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Communication with bereaved family members after death in the ICU: the CATHARTIC randomised clinical trial
Objective: It is uncertain whether psychological distress in the family members of patients who die during an intensive care unit (ICU) admission may be improved by bereavement interventions. In this trial, relatives’ symptoms of anxiety and depression after 6 months were measured when allocated to...
Autores principales: | , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Elsevier
2023
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10692614/ https://www.ncbi.nlm.nih.gov/pubmed/38045592 http://dx.doi.org/10.51893/2022.2.OA2 |
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author | Showler, Laurie Rait, Louise Chan, Michael Tondello, Mark George, Alastair Tascone, Brianna Presneill, Jeffrey J. MacIsaac, Christopher M. Abdelhamid, Yasmine Ali Deane, Adam M. |
author_facet | Showler, Laurie Rait, Louise Chan, Michael Tondello, Mark George, Alastair Tascone, Brianna Presneill, Jeffrey J. MacIsaac, Christopher M. Abdelhamid, Yasmine Ali Deane, Adam M. |
author_sort | Showler, Laurie |
collection | PubMed |
description | Objective: It is uncertain whether psychological distress in the family members of patients who die during an intensive care unit (ICU) admission may be improved by bereavement interventions. In this trial, relatives’ symptoms of anxiety and depression after 6 months were measured when allocated to three commonly used bereavement follow-up strategies. Design: Single-centre, randomised, three parallel-group trial. Setting: A tertiary ICU in Australia. Participants: Relatives of patients who died in the ICU. Interventions: Relatives received bereavement follow-up 4 weeks after the death using a condolence letter, short telephone call or no contact. Main outcome measures: The primary outcome was the total Hospital Anxiety and Depression Scale (HADS-T) score. Secondary outcomes estimated anxiety, depression, complicated grief, post-traumatic stress, and satisfaction with ICU care. Results: Seventy-one relatives participated (24 had no contact, 19 were contacted by letter and 28 by telephone 4 weeks after the death). The mean HADS-T score for no contact was 16.1 (95% CI, 12.4-19.8). Receipt of a letter was associated with a mean HADS-T increase of 1.4 (4.0 decrease to 6.8 increase), and a condolence call was accompanied by a mean decrease of 1.6 (6.6 decrease to 3.4 increase; P > 0.5). Non-significant differences were observed for all secondary outcomes. Conclusions: Anxiety and depression at 6 months in the relatives of patients who died in the ICU was not meaningfully alleviated by receipt of either a condolence letter or telephone call. Trial registration: Australia New Zealand Clinical Trials Registry (ACTRN12619000917134). |
format | Online Article Text |
id | pubmed-10692614 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | Elsevier |
record_format | MEDLINE/PubMed |
spelling | pubmed-106926142023-12-03 Communication with bereaved family members after death in the ICU: the CATHARTIC randomised clinical trial Showler, Laurie Rait, Louise Chan, Michael Tondello, Mark George, Alastair Tascone, Brianna Presneill, Jeffrey J. MacIsaac, Christopher M. Abdelhamid, Yasmine Ali Deane, Adam M. Crit Care Resusc Original Articles Objective: It is uncertain whether psychological distress in the family members of patients who die during an intensive care unit (ICU) admission may be improved by bereavement interventions. In this trial, relatives’ symptoms of anxiety and depression after 6 months were measured when allocated to three commonly used bereavement follow-up strategies. Design: Single-centre, randomised, three parallel-group trial. Setting: A tertiary ICU in Australia. Participants: Relatives of patients who died in the ICU. Interventions: Relatives received bereavement follow-up 4 weeks after the death using a condolence letter, short telephone call or no contact. Main outcome measures: The primary outcome was the total Hospital Anxiety and Depression Scale (HADS-T) score. Secondary outcomes estimated anxiety, depression, complicated grief, post-traumatic stress, and satisfaction with ICU care. Results: Seventy-one relatives participated (24 had no contact, 19 were contacted by letter and 28 by telephone 4 weeks after the death). The mean HADS-T score for no contact was 16.1 (95% CI, 12.4-19.8). Receipt of a letter was associated with a mean HADS-T increase of 1.4 (4.0 decrease to 6.8 increase), and a condolence call was accompanied by a mean decrease of 1.6 (6.6 decrease to 3.4 increase; P > 0.5). Non-significant differences were observed for all secondary outcomes. Conclusions: Anxiety and depression at 6 months in the relatives of patients who died in the ICU was not meaningfully alleviated by receipt of either a condolence letter or telephone call. Trial registration: Australia New Zealand Clinical Trials Registry (ACTRN12619000917134). Elsevier 2023-10-19 /pmc/articles/PMC10692614/ /pubmed/38045592 http://dx.doi.org/10.51893/2022.2.OA2 Text en © 2022 College of Intensive Care Medicine of Australia and New Zealand. https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/). |
spellingShingle | Original Articles Showler, Laurie Rait, Louise Chan, Michael Tondello, Mark George, Alastair Tascone, Brianna Presneill, Jeffrey J. MacIsaac, Christopher M. Abdelhamid, Yasmine Ali Deane, Adam M. Communication with bereaved family members after death in the ICU: the CATHARTIC randomised clinical trial |
title | Communication with bereaved family members after death in the ICU: the CATHARTIC randomised clinical trial |
title_full | Communication with bereaved family members after death in the ICU: the CATHARTIC randomised clinical trial |
title_fullStr | Communication with bereaved family members after death in the ICU: the CATHARTIC randomised clinical trial |
title_full_unstemmed | Communication with bereaved family members after death in the ICU: the CATHARTIC randomised clinical trial |
title_short | Communication with bereaved family members after death in the ICU: the CATHARTIC randomised clinical trial |
title_sort | communication with bereaved family members after death in the icu: the cathartic randomised clinical trial |
topic | Original Articles |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10692614/ https://www.ncbi.nlm.nih.gov/pubmed/38045592 http://dx.doi.org/10.51893/2022.2.OA2 |
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