Clinical trial NCT04785807: STRESS From in Charge Relative Facing the Announcement of Decisions Limiting or Stopping Treatments in Emergency Room During the COVID-19 Epidemic
Official title: STRESS From in Charge Relative Facing the Announcement of Decisions Limiting or Stopping Treatments in Emergency Room During the COVID-19 Epidemic
Study type: INTERVENTIONAL
Overall status: UNKNOWN
Phase: NA
Conditions: Covid19
Post Traumatic Stress Disorder
Anxiety
Keywords: HADS
IES-R
Family
Limitation or discontinuation of treatment
Lead sponsor: Hospices Civils de Lyon
Sponsor class: OTHER
First posted: 2021-03-08
Enrollment: 140
Sex: ALL
Minimum age (years): 18
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: no
Allocation: NA
Intervention model: SINGLE_GROUP
Primary purpose: SUPPORTIVE_CARE

Brief summary: In the context of the COVID-19 pandemic, the emergency reception services had to be radically reorganized. In this tense environment, professionals must face ethical dilemmas, make referral decisions and prioritize patients. Due to the limited number of visits to many hospitals, interactions with relatives and families of patients are mainly conducted by phone. These limitations will continue as long as the context of uncertainty over the course of the pandemic persists. Limitation or discontinuation of treatment (LDT) announcements were therefore also impacted and the exceptional situation related to COVID-19 reinforces the difficulties encountered by professionals in usual time (place of announcement, inappropriate lack of time, etc.). Thus, LDTs are most often done over the phone without the families being able to go to the hospital. Because of this, these announcements can be more traumatic. Investigators have already highlighted in a recent study the lack of communication between caregivers and families in the context of LDT announcements and the context of COVID 19 exacerbated these aspects given the limitations of visits.

The investigators therefore propose to study the experiences of families who are notified of a decision to limit or stop treatment by phone in the emergency room during the COVID-19 crisis.


Eligibility criteria: Inclusion Criteria:

* Age over 18 years old.
* Person of trust designated in writing or contact person if designated by the family or primary caregiver or failing that the family member or person of trust of an adult patient deemed unfit to receive the information (advanced dementia (lower MMS) to 10), disturbance of consciousness). Only one person per family will be included.
* having been informed of a LAT decision in the emergency room by telephone during the pandemic
* Having consented to participate in the study
* Affiliated with social security

Exclusion Criteria:

* Person of trust, family or close friend unable to understand or write in French.

Primary outcomes:
measure: Post traumatic syndrome evaluated thanks to the Revised impact event scale (IES-R)
timeFrame: 30 days after limitation or discontinuation of treatment announcement
Secondary outcomes:
measure: Anxiety level at day 7, assessed using the Hospitalized Anxiety and Depression Scale-(HADS)
timeFrame: 7 days after inclusion
measure: Depression level at day 7, assessed using the Hospitalized Anxiety and Depression Scale
timeFrame: 7 days after inclusion
measure: Anxiety level at day 30, assessed using the Hospitalized Anxiety and Depression Scale (HADS)
timeFrame: 30 days after inclusion
measure: Depression level at day 30, assessed using the Hospitalized Anxiety and Depression Scale (HADS)
timeFrame: 30 days after inclusion
measure: Description of socio-demographic factors
timeFrame: 30 days after inclusion
measure: Description of clinical factors
timeFrame: 30 days after inclusion
Other outcomes:
Locations:
city: Lyon
country: France
facility: Service des urgences, Hôpital Edouard Herriot, Hospices Civils de Lyon
city: Lyon
country: France
facility: service des urgences, Hôpital de la Croix-Rousse, Hospices Civils de Lyon
city: Pierre-Bénite
country: France
facility: Service d'Accueil des Urgences, Hôpital Lyon Sud, Hospices Civils de Lyon
Study officials:
References: