Family-centred care interventions to reduce the delirium prevalence in critically ill patients: A systematic review and meta-analysis.
Lingyu Lin, Yanchun Peng, Haoruo Zhang and 3 others
PMID 35434971WHAT IT FOUND
In ICU patients, family-centred care was associated with lower delirium prevalence, but study quality was low.
ICU stay, ventilation, infection showed no clear difference; family satisfaction and distress improved in small descriptive data.
Key findings
01Family-centred care was associated with lower delirium prevalence than usual care in the pooled analysis.
02No significant differences were found for ICU stay, mechanical ventilation duration, or ICU-acquired infection.
03Family satisfaction improved in two studies, and anxiety/depression improved in one study, but these outcomes were described rather than pooled.
STILL TO COME
How it was doneWhat they foundWhat it means for RNs
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What it does not show
Only seven studies were included, and they differed in family-centred care components, duration, and setting. Four were quasi-randomized and three were randomized; four were rated C and three B, suggesting high risk of bias. High heterogeneity meant results were inconsistent, and the positive effect was not seen in randomized trials or outside China. Only English and Chinese studies were searched, so language bias is possible. Adverse outcomes were narrow; mortality and unplanned extubation were not assessed. Patients or researchers were usually not blinded because of the nature of the intervention. Family satisfaction and anxiety/depression were described, not pooled, and based on few studies.
Declared interests
The authors reported no conflicts of interest.
The easy way to misread this
Do not treat family-centred care as proven to prevent ICU delirium. The pooled result was positive but came from seven low-quality, highly heterogeneous studies, and the effect was not significant in the three randomized trials or in countries outside China.