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Reasons of Transfer in Emergency Units of Patients in End of Life Situation. (CACTUS)

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ClinicalTrials.gov Identifier: NCT02861469
Recruitment Status : Completed
First Posted : August 10, 2016
Last Update Posted : August 10, 2016
Sponsor:
Information provided by (Responsible Party):
Centre Hospitalier Universitaire de Besancon

Brief 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.


Condition or disease Intervention/treatment
End of Life Palliative Care Other: Semi-structured interviews

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Study Type : Observational
Actual Enrollment : 21 participants
Time Perspective: Prospective
Official Title: Reasons of Transfer in Emergency Units of Patients in End of Life Situation.
Study Start Date : February 2015
Actual Primary Completion Date : June 2015
Actual Study Completion Date : June 2015

Group/Cohort Intervention/treatment
Main carers
Individual semi-structured interviews
Other: Semi-structured interviews
individual semi-structured interviews with general practitioners and family members

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




Primary Outcome Measures :
  1. 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 [ Time Frame: day one ]
    individual semi-structured interviews



Information from the National Library of Medicine

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Ages Eligible for Study:   18 Years and older   (Adult, Older Adult)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   No
Sampling Method:   Non-Probability Sample
Study Population
  • Patients living at their home and admitted in the emergency unit of the university hospital of Besançon, who died within the 3 days following their admission in the emergency unit of a chronic disease in terminal phase.
  • General practitioners and main carers (family members or friends) of those patients.
Criteria

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

Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT02861469


Sponsors and Collaborators
Centre Hospitalier Universitaire de Besancon
Investigators
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Principal Investigator: Régis AUBRY, Pr Centre Hospitalier Universitaire de Besancon
Publications:
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Responsible Party: Centre Hospitalier Universitaire de Besancon
ClinicalTrials.gov Identifier: NCT02861469    
Other Study ID Numbers: P/2015/246
First Posted: August 10, 2016    Key Record Dates
Last Update Posted: August 10, 2016
Last Verified: August 2016
Individual Participant Data (IPD) Sharing Statement:
Plan to Share IPD: No
Keywords provided by Centre Hospitalier Universitaire de Besancon:
qualitative study, end of life, ethics, palliative care
Additional relevant MeSH terms:
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Emergencies
Disease Attributes
Pathologic Processes