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

August 5, 2016 updated by: Centre Hospitalier Universitaire de Besancon

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.

Study Overview

Status

Completed

Conditions

Intervention / Treatment

Study Type

Observational

Enrollment (Actual)

21

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

Eligibility Criteria

Ages Eligible for Study

18 years and older (Adult, Older Adult)

Accepts Healthy Volunteers

No

Genders Eligible for Study

All

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.

Description

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

Study Plan

This section provides details of the study plan, including how the study is designed and what the study is measuring.

How is the study designed?

Design Details

Cohorts and Interventions

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

What is the study measuring?

Primary Outcome Measures

Outcome Measure
Measure Description
Time Frame
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
day one

Collaborators and Investigators

This is where you will find people and organizations involved with this study.

Sponsor

Centre Hospitalier Universitaire de Besancon

Investigators

  • Principal Investigator: Régis AUBRY, Pr, Centre Hospitalier Universitaire de Besançon

Publications and helpful links

The person responsible for entering information about the study voluntarily provides these publications. These may be about anything related to the study.

General Publications

Study record dates

These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.

Study Major Dates

Study Start

February 1, 2015

Primary Completion (Actual)

June 1, 2015

Study Completion (Actual)

June 1, 2015

Study Registration Dates

First Submitted

August 5, 2016

First Submitted That Met QC Criteria

August 5, 2016

First Posted (Estimate)

August 10, 2016

Study Record Updates

Last Update Posted (Estimate)

August 10, 2016

Last Update Submitted That Met QC Criteria

August 5, 2016

Last Verified

August 1, 2016

More Information

Terms related to this study

Keywords

Additional Relevant MeSH Terms

Other Study ID Numbers

  • P/2015/246

Plan for Individual participant data (IPD)

Plan to Share Individual Participant Data (IPD)?

NO

This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.

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