A pilot study of audiovisual family meetings in the intensive care unit

作者：de Havenon Adam^*; Petersen Casey; Tanana Michael; Wold Jan; Hoesch Robert

来源：Journal of Critical Care, 2015, 30(5): 881-883.

DOI：10.1016/j.jcrc.2015.05.027

• Palliative care
• Intensive care unit
• Goals of care
• Family meeting

Purpose: We hypothesized that virtual family meetings in the intensive care unit with conference calling or Skype videoconferencing would result in increased family member satisfaction and more efficient decision making.
Methods: This is a prospective, nonblinded, nonrandomized pilot study. A 6-question survey was completed by family members after family meetings, some of which used conference calling or Skype by choice. Overall, 29 (33%) of the completed surveys came from audiovisual family meetings vs 59 (67%) from control meetings.
Results: The survey data were analyzed using hierarchical linear modeling, which did not find any significant group differences between satisfaction with the audiovisual meetings vs controls. There was no association between the audiovisual intervention and withdrawal of care (P = .682) or overall hospital length of stay (z = 0.885, P = .376).
Conclusions: Although we do not report benefit from an audiovisual intervention, these results are preliminary and heavily influenced by notable limitations to the study. Given that the intervention was feasible in this pilot study, audiovisual and social media intervention strategies warrant additional investigation given their unique ability to facilitate communication among family members in the intensive care unit.

• 出版日期2015-10