Evidence map›Paper›PMID 29302596›Full record

ReviewAnnals of translational medicine2017

What are the ethical issues in relation to the role of the family in intensive care?

Jean-Pierre Quenot, Fiona Ecarnot, Nicolas Meunier-Beillard, Auguste Dargent, Audrey Large, Pascal Andreu, Jean-Philippe Rigaud

Abstract readReview
In one paragraph

Review in Annals of translational medicine, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed
–field-weighted citation impact
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

17 citing papers in PubMed.

  1. Trial
  2. Humanity-based nursing care in the ICU: a descriptive qualitative study.Philosophy, ethics, and humanities in medicine : PEHM · 2026
    Article
  3. Article
  4. Article
  5. Article
  6. The Family's Contribution to Patient Safety.Nursing reports (Pavia, Italy) · 2023
    Article
  7. Article
  8. Article
  9. Intensive Care Residents' Views Regarding Ethical Issues and Practices.Medical science monitor : international medical journal of experimental and clinical research · 2022
    Article
  10. Article
  11. Article
  12. Observational
  13. Observational
  14. Article
  15. Article
  16. [Ten key messages of the guidelines for family-centered care in intensive care medicine].Medizinische Klinik, Intensivmedizin und Notfallmedizin · 2019
    Review
  17. Article
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

7 authors.

Jean-Pierre QuenotDepartment of Intensive Care, François Mitterrand University Hospital, 14 rue Paul Gaffarel, Dijon, France.
Fiona EcarnotEA3920, Department of Cardiology, University Hospital Besancon, Besancon, France.
Nicolas Meunier-BeillardDepartment of Intensive Care, François Mitterrand University Hospital, 14 rue Paul Gaffarel, Dijon, France.
Auguste DargentDepartment of Intensive Care, François Mitterrand University Hospital, 14 rue Paul Gaffarel, Dijon, France.
Audrey LargeDepartment of Intensive Care, François Mitterrand University Hospital, 14 rue Paul Gaffarel, Dijon, France.
Pascal AndreuDepartment of Intensive Care, François Mitterrand University Hospital, 14 rue Paul Gaffarel, Dijon, France.
Jean-Philippe RigaudDepartment of Intensive Care, Dieppe General Hospital, Dieppe, France.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

A large proportion of patients admitted to the intensive care unit (ICU) are unable to express themselves, often due to acute illness, shock or trauma, and this precludes any communication and/or consent for care that might reflect their wishes and opinions. In such cases, the only solution for the ICU physician is to include the patient's family in the healthcare decisions. This can represent a significant burden on the family, on top of the psychological distress of the ICU environment and hospitalisation of their relatives, and many family members may suffer from anxiety, depression or symptoms of post-traumatic stress disorder (PTSD) during or after the hospitalisation and/or death of a loved one in the ICU. Good communication remains the cornerstone of family satisfaction in the ICU. Information imparted to the patient and/or family should cover diagnosis, prognosis and treatment. Information should be given orally, in person, using accessible language. Several other measures that can lessen the burden on the families of patients in the ICU and help to reduce anxiety and stress are also detailed in this review. Overall, family-centred care in the ICU requires a systematic communication strategy within the healthcare team, combined with an environment that is as amenable as possible to the family's presence and involvement, in order to maximize family satisfaction with ICU care, and ensure that the patient's values and preferences are respected.

Indexed as

communicationethicsfamilyIntensive care unit (ICU)satisfaction

Identifiers

PMID29302596
PMCPMC5750250

What OpenQuestion holds

Textmetadata
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.