Shared Decision-Making Communication and Prognostic Misunderstanding in the ICU.

ABSTRACT:

Importance

Surrogate misunderstanding of patient survival prognosis in the intensive care unit (ICU) is associated with poor patient and surrogate outcomes. Shared decision-making (SDM) may reduce misunderstanding.

Objective

To evaluate the association between SDM-aligned communication and prognostic misunderstanding.

Design, setting, and participants

This retrospective cohort study was conducted at 13 medical and surgical ICUs at 5 hospitals in North Carolina, Pennsylvania, and Washington between December 2012 and January 2017. Participants were surrogates of adult patients receiving prolonged mechanical ventilation and ICU physicians. Analysis was performed May to November 2023.

Exposure

SDM-aligned communication during ICU family meetings, defined as the pre

SUBMITTER: Vick JB 

PROVIDER: S-EPMC11581528 | biostudies-literature | 2024 Oct

REPOSITORIES: biostudies-literature