ICU sedation, delirium & recovery

Surrogates may not accurately estimate resilience and spirituality in neurologically critically ill patients

J Crit CarePublished Cross-sectional study

Authors' conclusion

Surrogate evaluations lack systematic bias, but may not estimate resilience and spirituality reliably for neurologically critically ill patients.

Study context

Population
English/Spanish speaking neurologically critically ill patients and their surrogates in the Neurosciences ICU, March 2016 to 2018
Participants
51 dyads
Exposure
Surrogate vs patient ratings of resilience and spirituality
Outcome
Agreement between patient and surrogate scores for resilience (CD-RISC-10), spiritual wellbeing (positive Brief R-COPE) and spiritual turmoil (negative Brief R-COPE)
Methodological detailsconvenience sample, patient-surrogate dyads
  • Convenience sample
  • Patient-surrogate dyads

Main finding

As reported in the abstract

Agreement between patient and surrogate scores (resilience CD-RISC-10; spiritual wellbeing positive Brief R-COPE; spiritual turmoil negative Brief R-COPE)
No correlation
Spearman correlation, CD-RISC-10 0.17; P = 0.238
Moderate, positive correlation
Spearman correlation, positive Brief R-COPE 0.47; P < 0.001
Moderate, positive correlation
Spearman correlation, negative Brief R-COPE 0.33; P = 0.021
Agreement between patient and surrogate scores (resilience CD-RISC-10; spiritual wellbeing positive Brief R-COPE; spiritual turmoil negative Brief R-COPE)
mean difference, CD-RISC-10 −1.0 point
Agreement between patient and surrogate scores (resilience CD-RISC-10; spiritual wellbeing positive Brief R-COPE; spiritual turmoil negative Brief R-COPE)
mean difference, positive R-COPE - 0.14 point
Agreement between patient and surrogate scores (resilience CD-RISC-10; spiritual wellbeing positive Brief R-COPE; spiritual turmoil negative Brief R-COPE)
mean difference, negative R-COPE 0.02 point

Observational data: associations, not effects.

Original publication

Surrogates may not accurately estimate resilience and spirituality in neurologically critically ill patients. J Crit Care. Published 10 December 2024. doi:10.1016/j.jcrc.2024.154975

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

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