| Title |
Prospective study of a proactive palliative care rounding intervention in a medical ICU
|
|---|---|
| Published in |
Intensive Care Medicine, November 2015
|
| DOI | 10.1007/s00134-015-4098-1 |
| Pubmed ID | |
| Authors |
Nicholas Braus, Toby C. Campbell, Kristine L. Kwekkeboom, Susan Ferguson, Carrie Harvey, Anna E. Krupp, Tara Lohmeier, Michael D. Repplinger, Ryan P. Westergaard, Elizabeth A. Jacobs, Kate Ford Roberts, William J. Ehlenbach |
| Abstract |
To evaluate the effects of a palliative care intervention on clinical and family outcomes, and palliative care processes. Prospective, before-and-after interventional study enrolling patients with high risk of mortality, morbidity, or unmet palliative care needs in a 24-bed academic intensive care unit (ICU). The intervention involved a palliative care clinician interacting with the ICU physicians on daily rounds for high-risk patients. One hundred patients were enrolled in the usual care phase, and 103 patients were enrolled during the intervention phase. The adjusted likelihood of a family meeting in ICU was 63 % higher (RR 1.63, 95 % CI 1.14-2.07, p = 0.01), and time to family meeting was 41 % shorter (95 % CI 52-28 % shorter, p < 0.001). Adjusted ICU length of stay (LOS) was not significantly different between the two groups (6 % shorter, 95 % CI 16 % shorter to 4 % longer, p = 0.22). Among those who died in the hospital, ICU LOS was 19 % shorter in the intervention (95 % CI 33-1% shorter, p = 0.043). Adjusted hospital LOS was 26 % shorter (95 % CI 31-20 % shorter, p < 0.001) with the intervention. Post-traumatic stress disorder (PTSD) symptoms were present in 9.1 % of family respondents during the intervention versus 20.7 % prior to the intervention (p = 0.09). Mortality, family depressive symptoms, family satisfaction and quality of death and dying did not significantly differ between groups. Proactive palliative care involvement on ICU rounds for high-risk patients was associated with more and earlier ICU family meetings and shorter hospital LOS. We did not identify differences in family satisfaction, family psychological symptoms, or family-rated quality of dying, but had limited power to detect such differences. |
X Demographics
The data shown below were collected from the profiles of 17 X users who shared this research output. Click here to find out more about how the information was compiled.
Geographical breakdown
| Country | Count | As % |
|---|---|---|
| United States | 6 | 35% |
| Georgia | 1 | 6% |
| Malaysia | 1 | 6% |
| New Zealand | 1 | 6% |
| Unknown | 8 | 47% |
Demographic breakdown
| Type | Count | As % |
|---|---|---|
| Members of the public | 9 | 53% |
| Practitioners (doctors, other healthcare professionals) | 5 | 29% |
| Scientists | 2 | 12% |
| Science communicators (journalists, bloggers, editors) | 1 | 6% |
Mendeley readers
The data shown below were compiled from readership statistics for 200 Mendeley readers of this research output. Click here to see the associated Mendeley record.
Geographical breakdown
| Country | Count | As % |
|---|---|---|
| United States | 1 | <1% |
| Unknown | 199 | 100% |
Demographic breakdown
| Readers by professional status | Count | As % |
|---|---|---|
| Researcher | 20 | 10% |
| Student > Master | 20 | 10% |
| Student > Bachelor | 20 | 10% |
| Student > Ph. D. Student | 17 | 9% |
| Other | 16 | 8% |
| Other | 55 | 28% |
| Unknown | 52 | 26% |
| Readers by discipline | Count | As % |
|---|---|---|
| Medicine and Dentistry | 55 | 28% |
| Nursing and Health Professions | 50 | 25% |
| Psychology | 7 | 4% |
| Unspecified | 7 | 4% |
| Social Sciences | 6 | 3% |
| Other | 17 | 9% |
| Unknown | 58 | 29% |
Attention Score in Context
This research output has an Altmetric Attention Score of 21. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 16 October 2021.
All research outputs
#1,660,099
of 23,978,545 outputs
Outputs from Intensive Care Medicine
#1,367
of 5,176 outputs
Outputs of similar age
#24,773
of 286,738 outputs
Outputs of similar age from Intensive Care Medicine
#3
of 58 outputs
Altmetric has tracked 23,978,545 research outputs across all sources so far. Compared to these this one has done particularly well and is in the 93rd percentile: it's in the top 10% of all research outputs ever tracked by Altmetric.
So far Altmetric has tracked 5,176 research outputs from this source. They typically receive a lot more attention than average, with a mean Attention Score of 28.8. This one has gotten more attention than average, scoring higher than 73% of its peers.
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We're also able to compare this research output to 58 others from the same source and published within six weeks on either side of this one. This one has done particularly well, scoring higher than 96% of its contemporaries.