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  • A proactive communication strategy reduced post-traumatic stress disorder symptoms in relatives of patients dying in the ICU

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A proactive communication strategy reduced post-traumatic stress disorder symptoms in relatives of patients dying in the ICU

https://doi.org/10.1136/ebn.10.3.85

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    Lautrette A, Darmon M, Megarbane B, et al. A communication strategy and brochure for relatives of patients dying in the ICU. N Engl J Med 2007;356:469–78.OpenUrlCrossRefPubMedWeb of Science

    Q Does an end-of-life family conference held according to specific guidelines reduce the burden of bereavement on relatives of patients dying in the intensive care unit (ICU)?

    METHODS

    Embedded ImageDesign:

    randomised controlled trial.

    Embedded ImageAllocation:

    unclear concealment.

    Embedded ImageBlinding:

    blinded (data collectors and data analysts).

    Embedded ImageFollow up period:

    90 days.

    Embedded ImageSetting:

    22 ICUs in France.

    Embedded ImagePatients:

    126 patients ⩾18 years of age (56% men) in the ICU who were expected to die within the next few days. Each patient had 1 family member (median age 54 y, 73% women) whom they had designated or who ranked highest in the hierarchy for surrogate decision making according to French law; these family members …

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    Footnotes

    • For correspondence: Dr E Azoulay, Service de Réanimation Médicale, Hôpital Saint-Louis, Paris, France. elie.azoulay{at}sls.ap-hop-paris.fr

    • Sources of funding: Assistance Publique-Hôpitaux de Paris and French Society for Critical Care Medicine.