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  1. Home
  3. The Impact Of Patient- And Family-centered Care Interventions On Intensive Care Unit Outcomes: A Meta-analysis Of Randomized Controlled Trials.
  1. Home
  3. The Impact Of Patient- And Family-centered Care Interventions On Intensive Care Unit Outcomes: A Meta-analysis Of Randomized Controlled Trials.

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The impact of patient- and family-centered care interventions on intensive care unit outcomes: a meta-analysis of

Yangjin Lv1, Peng Li2, Ronghui Li3

  • 1Department of Intensive Care Unit, Hangzhou Red Cross Hospital, Hangzhou, Zhejiang, China.

Brazilian Journal of Anesthesiology (Elsevier)
|November 28, 2024

View abstract on PubMed

Summary
This summary is machine-generated.

Patient and Family-Centered Care (PFCC) interventions show promise in reducing delirium in Intensive Care Units (ICUs). However, PFCC did not significantly impact depression, anxiety, or length of hospital stay in adult ICU patients.

Keywords:
Critical careDeliriumIntensive Care UnitMeta analysisPatient centered care

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Area of Science:

  • Critical Care Medicine
  • Psychiatry
  • Health Services Research

Background:

  • Patient and Family-Centered Care (PFCC) is recognized for addressing mental health in Intensive Care Units (ICUs).
  • There is a need to evaluate the impact of PFCC interventions on specific patient outcomes in the ICU setting.

Purpose of the Study:

  • To systematically review and estimate the effect of PFCC interventions on depression, anxiety, delirium, and length of hospital stay in adult ICU patients.

Main Methods:

  • A systematic search of four databases identified parallel arm Randomized Controlled Trials (RCTs).
  • Included studies involved adult ICU patients receiving any PFCC intervention.
  • Data were extracted, and a random-effects model was used for meta-analysis.

Main Results:

  • Eleven studies with 3352 patients were included.
  • PFCC significantly reduced delirium prevalence (RR 0.54, 95% CI 0.36 to 0.81).
  • No significant effects were observed for depression, anxiety, or length of ICU stay. All studies had high or unclear risk of bias.

Conclusions:

  • PFCC interventions may effectively reduce delirium rates in adult ICU patients.
  • Current evidence does not support significant effects of PFCC on depression, anxiety, or length of stay in ICUs.
  • Further research with lower risk of bias is warranted.