Evidence map›Paper›PMID 34507866›Full record

Trial reportPatient education and counseling2022

Challenges faced by families of critically ill patients during the first wave of the COVID-19 pandemic.

Jared A Greenberg, Santosh Basapur, Thomas V Quinn, Jeffrey L Bulger, Nathaniel H Schwartz, Soo Kyung Oh, Raj C Shah, Crystal M Glover

Registry-linked trialAbstract readClinical Trial
In one paragraph

Trial report in Patient education and counseling, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03969810 (Rounding Summaries for Families of Critically Ill Patients), which is not on this map. Cited by 13 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 1 pooled it
–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.

NCT03969810 nacompletednot on this map

Rounding Summaries for Families of Critically Ill Patients

TypeinterventionalSponsorRush University Medical CenterRan2019 to 2021Enrolled252ConditionsAcute Respiratory Failure, Intensive Care Unit Syndrome, CommunicationArmsRounding Summary
3 · Its place in the literature

Who cites it

13 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Trial
  3. Article
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  9. Article
  10. Family Meetings in Palliative Care: Benefits and Barriers.Current treatment options in oncology · 2022
    Review
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  13. 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

8 authors.

Jared A GreenbergDivision of Pulmonary and Critical Care Medicine, Department of Internal Medicine, Rush University Medical Center, 1725 W. Harrison St., Suite 010, Chicago, IL, USA. Electronic address: Jared_greenberg@rush.edu.
Santosh BasapurOffice of Design, Academic Support Services, Rush University Medical Center, Chicago, IL, USA.
Thomas V QuinnDivision of Pulmonary and Critical Care Medicine, Department of Internal Medicine, Rush University Medical Center, 1725 W. Harrison St., Suite 010, Chicago, IL, USA.
Jeffrey L BulgerDepartment of Internal Medicine, Rush University Medical Center, Chicago, IL, USA.
Nathaniel H SchwartzRush Medical College, Chicago, IL, USA.
Soo Kyung OhRush Medical College, Chicago, IL, USA.
Raj C ShahRush Alzheimer's Disease Center, Rush University Medical Center, Chicago, IL, USA; Department of Family Medicine, Rush University Medical Center, Chicago, IL, USA.
Crystal M GloverRush Alzheimer's Disease Center, Rush University Medical Center, Chicago, IL, USA; Department of Psychiatry and Behavioral Sciences, Rush Medical College, Chicago, IL, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo understand how surrogates of critically ill patients adjusted to challenges that resulted from the COVID-19 pandemic.

methodsParticipants (N = 62) were surrogates of critically ill adults with COVID-19 in the ICU at an urban, academic medical center from March to June 2020. Participants were recruited using convenience sampling and took part in one-time qualitative individual interviews via telephone. Qualitative data were analyzed using thematic content analysis.

resultsQualitative analyses yielded four types of challenges: Communication with the medical team, communication among family members, understanding and tracking medical information, and distress related to visitor restrictions. To adjust to challenges related to communication, participants developed routines for receiving updates from the medical team and providing updates to other family members. To adjust to the challenge related to comprehension, participants sought information from external sources such as family members in healthcare fields. To adjust to the challenge related to visitation, participants found some comfort in video calls with the patient.

conclusionsSurrogates of critically ill patients with COVID-19 faced multiple types of challenges yet adjusted to those challenges. PRACTICAL IMPLICATIONS: Future research should focus on ways to support the wellbeing of surrogates during times of restricted hospital visitation. Clinical trial registered at ClinicalTrials.gov (NCT03969810).

Indexed as

COVID-19AdultCritical IllnessFamilyHumansIntensive Care UnitsPandemicsSARS-CoV-2COVID-19Family engagementHuman centered designShared decision making

Identifiers

PMID34507866
PMCPMC8393512

What OpenQuestion holds

Textmetadata
Read underepoch 390

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.