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Gene families consist of groups of genes proposed to have originated from a common ancestor. Typically these arise through events in which a gene or genes are mistakenly duplicated during cell division. Unlike their parent genes (which are subject to selection pressure to maintain function), these gene copies do not need to preserve their sequences and may evolve at a relatively faster rate.
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A Multicenter Observational Study of Family Participation in ICU Rounds.

Selena S Au1, Amanda L Roze des Ordons1,2, Jeanna Parsons Leigh1

  • 1Department of Critical Care Medicine, University of Calgary, Calgary, AB, Canada.

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Summary
This summary is machine-generated.

Family attendance in intensive care unit (ICU) rounds is linked to longer discussions but doesn't impact teaching or prognosis talks. This participation may improve communication and family conferences.

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Area of Science:

  • Critical Care Medicine
  • Patient-Centered Care
  • Healthcare Communication

Background:

  • Interdisciplinary team rounds in intensive care units (ICUs) are recommended to include family members.
  • Guidelines suggest family presence can enhance communication and patient satisfaction.
  • However, the specific benefits and potential risks of family participation remain unclear.

Purpose of the Study:

  • To describe the extent of family participation in ICU rounds.
  • To examine the association between family presence during rounds and various rounding processes.

Main Methods:

  • An observational study was conducted across seven hospitals in three Canadian cities.
  • Data were collected from 302 individual rounds involving 210 unique patients.
  • Quantitative and qualitative data were gathered using standardized observational tools.

Main Results:

  • Family attended 23% of observed rounds, were present but not attending in 20%, and were absent in 58%.
  • Rounds with family attendance were longer (median 20 min vs. 16 min, p=0.01).
  • No significant differences were found in prognostic discussions, bedside teaching, or overall round quality based on family presence.

Conclusions:

  • Family attendance in ICU rounds is associated with increased round duration.
  • It does not appear to affect the frequency of trainee teaching, prognosis discussions, or perceived quality of rounds.
  • Qualitative data suggest potential benefits for relationship building, education, and shared decision-making.