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 Kentish-Barnes, Nancy
A1 Chaize, Marine
A1 Seegers, Valérie
A1 Legriel, Stéphane
A1 Cariou, Alain
A1 Jaber, Samir
A1 Lefrant, Jean-Yves
A1 Floccard, Bernard
A1 Renault, Anne
A1 Vinatier, Isabelle
A1 Mathonnet, Armelle
A1 Reuter, Danielle
A1 Guisset, Olivier
A1 Cohen-Solal, Zoé
A1 Cracco, Christophe
A1 Seguin, Amélie
A1 Durand-Gasselin, Jacques
A1 Éon, Béatrice
A1 Thirion, Marina
A1 Rigaud, Jean-Philippe
A1 Philippon-Jouve, Bénédicte
A1 Argaud, Laurent
A1 Chouquer, Renaud
A1 Adda, Mélanie
A1 Dedrie, Céline
A1 Georges, Hugues
A1 Lebas, Eddy
A1 Rolin, Nathalie
A1 Bollaert, Pierre-Edouard
A1 Lecuyer, Lucien
A1 Viquesnel, Gérard
A1 Léone, Marc
A1 Chalumeau-Lemoine, Ludivine
A1 Garrouste, Maïté
A1 Schlemmer, Benoit
A1 Chevret, Sylvie
A1 Falissard, Bruno
A1 Azoulay, Élie
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