Cardiopulmonary Resuscitation Witnessing by a Relative

Study Overview
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Brief Summary
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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.

Detailed Description
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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.

Official Title
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Interest for a Relative of Seeing Himself Proposing to Witness Resuscitation of a Family Member Victim of a Cardiac Arrest

Conditions
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Cardiac Arrest

Intervention / Treatment
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* Other: Usual strategy
* Other: Modified strategy


Participation Criteria
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Eligibility Criteria
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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 : husband or spouse father or mother son or daughter brother or sister Patient's age ≥ 18 years Relative's age ≥ 18 years Consent of the relative to the participation in the study Exclusion Criteria: No understanding of the explanations (language problem, important agitation) Non-affiliated to social security

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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Design Details

Primary Purpose: Prevention
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Active Comparator: Arm 1 : Control : usual strategy<br> | Other: Usual strategy<br>* Usual strategy<br>|
| Experimental: Arm 2: Comparator : modified strategy<br> | Other: Modified strategy<br>* Proposition to a relative to witness the cardiopulmonary resuscitation of a family member and debriefing ot the situation<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Percentage of relatives having a score of the Impact of Events Scale (IES) > 30 |  | 3 months | 

Secondary Outcome Measures

| Outcome Measure | 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 | 
| 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 | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Out-of-hospital, Emergency, Cardiac arrest, Post-traumatic stress disorder