NCT04452487

Study of the Consequences of Infection on Compliance of Modalities of Decisions of Limitations and Stops of Treatments (COVID-19-LAT)

Study of the Consequences of Infection on Compliance of Modalities of Decisions of Limitations and Stops of Treatments

• Status: Unknown
• Phase: —
• Study type: Observational
• Enrollment: 2,500 (estimated)
• Sponsor: University Hospital, Clermont-Ferrand · Academic / Other
• Sex: All
• Age: 18 Years
• Healthy volunteers: Not accepted

Summary

This survey is performed to examine if during the Covid's crisis, the practitionner's have respected the modalities of the law about the end of life, in particular concerning limitations and stop of therapeutics

Detailed description

In the current legislativ context notably the Clayes Leonetti law, a very large majority of ICU (Intensive Care Unit) patients die with the establishement of a procedure for the limitation and cessation of therapeutics (LAT). During a viral pandemic, medical resources can be saturated, limiting reflexive abilities in favour of binary decisions. This sorting of patients leads to LAT that could be performed without the elementary modalities stated by the law. Thus, arbitrary medical decisions made alone could expose patients to unjustified " loss of luck ". Increasing the resources mobilized during a pandemic must not make us forget the quality of care provided for the benefit of quantity. In therefore seems legitimate to keep the LAT modalities to ensure our ethical principles. No work in the literature based on actual facts explores the impact of a pandemic on compliance with and maintenance of ethical principles and the legisltaive framework, in particular as regards the procedures of the application of LAT. The purpose of this study is to assess whether the terms of the LAT are being complied during a pandemic for patients with or without Covid.

Conditions

• Patient Hospitalized in Disease Infectious Unit
• Patient Hospitalized in Intensive Reanimation Unit
• Patient Hopsitalized in Internal Medicine Unit

Interventions

Type	Name	Description
BEHAVIORAL	decisions of limitations and stop processing	Compliance of the modalities of decisions of limitations and stop processing

Timeline

• Start date: 2020-06-01
• Primary completion: 2021-06-01
• Completion: 2021-06-01
• First posted: 2020-06-30
• Last updated: 2020-06-30

Locations

3 sites across 1 country: France