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817: THE PREVALENCE OF COMPLICATED GRIEF IN BEREAVED RELATIVES IN THE INTENSIVE CARE UNIT

Introduction/Hypothesis: Bereaved relatives in the intensive care unit (ICU) may develop complicated grief (CG), which has been included in the Post Intensive Care Syndrome Family (PICS-F). It is characterized by intense symptoms of grief enduring for more than 6 months postloss, separation distress, intrusive thoughts, and feelings of emptiness or meaninglessness. This study aims to explore the prevalence of complicated grief and allied mental health problems of PICS-F such as depression, anxiety and posttraumatic stress in bereaved relatives in the ICU. Methods: A cross-sectional quantitative study design in a Dutch 48-bed ICU. All reported first and second contact persons of patients who died in the ICU in 2018 (n=305) have been approached by telephone. The relatives were invited to complete a survey measuring: CG (Traumatic Grief Inventory-Self Report Version, 19 items), anxiety and depression (Hospital Anxiety and Depression Scale, 14 in total), and posttraumatic stress (Impact of Events Scale, 15 items). Results: In total 216 bereaved relatives have been contacted of which 180 agreed to participate. Until now, 51 respondents completed the questionnaire (response rate 28%). Most were partners of the patient (41%), male (61%), and between 25 and 84 years old (mean 54). Almost all (98%) felt in good health, 78% contacted their GP of which 47% only once. The prevalence of CG was found 15%. High risk of anxiety, depression and posttraumatic stress was present in 31%, 31% and 66% in respective. Based on gender, no significant difference emerged on CG, nor symptoms of depression and posttraumatic stress. However, women presented less symptoms of anxiety than men, mean 5.5 (±4.1) and 9.2 (±4.4) in respective (t=2.38, 95%CI [.53 to 6.89]). Length of stay and acute/non-acute admission had no effect on CG. Doctors and nurses showed enough time to the relatives (78% and 94% in respective), nevertheless, one third felt inadequate prepared to death and dying (31% in contrast to 67% good/excellent). Conclusions: No study determinants showed influence on the preliminary prevalence of complicated grief in Dutch relatives, which was low compared to other mental health symptoms of PICS-F. This work has been supported by a grant from Erasmus MC “Evidence Based Care by Nurses”, project 2017-17407.