Evidence map›Paper›PMID 39209498›Full record

ArticleBMJ open2024

Best Case/Worst Case-ICU: protocol for a multisite, stepped-wedge, randomised clinical trial of scenario planning to improve communication in the ICU in US trauma centres for older adults with serious injury.

Lily Stalter, Bret M Hanlon, Kyle J Bushaw, Kristine L Kwekkeboom, Amy Zelenski, Melanie Fritz, Anne Buffington, Deborah M Stein, Christine S Cocanour, Anamaria J Robles and 10 more

Registry-linked trialAbstract readClinical Trial Protocol
PubMed Full text at PMC Publisher
In one paragraph

Article in BMJ open, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05780918 (A Randomized Clinical Trial of Scenario Planning for Older Adults With Serious Injury), which is not on this map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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.

NCT05780918 naactive not recruitingnot on this map

A Randomized Clinical Trial of Scenario Planning for Older Adults With Serious Injury

TypeinterventionalSponsorUniversity of Wisconsin, MadisonRan2023 to 2026Enrolled7,600ConditionsSerious Injury, CommunicationArmsBest Case/Worst Case-ICU Communication Tool
3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Sample size requirements and intra-cluster correlations for stepped wedge cluster randomised trials in intensive care medicine: A practical guide.Critical care and resuscitation : journal of the Australasian Academy of Critical Care Medicine · 2026
    Article
  2. 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

20 authors.

Lily StalterDepartment of Surgery, University of Wisconsin-Madison, Madison, Wisconsin, USA.ORCID 0000-0002-9226-1667
Bret M HanlonDepartment of Surgery, University of Wisconsin-Madison, Madison, Wisconsin, USA.ORCID 0000-0002-4517-1204
Kyle J BushawDepartment of Surgery, University of Wisconsin-Madison, Madison, Wisconsin, USA.
Kristine L KwekkeboomSchool of Nursing, University of Wisconsin-Madison, Madison, Wisconsin, USA.
Amy ZelenskiDepartment of Medicine, University of Wisconsin-Madison, Madison, Wisconsin, USA.ORCID 0000-0002-2096-8567
Melanie FritzDepartment of Surgery, University of Wisconsin-Madison, Madison, Wisconsin, USA.
Anne BuffingtonDepartment of Surgery, University of Wisconsin-Madison, Madison, Wisconsin, USA.
Deborah M SteinShock Trauma Center, University of Maryland School of Medicine, Baltimore, Maryland, USA.ORCID 0000-0003-3683-3963
Christine S CocanourDepartment of Surgery, University of California Davis, Davis, California, USA.
Anamaria J RoblesDepartment of Surgery, University of California Davis, Davis, California, USA.
Jan JansenDepartment of Surgery, University of Alabama at Birmingham, Birmingham, Alabama, USA.
Karen BraselSchool of Medicine, Oregon Health and Science University, Portland, Oregon, USA.
Kathleen M O'ConnellDepartment of Medicine, University of Washington, Seattle, Washington, USA.
Mark D CipolleDivision of Trauma-Surgical Critical Care, Lehigh Valley Health Network, Allentown, Pennsylvania, USA.
Patricia Ayoung-CheeDepartment of Surgery, Morehouse School of Medicine, Morehouse School of Medicine, Atlanta, Georgia, USA.
Rachel MorrisDepartment of Surgery, Division of Trauma and Acute Care Surgery, Medical College of Wisconsin, Milwaukee, Wisconsin, USA.
Rondi B GelbardDepartment of Surgery, University of Alabama at Birmingham, Birmingham, Alabama, USA.
Rosemary A KozarShock Trauma Center, University of Maryland School of Medicine, Baltimore, Maryland, USA.
Stephanie LueckelDivision of Acute Care Surgery and Surgical Critical Care, Brown University, Providence, Rhode Island, USA.
Margaret SchwarzeDepartment of Surgery, University of Wisconsin-Madison, Madison, Wisconsin, USA schwarze@surgery.wisc.edu.ORCID 0000-0001-7063-906X

Funding

A Randomized Clinical Trial of Scenario Planning for Older Adults with Serious InjuryR01AG078242 · NIA · UNIVERSITY OF WISCONSIN-MADISON · PI Margaret Schwarze · 2022 to 2026
$3.6M
NIA NIH HHS R01 AG078242
6 · The paper itself

Abstract

introductionPoor communication about serious injury in older adults can lead to treatment that is inconsistent with patient preferences, create conflict and strain healthcare resources. We developed a communication intervention called Best Case/Worst Case-intensive care unit (ICU) that uses daily scenario planning, that is, a narrative description of plausible futures, to support prognostication and facilitate dialogue among patients, their families and the trauma ICU team. This article describes a protocol for a multisite, randomised, stepped-wedge study to test the effectiveness of the intervention on the quality of communication (QOC) in the ICU. METHODS AND ANALYSIS: We will follow all patients aged 50 and older admitted to the trauma ICU for 3 or more days after a serious injury at eight high-volume level 1 trauma centres. We aim to survey one family or 'like family' member per eligible patient 5-7 days following their loved ones' admission and clinicians providing care in the trauma ICU. Using a stepped-wedge design, we will use permuted block randomisation to assign the timing for each site to begin implementation of the intervention and routine use of the Best Case/Worst Case-ICU tool. We will use a linear mixed-effects model to test the effect of the tool on family-reported QOC (using the QOC scale) as compared with usual care. Secondary outcomes include the effect of the tool on reducing clinician moral distress (using the Measure of Moral Distress for Healthcare Professionals scale) and patients' length of stay in the ICU. ETHICS AND DISSEMINATION: Institutional review board (IRB) approval was granted at the University of Wisconsin, and all study sites ceded review to the primary IRB. We plan to report results in peer-reviewed publications and national meetings. TRIAL REGISTRATION NUMBER: NCT05780918.

Indexed as

CommunicationIntensive Care UnitsTrauma CentersAgedFamilyFemaleHumansMaleMiddle AgedMulticenter Studies as TopicRandomized Controlled Trials as TopicUnited StatesWounds and Injuriesadult intensive & critical careclinical trialmedical ethicspalliative caretrauma management

Identifiers

PMID39209498
PMCPMC11367315

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.