Reasons of Transfer in Emergency Units of Patients in End of Life Situation.

NCT ID: NCT02861469

Last Updated: 2016-08-10

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Total Enrollment

21 participants

Study Classification

OBSERVATIONAL

Study Start Date

2015-02-28

Study Completion Date

2015-06-30

Brief Summary

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This qualitative study aimed to describe and understand the factors leading to the admission in emergency unit of patients coming from their home, in an end of life situation.

This study was conducted in the university hospital of Besançon, France. Semi-structured interviews were conducted with general practitioners and family members in order to understand the factors leading, from their points of view, to the admission in emergency unit whereas this hospitalization wasn't necessary.

Detailed Description

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Conditions

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End of Life Palliative Care

Study Design

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Study Time Perspective

PROSPECTIVE

Study Groups

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Main carers

Individual semi-structured interviews

Semi-structured interviews

Intervention Type OTHER

individual semi-structured interviews with general practitioners and family members

General practitioners

Individual semi-structured interviews

Semi-structured interviews

Intervention Type OTHER

individual semi-structured interviews with general practitioners and family members

Interventions

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Semi-structured interviews

individual semi-structured interviews with general practitioners and family members

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* FOR PATIENTS :
* aged of 18 yo or more
* Admitted in the emergency unit of the university hospital of Besançon
* who died within the 3 days following their admission in the emergency unit
* who died of a chronic disease in terminal phase
* for whom therapeutic goals were only focused on comfort
* living at their home or at their family's home before their transfer in emergency unit
* accompanied by at least one main carer (family member or friend) and one general practitioner during the last weeks before death
* FOR MAIN CARERS :
* Family members or friends of the patient
* who were the main carers of the patient during his/her last weeks
* speaking easily in french
* who agreed for being interviewed and whom psychic and emotional state is compatible with a interview
* living within 80km from Besançon
* FOR GENERAL PRACTITIONERS :
* who were the main medical actor for the patient during his/her last weeks
* who agreed for being interviewed
* working within 80km from Besançon

Exclusion Criteria

* FOR PATIENTS :
* Patients who expressed a wish to not die at home
* Patients who died because of any other medical event than predictable death following the terminal phase of a chronic disease
* minors
* FOR MAIN CARERS AND GENERAL PRACTITIONERS :
* refusal to participate to the interviews
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Centre Hospitalier Universitaire de Besancon

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Régis AUBRY, Pr

Role: PRINCIPAL_INVESTIGATOR

Centre Hospitalier Universitaire de Besancon

References

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Detering KM, Hancock AD, Reade MC, Silvester W. The impact of advance care planning on end of life care in elderly patients: randomised controlled trial. BMJ. 2010 Mar 23;340:c1345. doi: 10.1136/bmj.c1345.

Reference Type BACKGROUND
PMID: 20332506 (View on PubMed)

Pennec S, Gaymu J, Monnier A, Riou F, Aubry R, Pontone S, Cases C. [The places of death of people aged 80 and over in France]. Soins Gerontol. 2014 Nov-Dec;(110):12-5. French.

Reference Type BACKGROUND
PMID: 25597063 (View on PubMed)

Other Identifiers

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P/2015/246

Identifier Type: -

Identifier Source: org_study_id

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