A Communication Strategy and Brochure for Relatives of Patients Dying in the ICU
Joly, Luc Marie
Curtis, J. Randall
Barnes, Nancy Kentish
New England Journal of Medicine 2007 February 1; 365(5): 469-478
BACKGROUND: There is a need for close communication with relatives of patients dying in the intensive care unit (ICU). We evaluated a format that included a proactive end-of-life conference and a brochure to see whether it could lessen the effects of bereavement. METHODS: Family members of 126 patients dying in 22 ICUs in France were randomly assigned to the intervention format or to the customary end-of-life conference. Participants were interviewed by telephone 90 days after the death with the use of the Impact of Event Scale (IES; scores range from 0, indicating no symptoms, to 75, indicating severe symptoms related to post-traumatic stress disorder [PTSD]) and the Hospital Anxiety and Depression Scale (HADS; subscale scores range from 0, indicating no distress, to 21, indicating maximum distress). RESULTS: Participants in the intervention group had longer conferences than those in the control group (median, 30 minutes [interquartile range, 19 to 45] vs. 20 minutes [interquartile range, 15 to 30]; P
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Impact of a Family Information Leaflet on Effectiveness of Information Provided to Family Members of Intensive Care Unit Patients -- a Multicenter, Prospective, Randomized, Controlled Trial Azoulay, Elie; Pochard, Frédéric; Chevret, Sylvie; Jourdain, Merce; Bornstain, Caroline; Wernet, Anne; Cattaneo, Isabelle; Annane, Djilali; Brun, Frédéric; Bollaert, Pierre-Edouard; Zahar, Jean-Ralph; Goldgran- Toledano, Dany; Adrie, Christoph, Joly, Luc-Marie; Tayoro, Jerome; Desmettre, Thibaut; Pigne, Etienne; Parrot, Antoine; Sanchez, Olivier; Poisson, Catherine; Le Gall, Jean-Roger; Schlemmer, Benoît; Lemaire, François (2002-02-15)