Evidence map›Paper›PMID 32265244›Full record

ArticleBMJ open2020

Persistence of patient and family experiences of critical illness.

Eliotte L Hirshberg, Jorie Butler, Morgan Francis, Francis A Davis, Doriena Lee, Fahina Tavake-Pasi, Edwin Napia, Jeanette Villalta, Valentine Mukundente, Heather Coulter and 5 more

Open access · goldAbstract read
In one paragraph

Article in BMJ open, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 1 pooled it
1.8field-weighted citation impact, top 16% 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

7 citing papers in PubMed, 1 synthesis or guideline pooled it, 20 citations in OpenAlex.

  1. Family Support Strategies During Intensive Care Unit: A Systematic Review.Inquiry : a journal of medical care organization, provision and financing
    Pooled it
  2. Article
  3. Review
  4. Article
  5. Article
  6. Article
  7. 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

15 authors at 3 institutions in 1 country.

Eliotte L HirshbergCenter for Humanizing Critical Care, Internountain Medical Center, Murray, Utah, USA ellie.hirshberg@imail.org.ORCID 0000-0002-3838-2679
Jorie ButlerCenter for Humanizing Critical Care, Internountain Medical Center, Murray, Utah, USA.
Morgan FrancisDepartment of Medicine, Division of Pulmonary and Critical Care, Intermountain Healthcare, Murray, Utah, USA.
Francis A DavisCommunity Faces of Utah, Salt Lake City, Utah, USA.
Doriena LeeCommunity Faces of Utah, Salt Lake City, Utah, USA.
Fahina Tavake-PasiCommunity Faces of Utah, Salt Lake City, Utah, USA.
Edwin NapiaCommunity Faces of Utah, Salt Lake City, Utah, USA.
Jeanette VillaltaCommunity Faces of Utah, Salt Lake City, Utah, USA.
Valentine MukundenteCommunity Faces of Utah, Salt Lake City, Utah, USA.
Heather CoulterCommunity Faces of Utah, Salt Lake City, Utah, USA.
Louisa StarkCommunity Faces of Utah, Salt Lake City, Utah, USA.
Sarah J BeesleyCenter for Humanizing Critical Care, Internountain Medical Center, Murray, Utah, USA.
James F OrmeCenter for Humanizing Critical Care, Internountain Medical Center, Murray, Utah, USA.
Samuel M BrownCenter for Humanizing Critical Care, Internountain Medical Center, Murray, Utah, USA.
Ramona O HopkinsCenter for Humanizing Critical Care, Internountain Medical Center, Murray, Utah, USA.
Intermountain Healthcare · USUniversity of Utah · USBrigham Young University · US

Funding

Utah Center for Clinical and Translational ScienceUL1TR002538 · NCATS · UNIVERSITY OF UTAH · PI HESS, RACHEL, MAJERSIK, JENNIFER JUHL · 2018 to 2022
$26.0M
NCATS NIH HHS UL1 TR002538
6 · The paper itself

Abstract

objectiveTo investigate: (1) patient and family experiences with healthcare and the intensive care unit (ICU); (2) experiences during their critical illness; (3) communication and decision making during critical illness; (4) feelings about the ICU experience; (5) impact of the critical illness on their lives; and (6) concerns about their future after the ICU.

designFour semistructured focus group interviews with former ICU patients and family members. SETTINGS: Multicultural community group and local hospitals containing medical/surgical ICUs.

participantsPatients and family who experienced a critical illness within the previous 10 years.

interventionsNone. MEASUREMENTS AND MAIN

resultsFour separate focus groups each lasting a maximum of 150 min and consisting of a total of 21 participants were held. Focus groups were conducted using a semistructured script including six topics relating to the experience of critical illness that facilitated deduction and the sorting of data by thematic analysis into five predominant themes. The five main themes that emerged from the data were: (1) personalised stories of the critical illness; (2) communication and shared decision making, (3) adjustment to life after critical illness, (4) trust towards clinical team and relevance of cultural beliefs and (5) end-of-life decision making. Across themes, we observed a misalignment between the medical system and patient and family values and priorities.

conclusionsThe experience of critical illness of a diverse group of patients and families can remain vivid for years after ICU discharge. The identified themes reflect the strength of memory of such pivotal experiences and the importance of a narrative around those experiences. Clinicians need to be aware of the lasting effects of critical illness has on patients and families.

Indexed as

Critical CareCritical IllnessFamilyHumansIntensive Care UnitsQualitative Researchadult intensive & critical carequalitative researchquality in health care

Identifiers

PMID32265244
PMCPMC7245383
OpenAlexW3014633797

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.