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

Palliative Care Clinical Trial

— CACTUS  

Official title:

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

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT02861469
• Other study ID #: P/2015/246
• Status: Completed
• Phase: N/A
• First received: August 5, 2016
• Last updated: August 5, 2016
• Start date: February 2015
• Est. completion date: June 2015

Study information

• Verified date: August 2016
• Source: Centre Hospitalier Universitaire de Besancon
• Contact: n/a
• Is FDA regulated: No
• Health authority: France: The Commission nationale de l’informatique et des libertés
• Study type: Observational

Clinical Trial Summary

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.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 21
• Est. completion date: June 2015
• Est. primary completion date: June 2015
• Accepts healthy volunteers: No
• Gender: Both
• Age group: 18 Years and older

Eligibility

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

Study Design

Time Perspective: Prospective

Related Conditions & MeSH terms

• Emergencies
• End of Life
• Palliative Care

Intervention

Other:
• Semi-structured interviews
individual semi-structured interviews with general practitioners and family members

Locations

Country	Name	City	State
n/a

Sponsors (1)

Lead Sponsor	Collaborator
Centre Hospitalier Universitaire de Besancon

References & Publications (2)

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. — View Citation

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. — View Citation

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Perceptions of general practitioners and family members toward the reasons of admission in emergency unit of patients coming from home in an end of life situation	individual semi-structured interviews	day one	No