More than half the families of mobile intensive care unit patients experience inadequate communication with physicians
| Autor: | Maxime Maignan, Vincent Danel, Raphaël Briot, François-Xavier Ageron, Guillaume Courtiol, Christophe Escallier, Laetitia Minguet, Guillaume Debaty, José Labarère, Adeline Henniche, Dominique Savary, Françoise Carpentier |
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| Přispěvatelé: | Physiologie cardio-Respiratoire Expérimentale Théorique et Appliquée (TIMC-IMAG-PRETA), Techniques de l'Ingénierie Médicale et de la Complexité - Informatique, Mathématiques et Applications, Grenoble - UMR 5525 (TIMC-IMAG), Université Joseph Fourier - Grenoble 1 (UJF)-Institut polytechnique de Grenoble - Grenoble Institute of Technology (Grenoble INP )-VetAgro Sup - Institut national d'enseignement supérieur et de recherche en alimentation, santé animale, sciences agronomiques et de l'environnement (VAS)-Centre National de la Recherche Scientifique (CNRS)-Université Joseph Fourier - Grenoble 1 (UJF)-Institut polytechnique de Grenoble - Grenoble Institute of Technology (Grenoble INP )-VetAgro Sup - Institut national d'enseignement supérieur et de recherche en alimentation, santé animale, sciences agronomiques et de l'environnement (VAS)-Centre National de la Recherche Scientifique (CNRS), Centre Hospitalier Universitaire [Grenoble] (CHU), Université Henri Poincaré - Nancy 1 (UHP), Université Grenoble Alpes - UFR Médecine (UGA UFRM), Université Grenoble Alpes [2016-2019] (UGA [2016-2019]), Institut méditerranéen de biodiversité et d'écologie marine et continentale (IMBE), Avignon Université (AU)-Aix Marseille Université (AMU)-Institut de recherche pour le développement [IRD] : UMR237-Centre National de la Recherche Scientifique (CNRS), Service d'accueil des urgences médicales, CHU Grenoble, Centre Hospitalier Annecy-Genevois [Saint-Julien-en-Genevois], Biologie Computationnelle et Mathématique (TIMC-IMAG-BCM), Samu 38, VetAgro Sup - Institut national d'enseignement supérieur et de recherche en alimentation, santé animale, sciences agronomiques et de l'environnement (VAS)-Institut polytechnique de Grenoble - Grenoble Institute of Technology (Grenoble INP )-Centre National de la Recherche Scientifique (CNRS)-Université Joseph Fourier - Grenoble 1 (UJF)-VetAgro Sup - Institut national d'enseignement supérieur et de recherche en alimentation, santé animale, sciences agronomiques et de l'environnement (VAS)-Institut polytechnique de Grenoble - Grenoble Institute of Technology (Grenoble INP )-Centre National de la Recherche Scientifique (CNRS)-Université Joseph Fourier - Grenoble 1 (UJF) |
| Jazyk: | angličtina |
| Rok vydání: | 2015 |
| Předmět: |
Adult
Male medicine.medical_specialty Emergency Medical Services Critical Care Critical Care and Intensive Care Medicine Severity of Illness Index Odds Primary outcome [SDV.MHEP.CSC]Life Sciences [q-bio]/Human health and pathology/Cardiology and cardiovascular system Professional-Family Relations Intensive care Medicine Humans Family ComputingMilieux_MISCELLANEOUS business.industry Communication Confidence interval 3. Good health Intensive Care Units Cross-Sectional Studies Family medicine Multivariate Analysis Educational Status Female Mobile intensive care unit France business |
| Zdroj: | Intensive Care Medicine Intensive Care Medicine, 2015, 41 (7), pp.1291-1298. ⟨10.1007/s00134-015-3890-2⟩ Intensive Care Medicine, Springer Verlag, 2015, 41 (7), pp.1291-1298. ⟨10.1007/s00134-015-3890-2⟩ |
| ISSN: | 0342-4642 1432-1238 |
| DOI: | 10.1007/s00134-015-3890-2⟩ |
| Popis: | This study aimed to assess comprehension by family members of the patient’s severity in the prehospital setting. We conducted a cross-sectional study in four mobile intensive care units (ICUs, medicalized ambulances) in France from June to October 2012. Nurses collected data on patients, patient’s relatives, and mobile ICU physicians. For each patient, one relative and one physician independently rated the patient’s severity using a simplified version of the Clinical Classification of Out-of-Hospital Emergency Patients scale (CCMS). Relatives were also asked to assess their interview with the physician. The primary outcome was agreement between the relative’s and physician’s ratings of the patient’s severity. Data were available for 184 patients, their relatives, and mobile ICU physicians. Full and partial agreement between relatives and physicians regarding the patient’s severity was found for 79 (43 %) and 121 (66 %) cases, respectively [weighted kappa = 0.32 (95 % confidence interval, CI, 0.23–0.42)]. Relatives overestimated the patient’s severity assessed by the physician [6 (5–8) vs. 4 (3–7), p |
| Databáze: | OpenAIRE |
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