Obstructive Pulmonary Disease-Amyotrophic Lateral Sclerosis (ALS)-Restrictive disorders-Neuromuscular disease- others) with chronic respiratory failure needing domiciliary mechanical ventilation (MV).
Participants: 168 patients' relatives presenting five categories of diseases (Chronic Obstructive Pulmonary Disease-Amyothrophic Lateral Sclerosis (ALS)-Restrictive disorders-Neuromuscular disease- others) answered to questionnaire.
Interventions: none Measurements and Main Results: 35 questions grouped in 6 specific domains (Control of pain and symptoms (domain 1-D1), awareness of disease (D2), family burden (D3), the process of dying (D4), medical troubles including hospitalizations (D5) and technical problems linked to MV(D6) were asked after the patient's death to a family member by means of a face to face interview. Answers to the binary 35-item questionnaire were distributed into just two clusters per each domain.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| family burden | chronich respiratory failure home ventilated patients |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| survey administration | Other | application of a family survey on last 3 months of life for their relatives under HMV |
|
| Measure | Description | Time Frame |
|---|---|---|
| level of family burden | 3 months after patient's death |
| Measure | Description | Time Frame |
|---|---|---|
| influence of diagnosis and modality of ventilation | 3 months after patient's death |
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Inclusion criteria:
All patients mechanically ventilated at home who died
Exclusion criteria:
patients with cancer
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Home MV patients in the last 3 months of life
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| Name | Affiliation | Role |
|---|---|---|
| michele vitacca, MD | Fondazione S. Maugeri IRCCS | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| FSM Respiratory Unit | Lumezzane | BS | 25065 | Italy |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 9917120 | Background | Singer PA, Martin DK, Kelner M. Quality end-of-life care: patients' perspectives. JAMA. 1999 Jan 13;281(2):163-8. doi: 10.1001/jama.281.2.163. | |
| Result | Vitacca M, Comini L & Barbano L. Home mechanical ventilation difficulties in the last 3 months of life as reported by caregivers. J Med Pers 11:30-36, 2013. DOI 10.1007/s12682-012-0128-8 |
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| ID | Term |
|---|---|
| D012131 | Respiratory Insufficiency |
| D029424 | Pulmonary Disease, Chronic Obstructive |
| D003643 | Death |
| ID | Term |
|---|---|
| D012120 | Respiration Disorders |
| D012140 | Respiratory Tract Diseases |
| D008173 | Lung Diseases, Obstructive |
| D008171 | Lung Diseases |
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| ID | Term |
|---|---|
| C000728155 | Zarit Caregiver Burden Scale |
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| D002908 | Chronic Disease |
| D020969 | Disease Attributes |
| D010335 | Pathologic Processes |
| D013568 | Pathological Conditions, Signs and Symptoms |