ICU sedation, delirium & recovery

Patient-important upper gastrointestinal bleeding in the intensive care unit (ICU): A mixed-methods study of patient and family perspectives

J Crit CarePublished Mixed-methods qualitative study

Authors' conclusion

Survivors of critical illness and family members described patient-important upper gastrointestinal bleeding differently than current definitions of clinically-important upper gastrointestinal bleeding.

Study context

Population
ICU survivors and family members of ICU patients, Canada and the USsurvivors and family members
Participants
51 survivors
Outcome
Definition of patient-important upper gastrointestinal bleeding during critical illness
Methodological detailssequential, qualitative-dominant, multicentre, instrument-building, semi-structured interviews and focus groups, inductive content analysis
  • Sequential
  • Qualitative-dominant
  • Multicentre
  • Instrument-building
  • Semi-structured interviews and focus groups
  • Inductive content analysis

Main finding

As reported in the abstract

  • GI bleeding considered important if it resulted in death, disability or prolonged hospitalisation
  • Also signalling patient-important bleeding: blood transfusion, vasopressors, endoscopy, CT-angiography or surgery
  • Concern about an intervention depended on its effectiveness, side-effects, invasiveness and accessibility; contextual influences: familiarity and knowledge of interventions, trust in the clinical team

Original publication

Patient-important upper gastrointestinal bleeding in the ICU: A mixed-methods study of patient and family perspectives. J Crit Care. Published 5 March 2024. doi:10.1016/j.jcrc.2024.154761

Composed by AI from the published abstract and checked against it. How Briefs are made →

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