Dataset Information

Family Participation in Cardiovascular Intensive Care Unit Rounds: A Pilot Randomized Controlled Trial.

ABSTRACT:

Background

Observational studies have shown an association between family participation in intensive care unit (ICU) rounds and better family-centred outcomes. However, evidence from randomized studies on the impact of family participation in ICU rounds is lacking. The objective of this pilot study was to evaluate the feasibility of a randomized trial for family participation in ICU rounds and obtain preliminary estimates of effect to inform a future effectiveness trial.

Methods

Family members of patients in the cardiovascular ICU at an academic tertiary-care hospital were randomized to the intervention (participation in rounds) or usual-care group. Following ICU discharge, family member participants completed the family satisfaction (Family Satisfaction in the Intensive Care Unit Survey [FS-ICU]). Feasibility metrics were recruitment (≥ 10 participants per month), uptake (≥ 80%), and follow-up (≥ 80%). Effectiveness was measured by between-group differences in survey score at follow-up.

Results

A total of 27 participants were recruited over 8 weeks. A total of 44% of family members (27 of 61) who were approached agreed to participate. Nonparticipation was due most commonly to lack of interest (N = 20; 64%). All family members randomized to the intervention (N = 16) were present for rounds (100% uptake). Follow-up data were available for 23 participants (85%). Family members who participated in rounds had a higher level of satisfaction with care, compared to the usual-care group (87.3 vs 74.7, P = 0.03, respectively).

Conclusions

Family participation in cardiovascular ICU rounds is feasible and effective at improving family satisfaction. Our findings will inform the design of a planned, larger, multicentre study to evaluate the effectiveness of family participation in ICU rounds to improve family-centred outcomes. Trial registration number: NCT05528185.

SUBMITTER: Debay V

PROVIDER: S-EPMC10502430 | biostudies-literature | 2023 Aug

REPOSITORIES: biostudies-literature

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Publications

Family Participation in Cardiovascular Intensive Care Unit Rounds: A Pilot Randomized Controlled Trial.

Debay Vanessa V Hallot Sophie S Calderone Alexander A Goldfarb Michael M

CJC open 20230516 8

<h4>Background</h4>Observational studies have shown an association between family participation in intensive care unit (ICU) rounds and better family-centred outcomes. However, evidence from randomized studies on the impact of family participation in ICU rounds is lacking. The objective of this pilot study was to evaluate the feasibility of a randomized trial for family participation in ICU rounds and obtain preliminary estimates of effect to inform a future effectiveness trial.<h4>Methods</h4>F ...[more]

PMID: 37720185

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Dataset Information

Family Participation in Cardiovascular Intensive Care Unit Rounds: A Pilot Randomized Controlled Trial.

Background

Methods

Results

Conclusions

Publications

Family Participation in Cardiovascular Intensive Care Unit Rounds: A Pilot Randomized Controlled Trial.

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