Effects of a Personalized Web-Based Decision Aid for Surrogate Decision Makers of Patients With Prolonged Mechanical Ventilation: A Randomized Clinical Trial.

ABSTRACT:

Background

Treatment decisions commonly have to be made in intensive care units (ICUs). These decisions are difficult for surrogate decision makers and often lead to decisional conflict, psychological distress, and treatments misaligned with patient preferences.

Objective

To determine whether a decision aid about prolonged mechanical ventilation improved prognostic concordance between surrogate decision makers and clinicians compared with a usual care control.

Design

Multicenter, parallel, randomized, clinical trial. (ClinicalTrials.gov: NCT01751061).

Setting

13 medical and surgical ICUs at 5 hospitals.

Participants

Adult patients receiving prolonged mechanical ventilation and their surrogates, ICU physicians, and ICU nurses.

Intervention

A Web-ba

SUBMITTER: Cox CE 

PROVIDER: S-EPMC7363113 | biostudies-literature | 2019 Mar

REPOSITORIES: biostudies-literature