Complicated grief after death of a relative in the intensive care unit

Nancy Kentish-Barnes 1 Marine Chaize 2 Valerie Seegers 3 Stéphane Legriel Alain Cariou 4 Samir Jaber 5, 6 Jean-Yves Lefrant 7 Bernard Floccard 8 Anne Renault Isabelle Vinatier 9 Armelle Mathonnet 10 Danielle Reuter 11 Olivier Guisset 12 Zoé Cohen-Solal 13 Christophe Cracco 14 Amélie Seguin 15 Jacques Durand-Gasselin Béatrice Eon 16 Marina Thirion Jean-Philippe Rigaud 17 Bénédicte Philippon-Jouve Laurent Argaud 18 Renaud Chouquer Melanie Adda 19 Céline Dedrie Hugues Georges 20 Eddy Lebas Nathalie Rolin Pierre-Edouard Bollaert 21 Lucien Lecuyer 22 Gérard Viquesnel Marc Leone 19 Ludivine Chalumeau-Lemoine 23 Maïté Garrouste Benoît Schlemmer 24 Sylvie Chevret 25 Bruno Falissard 26 Élie Azoulay 27
Abstract : An increased proportion of deaths occur in the intensive care unit (ICU). We performed this prospective study in 41 ICUs to determine the prevalence and determinants of complicated grief after death of a loved one in the ICU. Relatives of 475 adult patients were followed up. Complicated grief was assessed at 6 and 12 months using the Inventory of Complicated Grief (cut-off score >25). Relatives also completed the Hospital Anxiety and Depression Scale at 3 months, and the Revised Impact of Event Scale for post-traumatic stress disorder symptoms at 3, 6 and 12 months. We used a mixed multivariate logistic regression model to identify determinants of complicated grief after 6 months. Among the 475 patients, 282 (59.4%) had a relative evaluated at 6 months. Complicated grief symptoms were identified in 147 (52%) relatives. Independent determinants of complicated grief symptoms were either not amenable to changes (relative of female sex, relative living alone and intensivist board certification before 2009) or potential targets for improvements (refusal of treatment by the patient, patient died while intubated, relatives present at the time of death, relatives did not say goodbye to the patient, and poor communication between physicians and relatives). End-of-life practices, communication and loneliness in bereaved relatives may be amenable to improvements.
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European Respiratory Journal, European Respiratory Society, 2015, 45 (5), pp.1341 - 1352. 〈10.1183/09031936.00160014〉
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Soumis le : mardi 17 avril 2018 - 10:10:17
Dernière modification le : jeudi 15 novembre 2018 - 20:27:29

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Nancy Kentish-Barnes, Marine Chaize, Valerie Seegers, Stéphane Legriel, Alain Cariou, et al.. Complicated grief after death of a relative in the intensive care unit. European Respiratory Journal, European Respiratory Society, 2015, 45 (5), pp.1341 - 1352. 〈10.1183/09031936.00160014〉. 〈hal-01768268〉

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