NCT03969810

Rounding Summaries for Families of Critically Ill Patients

Completed NA Last updated 9 March 2021

What this trial tests

NA trial testing Rounding Summary in Acute Respiratory Failure in 252 participants. Completed in 12 February 2021.

Timeline

1 June 2019

Primary endpoint
11 January 2021

12 February 2021

Quick facts

Lead sponsor	Rush University Medical Center
Phase	NA
Status	Completed
Study type	INTERVENTIONAL
Allocation	randomized
Design	parallel
Masking	none
Primary purpose	supportive care
Enrollment	252
Start date	1 June 2019
Primary completion	11 January 2021
Estimated completion	12 February 2021
Sites	1 location across United States

Drugs / interventions tested

• Rounding Summary

Conditions studied

• Acute Respiratory Failure — all drugs for Acute Respiratory Failure →
• Intensive Care Unit Syndrome — all drugs for Intensive Care Unit Syndrome →
• Communication — all drugs for Communication →

Sponsor

Rush University Medical Center

Who can join

18 and older, any sex, with Acute Respiratory Failure or Intensive Care Unit Syndrome. Patients with the condition only — healthy volunteers not accepted.

Sponsor's own description

Many patients in intensive care units (ICUs) rely on family members or surrogates to make medical decisions on their behalf. One of the recommended ways to improve a surrogate's experience is to invite him or her to participate in daily, multidisciplinary ICU rounds. In practice, this is often a challenging way for clinicians to engage with the patient's surrogates.

Surrogates of non-decisional ICU patients will be randomized to receive a written rounding summary every day or every other day that the patient is in the ICU. The summary will be organized as follows for each of the most important ICU problems: 1) Description of the problem, 2) Ways the ICU team is addressing the problem i.e. consultations, diagnostic tests, and treatments. 3) An assessment of whether the problem is improving or worsening.

The investigators hypothesize that surrogates who receive written rounding summaries will be more satisfied with ICU care than surrogates who receive usual care. Satisfaction will be measured by the Critical Care Family Needs Inventory (CCFNI) questionnaire.

Publications & conference data

3 peer-reviewed publications reference this trial (live from Europe PMC):

1. Challenges faced by families of critically ill patients during the first wave of the COVID-19 pandemic.
   Greenberg JA, Basapur S, Quinn TV, Bulger JL, et al · · 2022 · cited 19× · PMID 34507866 · DOI 10.1016/j.pec.2021.08.029
2. Piloting Group-Based Behavioral Activation Therapy for Families of Deceased COVID-19 Patients.
   England AE, Lietzau S, Vu J, Hebert C, et al · · 2022 · cited 3× · PMID 36506831 · DOI 10.1097/cce.0000000000000803
3. Written Communication, Visitation Policies, and Awareness of Medical Issues Among Intensive Care Unit Families.
   Thinnes WE, Harrison MR, Basapur S, Weiss MA, et al · · 2023 · cited 2× · PMID 37391367 · DOI 10.4037/ajcc2023986