RT Journal Article SR Electronic T1 Complicated grief after death of a relative in the intensive care unit JF European Respiratory Journal JO Eur Respir J FD European Respiratory Society SP ERJ-01600-2014 DO 10.1183/09031936.00160014 A1 Nancy Kentish-Barnes A1 Marine Chaize A1 Valérie Seegers A1 Stéphane Legriel A1 Alain Cariou A1 Samir Jaber A1 Jean-Yves Lefrant A1 Bernard Floccard A1 Anne Renault A1 Isabelle Vinatier A1 Armelle Mathonnet A1 Danielle Reuter A1 Olivier Guisset A1 Zoé Cohen-Solal A1 Christophe Cracco A1 Amélie Seguin A1 Jacques Durand-Gasselin A1 Béatrice Éon A1 Marina Thirion A1 Jean-Philippe Rigaud A1 Bénédicte Philippon-Jouve A1 Laurent Argaud A1 Renaud Chouquer A1 Mélanie Adda A1 Céline Dedrie A1 Hugues Georges A1 Eddy Lebas A1 Nathalie Rolin A1 Pierre-Edouard Bollaert A1 Lucien Lecuyer A1 Gérard Viquesnel A1 Marc Léone A1 Ludivine Chalumeau-Lemoine A1 Maïté Garrouste A1 Benoit Schlemmer A1 Sylvie Chevret A1 Bruno Falissard A1 Élie Azoulay YR 2015 UL http://erj.ersjournals.com/content/early/2015/01/22/09031936.00160014.abstract AB 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. End-of-life care and communication in the ICU are associated with the prevalence of complicated grief http://ow.ly/DCqjB