Post Traumatic Stress Among Relatives of Brain-dead, Withdrawal of Life Support, and Sudden Death Patients

Study Overview
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Brief Summary
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This study concerns the nearest relatives of patients who have passed away within 3 days of admission to an ICU due to: (1) brain death with multiple organ donation +/- tissues or (2) death via limitation and / or cessation of active treatment (LATA) without brain death or (3) sudden death of a previously healthy patient (no physical or mental limitations; MacCabe score = 0) within 3 days of admission to ICU without LATA nor brain death. Our primary objective is to determine the proportion of nearest relatives at risk for post traumatic stress disorder as defined by an Impact of Event Scale score greater than 37, and to compare this factor between the three above-mentioned groups.

Official Title
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Evaluation of Post Traumatic Stress Among the Nearest Relatives of Brain-dead, Withdrawal of Life Support, and Sudden Death Patients

Conditions
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Stress Disorders, Post-Traumatic

Intervention / Treatment
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* Other: IES-R and HDAS scores


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Participants are the nearest relatives (or person-of-trust) of a patient who has passed away in an intensive care unit (ICU). The cause of death must fall into 1 of the following three categories: (1) brain death with multiple organ donation +/- tissues; (2) death via limitation and / or cessation of active treatment (LATA) without brain death; (3) sudden death of a previously healthy patient (no physical or mental limitations; MacCabe score = 0) within 3 days of admission to ICU without LATA nor brain death The participant must be one of the following (roman numerals indicate prioritization in choice of participants, if needed): (i) designated person-of-trust; (ii) spouse/partner of the deceased; (iii) parent of the deceased; (iv) child of the deceased; (v) sibling of the deceased. Exclusion Criteria: Patient deceased after 3 days of ICU care without LATA The deceased was under 18 years old The deceased was over 70 years old Refusal to participated Participant does not speak French The participant is under judicial protection, under tutorship or curatorship The participant is deaf or mute The deceased has no nearest relative

Ages Eligible for Study
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Minimum Age: 18 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Brain death with organ donation<br>Participants in this group are the nearest relatives (or person-of-trust) of a patient who has passed away within 3 days of admission to an intensive care unit. The cause of death includes brain death with multiple organ donation +/- tissues. | Other: IES-R and HDAS scores<br>* The Impact of Event Scale and Hospital Depression and Anxiety Score questionnaires are administered to participants.<br>|
| Limitation/cessation of active treatment<br>Participants in this group are the nearest relatives (or person-of-trust) of a patient who has passed away within 3 days of admission to an intensive care unit. The cause of death includes limitation/cessation of active treatment without brain death. | Other: IES-R and HDAS scores<br>* The Impact of Event Scale and Hospital Depression and Anxiety Score questionnaires are administered to participants.<br>|
| Sudden death<br>Participants in this group are the nearest relatives (or person-of-trust) of a patient who has passed away within 3 days of admission to an intensive care unit. The cause of death was sudden death of a previously healthy patient (no physical or mental limitations; MacCabe score = 0) within 3 days of admission to ICU without LATA nor brain death. | Other: IES-R and HDAS scores<br>* The Impact of Event Scale and Hospital Depression and Anxiety Score questionnaires are administered to participants.<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| IES-R > 37: yes/no | Impact of Event Scale score greater than 37: yes/no | 6 weeks | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| IES-R | Impact of Event scale score (score varying from 0 (no risk of post traumatic stress) to 88 (highest risk of post traumatic stress)). | 6 weeks | 
| HDAS score | Hospital Depression and Anxiety Score (varies from 0 to 21). A score >8 indicates clinically significant anxiety/depression. | 6 weeks | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Tissue Donors, Tissue and Organ Procurement, Brain death, Withdrawal of life support