Randomized Trial of Communication Facilitators to Reduce Family Distress and Intensity of End-of-Life Care.

ABSTRACT:

Rationale

Communication with family of critically ill patients is often poor and associated with family distress.

Objectives

To determine if an intensive care unit (ICU) communication facilitator reduces family distress and intensity of end-of-life care.

Methods

We conducted a randomized trial at two hospitals. Eligible patients had a predicted mortality greater than or equal to 30% and a surrogate decision maker. Facilitators supported communication between clinicians and families, adapted communication to family needs, and mediated conflict.

Measurements and main results

Outcomes included depression, anxiety, and post-traumatic stress disorder (PTSD) among family 3 and 6 months after ICU and resource use. We identified 488 eligible patients and randomized 168

SUBMITTER: Curtis JR 

PROVIDER: S-EPMC4731711 | biostudies-literature | 2016 Jan

REPOSITORIES: biostudies-literature