Evidence map›Paper›PMID 30170754›Full record

Observational studyJoint Commission journal on quality and patient safety2019

Failures in the Respectful Care of Critically Ill Patients.

Anica C Law, Stephanie Roche, Alyse Reichheld, Patricia Folcarelli, Michael N Cocchi, Michael D Howell, Kenneth Sands, Jennifer P Stevens

Abstract readObservational Study
In one paragraph

Observational study in Joint Commission journal on quality and patient safety, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing 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

9 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Voices from the ICU: Perspectives on Humanization in Critical Care Settings.Indian journal of critical care medicine : peer-reviewed, official publication of Indian Society of Critical Care Medicine · 2024
    Article
  5. Article
  6. Review
  7. Article
  8. Article
  9. Review
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

8 authors.

Anica C Law
Stephanie Roche
Alyse Reichheld
Patricia Folcarelli
Michael N Cocchi
Michael D Howell
Kenneth Sands
Jennifer P Stevens

Funding

A multistakeholder examination of the drivers and value of inpatient consultationK08HS024288 · AHRQ · BETH ISRAEL DEACONESS MEDICAL CENTER · PI STEVENS, JENNIFER P · 2016 to 2020
$752k
Trends, Practice Variations, and Outcomes of Gastrostomy Tubes Placed during Critical Illness in the United StatesF32AG058352 · NIA · BETH ISRAEL DEACONESS MEDICAL CENTER · PI LAW, ANICA C · 2017 to 2020
$238k
AHRQ HHS K08 HS024288NIA NIH HHS F32 AG058352
6 · The paper itself

Abstract

backgroundThe emotional toll of critical illness on patients and their families can be profound and is emerging as an important target for value improvement. One source of emotional harm to patients and families may be care perceived as inadequately respectful. The prevalence and risk factors for types of emotional harms is under-studied.

methodsThis prospective cohort study was conducted in nine ICUs at a tertiary care academic medical center in the United States. Prevalence of inadequate respect for (a) the patient and (b) the family, as well as prevalence of perceived lack of control over the care of their loved ones, was assessed by the Family Satisfaction with Care in the Intensive Care Unit instrument. The relationship between these outcomes with demographic and clinical covariates was assessed. Stratification by patient survivorship was performed in sensitivity analysis.

resultsOf more than 1,500 respondents, 16.9% and 21.8% reported that the patient or the family member, respectively, received inadequate respect. No clinical characteristics of the patients were associated with inadequate respect for either the patient or the family member. By comparison, more than half of respondents reported a lack of control over their loved one's care; this finding was associated with multiple clinical factors. Prevalence and associated factors differed by patient survivorship status.

conclusionCare that is inadequately respectful to patients and families in the setting of critical illness is prevalent but does not appear to be associated with clinical characteristics. The incidence of such emotional harms is nuanced, difficult to predict, and deserves further investigation.

Indexed as

Intensive Care UnitsRespectTreatment FailureAdultAgedCohort StudiesCritical IllnessEmotionsFemaleHumansMaleMiddle AgedPatient SatisfactionProfessional-Patient RelationsProspective StudiesSurveys and Questionnaires

Identifiers

PMID30170754
PMCPMC6657523

What OpenQuestion holds

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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.