ICU sedation, delirium & recovery
Poor Concordance Between Intensive Care Unit Patients’ and Family Members’ Patient Dignity Inventory Scores Despite Communication of Dignity-Related Distress
Authors' conclusion
Although ICU patients often report sharing sources of distress with their loved ones, family members cannot accurately or reliably assess the extent to which patients experience psychosocial, existential, and symptom-related distress during critical illness.
Study context
- Population
- Adult intensive care unit (ICU) patients (LOS >48 hours, awake and alert, intact cognition, no delirium) and their family members33 dyads
- Outcome
- Patient-family concordance for dignity-related distress (Patient Dignity Inventory)
Methodological detailstwo single-centre studies, May to June 2022
- Two single-centre studies
- May to June 2022
Main finding
As reported in the abstract
Concordance between patient and family Patient Dignity Inventory scores (Study #1)
Concordance correlation coefficient (99% CI −0.21 to 0.55); less than test-retest reliability (r = .85)
0.20
Observational data: associations, not effects.
Further findings
Severe distress (average Patient Dignity Inventory item score ≥1.92) (Study #2)
- Patients with severe distress, of 19
- 12
Distressing items shared with family (Study #2)
- Median items shared (99% 2-sided exact Hodges-Lehmann interval 4.0-17.5)
- 12
Original publication
Poor Concordance Between Intensive Care Unit Patients’ and Family Members’ Patient Dignity Inventory Scores Despite Communication of Dignity-Related Distress. Anesth Analg. Published 15 July 2024. doi:10.
Composed by AI from the published abstract and checked against it. How Briefs are made →