NCT02861469

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.

Trial Health

100
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
21

participants targeted

Target at below P25 for all trials

Timeline
Completed

Started Feb 2015

Shorter than P25 for all trials

Status
completed

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

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Study Timeline

Key milestones and dates

Study Start

First participant enrolled

February 1, 2015

Completed
4 months until next milestone

Primary Completion

Last participant's last visit for primary outcome

June 1, 2015

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

June 1, 2015

Completed
1.2 years until next milestone

First Submitted

Initial submission to the registry

August 5, 2016

Completed
5 days until next milestone

First Posted

Study publicly available on registry

August 10, 2016

Completed
Last Updated

August 10, 2016

Status Verified

August 1, 2016

Enrollment Period

4 months

First QC Date

August 5, 2016

Last Update Submit

August 5, 2016

Conditions

End of LifePalliative Care

Keywords

qualitative study, end of life, ethics, palliative care

Outcome Measures

Primary Outcomes (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

    individual semi-structured interviews

    day one

Study Arms (2)

Main carers

Individual semi-structured interviews

Other: Semi-structured interviews

General practitioners

Individual semi-structured interviews

Other: Semi-structured interviews

Interventions

Semi-structured interviewsOTHER

individual semi-structured interviews with general practitioners and family members

General practitionersMain carers

Eligibility Criteria

Age18 Years+
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)
Sampling MethodNon-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.

You may qualify if:

  • 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 :
  • +3 more criteria

You may not qualify if:

  • 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

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Related 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.

    PMID: 20332506BACKGROUND

  • 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.

    PMID: 25597063BACKGROUND

MeSH Terms

Conditions

Death

Condition Hierarchy (Ancestors)

Pathologic ProcessesPathological Conditions, Signs and Symptoms

Study Officials

  • Régis AUBRY, Pr

    Centre Hospitalier Universitaire de Besancon

    PRINCIPAL INVESTIGATOR

Study Design

Study Type
observational
Time Perspective
PROSPECTIVE
Sponsor Type
OTHER
Responsible Party
SPONSOR

Study Record Dates

First Submitted

August 5, 2016

First Posted

August 10, 2016

Study Start

February 1, 2015

Primary Completion

June 1, 2015

Study Completion

June 1, 2015

Last Updated

August 10, 2016

Record last verified: 2016-08

Data Sharing

IPD Sharing
Will not share