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| Name | Class |
|---|---|
| Ministry of Health, France | OTHER_GOV |
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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.
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.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Arm 1 : Control : usual strategy | Active Comparator |
| |
| Arm 2: Comparator : modified strategy | Experimental |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Usual strategy | Other | Usual strategy |
| |
| Measure | Description | Time Frame |
|---|---|---|
| Percentage of relatives having a score of the Impact of Events Scale (IES) > 30 | 3 months |
| Measure | Description | Time Frame |
|---|---|---|
| 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 | |
| Psychological follow-up | 3 months |
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Inclusion Criteria:
Patient victim of a cardiac arrest and resuscitation initiated
Occurrence of cardiac arrest at home
Presence of a relative :
Patient's age ≥ 18 years
Relative's age ≥ 18 years
Consent of the relative to the participation in the study
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Frédéric ADNET, MD,PhD | Assistance Publique - Hôpitaux de Paris | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| SAMU 93 - Hôpital Avicenne | Bobigny | Île-de-France Region | 93000 | France |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 27618681 | Derived | Jabre P, Bougouin W, Dumas F, Carli P, Antoine C, Jacob L, Dahan B, Beganton F, Empana JP, Marijon E, Karam N, Loupy A, Lefaucheur C, Jost D, Cariou A, Adnet F, Rea TD, Jouven X. Early Identification of Patients With Out-of-Hospital Cardiac Arrest With No Chance of Survival and Consideration for Organ Donation. Ann Intern Med. 2016 Dec 6;165(11):770-778. doi: 10.7326/M16-0402. Epub 2016 Sep 13. | |
| 24852952 |
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| ID | Term |
|---|---|
| D006323 | Heart Arrest |
| D004630 | Emergencies |
| D013313 | Stress Disorders, Post-Traumatic |
| ID | Term |
|---|---|
| D006331 | Heart Diseases |
| D002318 | Cardiovascular Diseases |
| D020969 | Disease Attributes |
| D010335 | Pathologic Processes |
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| Modified strategy |
| Other |
Proposition to a relative to witness the cardiopulmonary resuscitation of a family member and debriefing ot the situation |
|
| Suicide | 3 and 12 months |
| Medico-legal recourse | 12 months |
| Quality of the cardiopulmonary resuscitation | day 0 |
| Questionnaire evaluating the stress of the medical and paramedical team | day 0 |
| Derived |
| Jabre P, Tazarourte K, Azoulay E, Borron SW, Belpomme V, Jacob L, Bertrand L, Lapostolle F, Combes X, Galinski M, Pinaud V, Destefano C, Normand D, Beltramini A, Assez N, Vivien B, Vicaut E, Adnet F. Offering the opportunity for family to be present during cardiopulmonary resuscitation: 1-year assessment. Intensive Care Med. 2014 Jul;40(7):981-7. doi: 10.1007/s00134-014-3337-1. Epub 2014 May 23. |
| 23484827 | Derived | Jabre P, Belpomme V, Azoulay E, Jacob L, Bertrand L, Lapostolle F, Tazarourte K, Bouilleau G, Pinaud V, Broche C, Normand D, Baubet T, Ricard-Hibon A, Istria J, Beltramini A, Alheritiere A, Assez N, Nace L, Vivien B, Turi L, Launay S, Desmaizieres M, Borron SW, Vicaut E, Adnet F. Family presence during cardiopulmonary resuscitation. N Engl J Med. 2013 Mar 14;368(11):1008-18. doi: 10.1056/NEJMoa1203366. |
| D013568 |
| Pathological Conditions, Signs and Symptoms |
| D040921 | Stress Disorders, Traumatic |
| D000068099 | Trauma and Stressor Related Disorders |
| D001523 | Mental Disorders |