Reasons of Transfer in Emergency Units of Patients in End of Life Situation.

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.

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Key information

Conditions

End of Life Death Palliative Care Pathologic Processes Pathological Conditions, Signs and Symptoms

Age range

18 year and older

Sex eligibility

All sexes

Study type

Observational

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

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

Treatment and study plan

semi-structured interviews

Other

individual semi-structured interviews with general practitioners and family members

Primary outcomes

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

Sponsors and collaborators

Lead sponsor

Centre Hospitalier Universitaire de Besancon

Other

Registry information

Acronym: CACTUS

Important dates

Study start: 2015
Primary completion: 2015
Study completion: 2015
First posted: Aug 10, 2016
Registry last updated: Aug 10, 2016

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

Published trials that share one or more normalized conditions with this study.

Completed