Criteria deemed important by ICU patients when designating a reference person

Background: We investigated the criteria that hospitalized patients in intensive care units (ICUs) deem important when designating relatives who are best qualified to interact with the caregiving staff. Methods: We conducted an exploratory, observational, prospective, multicenter study between March...

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Main Authors: Jean-Pierre Quenot, Nicolas Meunier-Beillard, Eléa Ksiazek, Caroline Abdulmalak, Fiona Ecarnot, Jean-Baptiste Roudaut, Pascal Andreu, François Aptel, Marie Labruyère, Marine Jacquier, Jean-Philippe Rigaud
Format: Article
Language:English
Published: Elsevier 2022-10-01
Series:Journal of Intensive Medicine
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Online Access:http://www.sciencedirect.com/science/article/pii/S2667100X22000482
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Summary:Background: We investigated the criteria that hospitalized patients in intensive care units (ICUs) deem important when designating relatives who are best qualified to interact with the caregiving staff. Methods: We conducted an exploratory, observational, prospective, multicenter study between March 1, 2018, and October 31, 2018, within two ICUs. A 12-item questionnaire was distributed to patients in the ICUs by the investigating physicians. Patients were considered eligible if they had a good understanding of the French language and if they had not officially designated surrogates before ICU admission. Results: Seventy-one patients whose average age was 63.9± 17.3 years, of whom 21 (29.5%) were females, completed the questionnaire. The average Charlson comorbidity score was 2.5 ± 2.4, and the average Simplified Acute Physiology Score (SAPS II) was 39.8 ± 16.5. The main etiology was respiratory infection (40.8%), followed by sepsis (23.9%). The most important criteria identified by patients when selecting reference persons were a good knowledge of the patient's wishes and values, an emotional attachment to the patient, and being a family member. Conclusion: Our findings reveal that ICU patients considered the following criteria to be critical when designating reference persons: knowledge of their wishes and the existence of emotional and family attachments.
ISSN:2667-100X