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| Name | Class |
|---|---|
| Centre Hospitalier Universitaire de Liege | OTHER |
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This single-center observational study aims to describe the incidence of episodes of connected consciousness and disconnected consciousness (including near-death experience (NDE) and out-of-body experiences) in patients who survived a prolonged stay of at least 7 days in the intensive care unit (ICU) and who had at least one episode of pharmacological or non-pharmacological coma. The investigators are also investigating the risk factors related to these episodes of consciousness. A follow-up at six months aims to explore the long-term psychological implications of these episodes.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Survivors of prolonged ICU (≥7days) stay with episode(s) of pharmacological/non-pharmacological coma |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| The Near-Death Experience Content (NDE-C) scale | Diagnostic Test | Questionnaire to detect occurence of NDE. A NDE is identified if score > or = 27/80 |
|
| Measure | Description | Time Frame |
|---|---|---|
| Detection of potential episodes of disconnected consciousness | Near-death experience (using the Near-Death Experience Content scale, min-max: 0-80, with ≥27/80 indicating the presence of a NDE); dream | Within the week following discharge from the ICU (max 7 days after) |
| Detection of potential episodes of connected consciousness | Explicit recall of environmental/external stimuli in the ICU | Within the week following discharge from the ICU (max 7 days after) |
| Measure | Description | Time Frame |
|---|---|---|
| Risk factors | (Neuro)physiological marker | Within the week following discharge from the ICU (max 7 days after) |
| Psychological vulnerability during the stay at the ICU | Using the Threat Perception Measure, a scale that contains 7 items related to feelings and anxieties perceived by the patient, each scored from 1 to 4, ranging from 1 "Not at all", 2 "A little", 3 "Moderately", and 4 "Extremely", as well as a "don 't remember" category. Min-max: 7-28, with higher scores indicating a higher level of perceived threat |
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Inclusion Criteria:
Exclusion Criteria:
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All adult patients admitted in the ICU
| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Charlotte Martial, PhD | Contact | +3243233612 | cmartial@uliege.be |
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| CHU of Liège | Recruiting | Liège | Liège | 4000 | Belgium |
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| ID | Term |
|---|---|
| D003643 | Death |
| D016638 | Critical Illness |
| ID | Term |
|---|---|
| D010335 | Pathologic Processes |
| D013568 | Pathological Conditions, Signs and Symptoms |
| D020969 | Disease Attributes |
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| Threat perception measure | Other | 7 items scale investigating the participant's psychological vulnerability during their stay at the ICU |
|
| Interview about the participant's memories of the ICU | Other | Participants will be asked to describe any dream, hallucination, or any other unusual experience they can recall from their stay at the ICU. Additionally, the participants will be asked to describe any memory they have of the environment of the ICU, such as the appearance of the room, medical staff, family visiting, noises, etc. |
|
| Within the week following discharge from the ICU (max 7 days after) |
| Psychological impact of the stay at the ICU | Any patient who stayed at least 7 days at the ICU is invited to a 6 month follow-up during which they will be presented Hospital Anxiety and Depression Scale (HADS, min-max: 0-42, with higher scores indicating a worse outcome, i.e., more severe symptoms of anxiety or depression), to assess anxiety and depression as well as the Post-Traumatic Stress Assessment Questionnaire (IES-R, min-max: 0-88, with higher scores indicating a worse outcome, i.e., more severe post-traumatic stress symptoms). The investigators will be asking two additional questions to investigate a possible impact on the patient's beliefs.
| At a 6 month follow-up after discharge from the ICU |