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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...

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Autores principales: Showler, Laurie, Rait, Louise, Chan, Michael, Tondello, Mark, George, Alastair, Tascone, Brianna, Presneill, Jeffrey J., MacIsaac, Christopher M., Abdelhamid, Yasmine Ali, Deane, Adam M.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2023
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).
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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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