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Grief symptoms in relatives who experienced organ donation request in the ICU
Article
RATIONALE: In the case of organ donation, the family is highly involved in the decision process.
OBJECTIVE: To assess experience of organ donation process and grief symptoms in relatives of brain dead patients who discussed organ donation in the ICU.
METHODS: Multicentre cross-sectional study in 28 ICUs in France. Participating subjects were relatives of brain dead patients who were approached to discuss organ donation. Relatives were followed-up by phone at 3 time points: at 1 month to complete a questionnaire describing their experience of organ donation process; At 3 months to complete the Hospital Anxiety and Depression Scale and the Impact of Event Scale-Revised; At 9 months, to complete the IES-R and the Inventory of Complicated Grief.
MEASUREMENTS AND MAIN RESULTS: 202 relatives of 202 patients were included, of whom 158 consented and 44 refused organ donation. Interviews were conducted at 1, 3 and 9 months for 157, 137 and 117 relatives respectively. Experience was significantly more burdensome for relatives of non-donors. However there were no significant differences in grief symptoms measured at 3 and 9 months between the 2 groups. Understanding of brain death was associated with grief symptoms with higher prevalence of complicated grief symptoms in relatives who did not understand (75% vs 46.1%, p=0.026).
CONCLUSION: Experience of the organ donation process varies between relatives of donor vs non-donor patients with relatives of non-donors experiencing lower quality communication, but the decision was not associated with subsequent grief symptoms. Importantly, understanding of brain death is a key element for relatives.
http://dx.doi.org/10.1164/rccm.201709-1899OC
Voir la revue «American journal of respiratory and critical care medicine»
Autres numéros de la revue «American journal of respiratory and critical care medicine»
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