Evidence map›Paper›PMID 34765982›Full record

ArticleCritical care explorations2021

The Effect of Chaplain Patient Navigators and Multidisciplinary Family Meetings on Patient Outcomes in the ICU: The Critical Care Collaboration and Communication Project.

Fahid Alghanim, Muhammad Furqan, Laura Prichett, Jondavid Landon, Xueting Tao, Pooja Selvam, Myles Leslie, Katherine Hartman-Shea, Paula Teague, Wayman Scott and 6 more

Open access · goldAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Critical care explorations, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 1 pooled it
2.0field-weighted citation impact, top 14% 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

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

  1. Guideline
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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

16 authors at 8 institutions in 2 countries.

Fahid AlghanimDepartment of Medicine, University of Maryland School of Medicine, Baltimore, MD.
Muhammad FurqanDepartment of Cardiovascular Medicine, Heart and Vascular Institute, Cleveland Clinic, Cleveland, OH.
Laura PrichettBiostatistics, Epidemiology, and Data Management (BEAD) Core, Johns Hopkins University, Baltimore, MD.
Jondavid LandonDepartment of Emergency Medicine, Eastern Virginia Medical School, Norfolk, VA.
Xueting TaoBiostatistics, Epidemiology, and Data Management (BEAD) Core, Johns Hopkins University, Baltimore, MD.
Pooja SelvamUniversity of Central Florida College of Medicine, Orlando, FL.
Myles LeslieCumming School of Medicine, University of Calgary, Calgary, AB, Canada.
Katherine Hartman-SheaDepartment of Social Work, Johns Hopkins Bayview Medical Center, Baltimore, MD.
Paula TeagueDepartment of Spiritual Care and Chaplaincy, Johns Hopkins Bayview Medical Center, Baltimore, MD.
Wayman ScottCounseling and Support Services, Gilchrist Hospice, Greater Baltimore Medical Center, Towson, MD.
Susan KraeuterDepartment of Nursing, Johns Hopkins Bayview Medical Center, Baltimore, MD.
Heather HicksDepartment of Nursing, Johns Hopkins Bayview Medical Center, Baltimore, MD.
Sneha JainDepartment of Medicine, NewYork-Presbyterian/Columbia University Irving Medical Center, New York, NY.
Sarah YorkJohns Hopkins University School of Nursing, Baltimore, MD.
Renee BlandingDepartment of Anesthesia and Critical Care Medicine, Johns Hopkins University School of Medicine, Baltimore, MD.
Sammy ZakariaDepartment of Medicine, Johns Hopkins University School of Medicine, Baltimore, MD.
University of Maryland, Baltimore · USCleveland Clinic · USJohns Hopkins University · USColumbia University Irving Medical Center · USEastern Virginia Medical School · USJohns Hopkins Medicine · USUniversity of Calgary · CAUniversity of Central Florida · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesTo assess the effectiveness of a chaplain patient navigator in improving outcomes and reducing costs in the ICU setting.

designA randomized controlled trial at a large, urban, academic community hospital in Baltimore, Maryland. SETTING/PATIENTS: All patients admitted to the Johns Hopkins Bayview Medical Center Cardiac and Medical ICUs between March 2015 and December 2015.

interventionsPatients in the intervention group were assigned a chaplain patient navigator to facilitate communication, offer support, and setup multidisciplinary family meetings. MEASUREMENTS AND MAIN

resultsThe primary outcomes were hospital and ICU length of stay. Secondary outcomes included total and ICU charges, 60- and 90-day readmission rates, and the number of palliative care consults. For all outcomes, patients were included in the intention-to-treat analyses only if they remained in the ICU greater than 24 hours. In total, 1,174 were randomly assigned to "usual care" (

conclusionsAlthough the chaplain patient navigator anecdotally enhanced communication, our study found an increase in hospital and ICU length of stay as well as cost. Since other studies have shown benefits in some clinical outcomes, projects focused on patient navigators may learn lessons from our study in order to better prioritize family meetings, gather indicators of communication quality, and identify the optimal patient navigator operational context.

Indexed as

chaplaincycritical carefamily meetingsintensive care unitmultidisciplinary meetingspatient navigator

Identifiers

PMID34765982
PMCPMC8577665
OpenAlexW3213409949

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.