ArticleIntensive care medicine2016
Prospective study of a proactive palliative care rounding intervention in a medical ICU.
Article in Intensive care medicine, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 3 registered trials, which are not on this map. Cited by 35 papers, 5 of them syntheses that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Early Palliative Care in the Medical Intensive Care Unit
The Influence of a Proactive Palliative Care Intervention on Family Satisfaction and Biopsychosocial Problem-related Distress of Patients in a Surgical Intensive Care Unit: A Prospective Single-center Interventional Study
Impact of an Embedded Palliative Care and Hospice Practitioner in the Medical ICU
Who cites it
35 citing papers in PubMed, 5 syntheses or guidelines pooled it, 83 citations in OpenAlex.
- Assessing palliative care practices in intensive care units and interpreting them using the lens of appropriate care concepts. An umbrella review.Intensive care medicine · 2024Pooled it
- Interventions for interpersonal communication about end of life care between health practitioners and affected people.The Cochrane database of systematic reviews · 2022Pooled it
- Palliative care interventions in intensive care unit patients.Intensive care medicine · 2021Pooled it
- Consensus statement for cancer patients requiring intensive care support.Annals of hematology · 2018Guideline
- [Integration of palliative care into intensive care : Systematic review].Der Anaesthesist · 2017Pooled it
- Improving racial disparities in unmet palliative care needs among intensive care unit family members with a needs-targeted app intervention: The ICUconnect randomized clinical trial.Contemporary clinical trials · 2021Trial
- Early Palliative Care Consultation in the Medical ICU: A Cluster Randomized Crossover Trial.Critical care medicine · 2019Trial
- Key characteristics of palliative care integration in intensive care units (ICUs): A scoping review.International journal of nursing studies advances · 2026Review
- Family-administered delirium screening improves satisfaction among ICU caregivers: a prospective cohort study.Intensive care medicine · 2026Article
- Neurology and physician-assisted suicide: glossary of definitions and terminology.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2025Article
- Interprofessional collaboration between hospital-based palliative care teams and hospital ward staff: A realist review.PloS one · 2025Review
- Review
- Shared Decision-making in Palliative and End-of-life Care in the Cardiac Intensive Care Unit.US cardiology · 2024Review
- Clinical outcomes of a joint ICU and palliative care multidisciplinary rounding model: A retrospective cohort study.PloS one · 2024Article
- [Palliative aspects in clinical acute and emergency medicine as well as intensive care medicine : Consensus paper of the DGIIN, DGK, DGP, DGHO, DGfN, DGNI, DGG, DGAI, DGINA and DG Palliativmedizin].Medizinische Klinik, Intensivmedizin und Notfallmedizin · 2023Review
- Hospice and Palliative Medicine Fellowship Training in Mental Health: A Survey of Program Directors.Journal of pain and symptom management · 2023Article
- How and why might interprofessional patient- and family-centered rounds improve outcomes among healthcare teams and hospitalized patients? A conceptual framework informed by scoping and narrative literature review methods.Frontiers in medicine · 2023Review
- China's current situation and development of hospice and palliative care in critical care medicine.Frontiers in medicine · 2023Article
- Exploratory Study of Palliative Care Utilization and Medical Expense for Inpatients at the End-of-Life.International journal of environmental research and public health · 2022Article
- End-of-Life Decision-Making in Intensive Care Ten Years after a Law on Advance Directives in Germany.Medicina (Kaunas, Lithuania) · 2021Article
Corrections and comments
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Authors and funding
12 authors at 3 institutions in 1 country.
Funding
Abstract
purposeTo evaluate the effects of a palliative care intervention on clinical and family outcomes, and palliative care processes.
methodsProspective, before-and-after interventional study enrolling patients with high risk of mortality, morbidity, or unmet palliative care needs in a 24-bed academic intensive care unit (ICU). The intervention involved a palliative care clinician interacting with the ICU physicians on daily rounds for high-risk patients.
resultsOne hundred patients were enrolled in the usual care phase, and 103 patients were enrolled during the intervention phase. The adjusted likelihood of a family meeting in ICU was 63% higher (RR 1.63, 95% CI 1.14-2.07, p = 0.01), and time to family meeting was 41% shorter (95% CI 52-28% shorter, p < 0.001). Adjusted ICU length of stay (LOS) was not significantly different between the two groups (6% shorter, 95% CI 16% shorter to 4% longer, p = 0.22). Among those who died in the hospital, ICU LOS was 19% shorter in the intervention (95% CI 33-1% shorter, p = 0.043). Adjusted hospital LOS was 26% shorter (95% CI 31-20% shorter, p < 0.001) with the intervention. Post-traumatic stress disorder (PTSD) symptoms were present in 9.1% of family respondents during the intervention versus 20.7% prior to the intervention (p = 0.09). Mortality, family depressive symptoms, family satisfaction and quality of death and dying did not significantly differ between groups.
conclusionsProactive palliative care involvement on ICU rounds for high-risk patients was associated with more and earlier ICU family meetings and shorter hospital LOS. We did not identify differences in family satisfaction, family psychological symptoms, or family-rated quality of dying, but had limited power to detect such differences.
Indexed as
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What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.