Evidence map›Paper›PMID 35265851›Full record

ArticleCritical care explorations2022

The Experiences and Needs of Families of Comatose Patients After Cardiac Arrest and Severe Neurotrauma: The Perspectives of National Key Stakeholders During a National Institutes of Health-Funded Workshop.

Susanne Muehlschlegel, Sarah M Perman, Jonathan Elmer, Adrianne Haggins, Natalie D Teixeira Bailey, Jennifer Huang, Liz Jansky, Jessica Kirchner, Renee Kasperek-Wynn, Paula Darby Lipman and 4 more

2 registry-linked trialsAbstract read
In one paragraph

Article in Critical care explorations, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 16 papers.

0numbers the graph read from it
0cells of the map it votes in
16citing 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.

NCT05671874 nacompletednot on this mapstarted 2023, after this paper: background citation

Pilot Trial of a Web/Mobile/Tablet-based Communication and Goals-of-Care Decision Aid for Clinicians and Families of Severe Acute Brain Injury Patients

TypeinterventionalSponsorUniversity of Massachusetts, WorcesterRan2023 to 2026Enrolled50ConditionsHemorrhagic Stroke, Intracerebral, Acute Ischemic Stroke, Traumatic Brain InjuryArmsWeb/mobile/tablet-based digital decision aid + communication (DA+C) tool
NCT06048068 nacompletednot on this mapstarted 2023, after this paper: background citation

Removing Surrogates' Uncertainty to Reduce Fear and Anxiety After Cardiac Events (RESURFACE): A Randomized Pilot Intervention Study

TypeinterventionalSponsorColumbia UniversityRan2023 to 2024Enrolled53ConditionsCardiac ArrestArmsEducational Informational Platform
3 · Its place in the literature

Who cites it

16 citing papers in PubMed.

  1. Article
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  10. Development of web- and mobile-based shared decision-making tools in the neurological intensive care unit.Neurotherapeutics : the journal of the American Society for Experimental NeuroTherapeutics · 2025
    Review
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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

14 authors.

Susanne MuehlschlegelDepartments of Neurology, Anesthesiology/Critical Care & Surgery, University of Massachusetts Chan Medical School, Worcester, MA.
Sarah M PermanDepartment of Emergency Medicine, University of Colorado, Denver, CO.
Jonathan ElmerDepartment of Emergency Medicine, Critical Care Medicine & Neurology, University of Pittsburgh, Pittsburgh, PA.
Adrianne HagginsDepartment of Emergency Medicine, University of Michigan Medical School, Ann Arbor, MI.
Natalie D Teixeira BaileyWestat, Rockville, MD.
Jennifer HuangWestat, Rockville, MD.
Liz JanskyWestat, Rockville, MD.
Jessica KirchnerWestat, Rockville, MD.
Renee Kasperek-WynnDepartment of Emergency Medicine, University of Michigan Medical School, Ann Arbor, MI.
Paula Darby LipmanWestat, Rockville, MD.
Sharon D YeattsDepartment of Public Health Sciences, Medical University of South Carolina, Charleston, SC.
Michael D FettersMixed Methods Program and Department of Family Medicine, University of Michigan Medical School, Ann Arbor, MI.
Neal W DickertDepartment of Medicine (Div. Cardiology), Emory School of Medicine, Atlanta, GA.
Robert SilbergleitDepartment of Emergency Medicine, University of Michigan Medical School, Ann Arbor, MI.

Funding

Strategies to Innovate EmeRgENcy Care Clinical Trials Network (SIREN) - Clinical Coordinating Center (CCC)U24NS100659 · NINDS · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI WILLIAM G BARSAN, Clifton W. Callaway · 2017 to 2026
$6.4M
Strategies to Innovate EmeRgENcy Care Clinical Trials Network (SIREN) - Data Coordinating CenterU24NS100655 · NINDS · MEDICAL UNIVERSITY OF SOUTH CAROLINA · PI VALERIE L DURKALSKI, Sharon Dziuba Yeatts · 2017 to 2026
$4.4M
Quantitative electroencephalography after cardiac arrestK23NS097629 · NINDS · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI ELMER, JONATHAN · 2017 to 2021
$945k
Improving Care After Cardiac Arrest by Informing Surrogate Decision Makers - ExtensionK23HL138164 · NHLBI · UNIVERSITY OF COLORADO DENVER · PI PERMAN, SARAH M · 2017 to 2021
$804k
NHLBI NIH HHS K23 HL138164NINDS NIH HHS K23 NS097629NINDS NIH HHS U24 NS100655NINDS NIH HHS U24 NS100659
6 · The paper itself

Abstract

objectivesSevere acute brain injury (SABI) from cardiac arrest and traumatic brain injury happens suddenly and unexpectedly, carrying high potential for lifelong disability with substantial prognostic uncertainty. Comprehensive assessments of family experiences and support needs after SABI are lacking. Our objective is to elicit "on-the-ground" perspectives about the experiences and needs of families of patients with SABI.

designTwo-phase qualitative study of families and multidisciplinary U.S. healthcare professionals (mHCPs) with expertise in SABI: Phase 1 included semistructured interviews to generate formative findings; phase 2 entailed facilitated discussions to confirm and expand initial findings.

settingPhase 1: academic medical center; phase 2: virtual workshop. SUBJECTS: Phase 1 included seven family members and 12 mHCPs. Phase 2 included nationally recruited stakeholders (17 family members and 12 mHCPs).

interventionNone. MEASUREMENTS AND

resultsWe explored: 1) what are families' needs in the first 48 hours? 2) How are these needs addressed? and 3) How can hospitals better meet these needs? Qualitative analysis included inductive and deductive approaches guided by a conceptual ecological model. Four major needs were identified: 1) challenges in coping with uncertainty in early prognostication, 2) inattention to physical needs of family, 3) deficits in compassionate and consistent communication, and 4) need for engagement with families as stakeholders in improving future practices. Participants' recommendations included: 1) ways to communicate more clearly and consistently, 2) better assistance with navigating resources and access to places for families to care for themselves, and 3) opportunities for families to remain connected with their loved ones, social support networks, and the clinical team.

conclusionsStakeholders identified novel insights regarding families' experiences during the hospitalization of comatose SABI patients and factors that can contribute to improved decision-making and physical/emotional outcomes. Interventions to address these unmet needs are promising targets to improve outcomes.

Indexed as

cardiac arrestemergency medicinefamily experienceneurocritical carephysician-family communicationqualitative researchtraumatic brain injury

Identifiers

PMID35265851
PMCPMC8901216

What OpenQuestion holds

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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.