Association of Surrogate Decision-making Interventions for Critically Ill Adults With Patient, Family, and Resource Use Outcomes | Zendy

Lior Bibas | Zendy; Maude Peretz-Larochelle | Zendy; Neill K. J. Adhikari | Zendy; Michael Goldfarb | Zendy; Adriana Luk | Zendy; Marina Englesakis | Zendy; Michael E. Detsky | Zendy; Patrick R. Lawler | Zendy

Open Access

Association of Surrogate Decision-making Interventions for Critically Ill Adults With Patient, Family, and Resource Use Outcomes

Author(s) -

Lior Bibas,

Maude Peretz-Larochelle,

Neill K. J. Adhikari,

Michael Goldfarb,

Adriana Luk,

Marina Englesakis,

Michael E. Detsky,

Patrick R. Lawler

Publication year - 2019

Publication title -

jama network open

Language(s) - English

Resource type - Journals

SCImago Journal Rank - 3.278

H-Index - 39

ISSN - 2574-3805

DOI - 10.1001/jamanetworkopen.2019.7229

Subject(s) - psychological intervention , medicine , randomized controlled trial , medline , intensive care unit , anxiety , intensive care medicine , psychiatry , surgery , political science , law

Key Points Question Are intensive care unit-based interventions aimed at surrogate decision-makers associated with differences in patient-centered outcomes and improved surrogate decision-maker–centered outcomes? Findings In this systematic review and meta-analysis of 13 randomized clinical trials including 10 453 patients, diverse interventions were associated with a 2-day reduction in intensive care unit length of stay only among patients who died, without an association with overall mortality. Associations between these interventions and surrogate decision-maker–related outcomes were inconsistent. Meaning Intensive care unit-based interventions aimed at improving surrogate decision-making may lead to shorter intensive care unit stays in dying critically ill patients.

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