Citation

Jabre P, Tazarourte K, Azoulay E, Borron SW, Belpomme V, Jacob L, Bertrand L, Lapostolle F, Combes X, Galinski M, Pinaud V, Destefano C, Normand D, Beltramini A, Assez N, Vivien B, Vicaut E, Adnet F. Intensive Care Med. 2014; 40(7): 981-987.

Copyright

(Copyright © 2014, Holtzbrinck Springer Nature Publishing Group)

DOI

10.1007/s00134-014-3337-1

PMID

unavailable

Abstract

PURPOSE: To evaluate the psychological consequences among family members given the option to be present during the CPR of a relative, compared with those not routinely offered the option.

METHODS: Prospective, cluster-randomized, controlled trial involving 15 prehospital emergency medical services units in France, comparing systematic offer for a relative to witness CPR with the traditional practice among 570 family members. Main outcome measure was 1-year assessment included proportion suffering post-traumatic stress disorder (PTSD), anxiety and depression symptoms, and/or complicated grief.

RESULTS: Among the 570 family members [intention to treat (ITT) population], 408 (72 %) were evaluated at 1 year. In the ITT population (N = 570), family members had PTSD-related symptoms significantly more frequently in the control group than in the intervention group [adjusted odds ratio, 1.8; 95 % confidence interval (CI) 1.1-3.0; P = 0.02] as did family members to whom physicians did not propose witnessing CPR [adjusted odds ratio, 1.7; 95 % CI 1.1-2.6; P = 0.02]. In the observed cases population (N = 408), the proportion of family members experiencing a major depressive episode was significantly higher in the control group (31 vs. 23 %; P = 0.02) and among family members to whom physicians did not propose the opportunity to witness CPR (31 vs. 24 %; P = 0.03). The presence of complicated grief was significantly greater in the control group (36 vs. 21 %; P = 0.005) and among family members to whom physicians did not propose the opportunity to witness resuscitation (37 vs. 23 %; P = 0.003).

CONCLUSIONS: At 1 year after the event, psychological benefits persist for those family members offered the possibility to witness the CPR of a relative in cardiac arrest. © 2014 Springer-Verlag.

Language: en

Keywords

Humans; Adult; adult; human; Family; Anxiety; Depression; Heart Arrest; Prospective Studies; Emergency Medical Services; Cardiopulmonary Resuscitation; Cardiac arrest; resuscitation; family; Post-traumatic stress disorder; depression; France; anxiety; randomized controlled trial; suicide attempt; Follow-Up Studies; major depression; Grief; clinical trial; psychology; posttraumatic stress disorder; Complicated grief; article; major clinical study; controlled study; psychological aspect; physician; psychologic assessment; psychotropic agent; grief; emergency health service; Stress Disorders, Post-Traumatic; follow up; relative; multicenter study; heart arrest; prospective study; witness; Hospital Anxiety and Depression Scale; outcome assessment; family attitude; intention to treat analysis; Family presence; Intention to Treat Analysis