Evidence map›Paper›PMID 28322634›Full record

SynthesisWestern journal of nursing research2018

End-of-Life Decision Support in the ICU: Where Are We Now?

Grant Pignatiello, Ronald L Hickman, Breanna Hetland

Abstract readSystematic Review
In one paragraph

Synthesis in Western journal of nursing research, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
1.8field-weighted citation impact, top 12% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

10 citing papers in PubMed, 21 citations in OpenAlex.

  1. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors at 1 institution in 1 country.

Grant Pignatiello1 Case Western Reserve University, Cleveland, OH, USA.
Ronald L Hickman1 Case Western Reserve University, Cleveland, OH, USA.
Breanna Hetland1 Case Western Reserve University, Cleveland, OH, USA.
Case Western Reserve University · US

Funding

Effects of Self-Regulation, Cognitive Load, and Decision Support on Decision Making Readiness in Surrogate Decision Makers of ICU Patients: A Diversity Training SupplementR01NR015750 · NINR · CASE WESTERN RESERVE UNIVERSITY · PI HICKMAN, RONALD LEE · 2015 to 2019
$2.6M
Multiple Chronic Conditions_Interdisciplinary Nurse Scientist TrainingT32NR015433 · NINR · CASE WESTERN RESERVE UNIVERSITY · PI MOORE, SHIRLEY M · 2015 to 2019
$1.9M
Symptom Management and Palliative Care Research in Adults with Advanced DiseaseT32NR014213 · NINR · CASE WESTERN RESERVE UNIVERSITY · PI DALY, BARBARA · 2013 to 2017
$1.6M
Avatar-Based Decision Support Technology for Surrogate Decision MakersR15NR013569 · NINR · CASE WESTERN RESERVE UNIVERSITY · PI HICKMAN, RONALD LEE · 2013 to 2013
$475k
NINR NIH HHS R01 NR015750NINR NIH HHS R15 NR013569NINR NIH HHS T32 NR014213NINR NIH HHS T32 NR015433
6 · The paper itself

Abstract

Determining effective decision support strategies that enhance quality of end-of-life decision making in the intensive care unit is a research priority. This systematic review identified interventional studies describing the effectiveness of decision support interventions administered to critically ill patients or their surrogate decision makers. We conducted a systematic literature search using PubMed, CINAHL, and Cochrane. Our search returned 121 articles, 22 of which met the inclusion criteria. The search generated studies with significant heterogeneity in the types of interventions evaluated and varied patient and surrogate decision-maker outcomes, which limited the comparability of the studies. Few studies demonstrated significant improvements in the primary outcomes. In conclusion, there is limited evidence on the effectiveness of end-of-life decision support for critically ill patients and their surrogate decision makers. Additional research is needed to develop and evaluate innovative decision support interventions for end-of-life decision making in the intensive care unit.

Indexed as

Decision Support TechniquesIntensive Care UnitsTerminal CareCritical IllnessDecision MakingHumanscritical carecritically ill adultsdecision makingend of lifeintensive care unitinterventionsurrogate decision makers

Identifiers

PMID28322634
PMCPMC5373087
OpenAlexW2556904599

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

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.