ICU sedation, delirium & recovery
Discussing expected long-term quality of life in the ICU: effect on experiences and outcomes of patients, family, and clinicians—a randomized clinical trial
Authors' conclusion
Incorporating personalized predictions of long-term QoL in family meetings had no measurable effect on patients' and family members' experiences. However, a positive effect on family members' symptoms of depression and ICU professionals' experienced collaboration was observed.
Study context
- Population
- Adult ICU patients and their family members, and ICU clinicians
- Participants
- 160 patients
- Comparison
- Discussing expected long-term quality of life (QoL) at an ICU family meeting vs usual care
- Interventionn = 81
- Usual caren = 79reference
- Primary endpoint
- Patient and family experience with shared decision-making (CollaboRATE, range 0-100)
- Follow-up
- < 3 days after the family meeting
Methodological detailstwo Dutch hospitals
- Two Dutch hospitals
Primary result
As reported in the abstract
Intervention
89
median · IQR 85–100
Usual care
93
median · IQR 85–100
P = 0.6
Secondary outcomes
Mean
| Outcome | Intervention | Usual care | P value |
|---|---|---|---|
| Increase in family members' depression symptoms · 1 year post-ICULarger increase in the usual care group | 0.2 (SD 3.9) | 2.3 (SD 4.2) | P = 0.04 |
Patient outcomes
- The outcomes of patients did not differ
ICU professionals' CSACD score · post-intervention
- Improvement in CSACD score post-intervention: median 40 [IQR 34-45] vs 37 [IQR 32-43]
- P = 0.01
ICU professionals' EDMCQ
- No significant change in EDMCQ
Original publication
Discussing expected long-term quality of life in the ICU: effect on experiences and outcomes of patients, family, and clinicians—a randomized clinical trial. Intensive Care Med. Published 24 February 2025. doi:10.
Composed by AI from the published abstract and checked against it. How Briefs are made →