Status:
RECRUITING
Impact of a Protocol for Announcing Decision of Withholding and Withdrawing Life-sustaining Treatments on the Stress of the Relatives in the Emergency Departments
Lead Sponsor:
Hospices Civils de Lyon
Conditions:
End of Life
Eligibility:
All Genders
18+ years
Phase:
NA
Brief Summary
Death is a daily reality in the emergency department. Deaths represent 0.3 to 0.5% of emergency admissions, i.e. approximately 26,000 per year for the whole of France. For 80% of these deceased patien...
Eligibility Criteria
Inclusion
- For relatives, will be included in the study:
- Trusted persons, families or relatives present in the emergency departments and to whom the 1st announcement of a decision to limit or stop therapies is made by a physician participating in the study. Several persons can be included for the same patient (maximum 3) in the following order: trusted person \> family \> close relative.
- Age of trusted person, family or close friends over 18 years old.
- Informed consent given and voice rights signed for families accepting the semi-directed interview.
- For caregivers, also included in the study will be:
- Caregivers on participating wards.
- Informed consent given and voice rights signed for families accepting the semi-directed interview.
- For partner families, will be included in the study:
- Trusted persons, families or relatives present in the emergency department and to whom the 1st announcement of a decision to limit or stop therapy by a physician in a participating emergency department is made.
- Age of trusted person, family or close friends over 18 years old.
- Signed consent for the right to voice recording.
Exclusion
- For relatives:
- Trusted person, family or close friend whose announcement would have been made entirely by telephone.
- Trusted person, family or close friend unable to understand or write in French.
- Pregnant women, women in labor or nursing mothers.
- Persons deprived of liberty by a judicial or administrative decision.
- Persons under psychiatric care.
- Persons admitted to a health or social institution for purposes other than research.
- Persons of full age who are subjects to a legal protection measure (guardians, curators).
- Persons not affiliated to a social security system or beneficiaries of a similar system.
- For caregivers:
- \- Persons not affiliated to a social security system or beneficiaries of a similar system.
Key Trial Info
Start Date :
January 19 2024
Trial Type :
INTERVENTIONAL
Allocation :
ESTIMATED
End Date :
January 19 2026
Estimated Enrollment :
538 Patients enrolled
Trial Details
Trial ID
NCT06071078
Start Date
January 19 2024
End Date
January 19 2026
Last Update
August 28 2025
Active Locations (9)
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1
CHU Angers
Angers, France, 49000
2
CH de Bourg-en-Bresse
Bourg-en-Bresse, France, 01000
3
CHU de Clermont-Ferrand
Clermont-Ferrand, France, 63000
4
CHU de Grenoble
Grenoble, France, 38000