Cochrane · systematic review · CD012471

Information or education interventions for adult intensive care unit (ICU) patients and their carers

Lewis, SR, Pritchard, MW, Schofield‐Robinson, OJ, et al. · Cochrane Database of Systematic Reviews · 2018 · Cochrane Library

Consumers and CommunicationAMSTAR 2: not assessed
SoF tableOnly the outcomes this review put in its Summary of Findings table are listed (the Cochrane Handbook caps them at about seven per comparison). Its other analyses are not shown here.
Questions
14
current version
GRADE rated
8
No studies
6
Included studies
NR
No studies 6 · 42.9%Ungraded 0 · 0%Very low 8 · 57.1%Low 0 · 0%Moderate 0 · 0%High 0 · 0%

Ungraded means an effect was reported without a GRADE rating; it is not a gap. No studies means the review found nothing to answer the question. The six categories are a display order, not a score.

Questions and results

Information or education intervention versus no information or education intervention

Population: adult ICU patients and their carers
7 questions
OutcomeEffectEvidenceStatus / GRADE
Severity of anxiety in patients HADS‐A (1 week after hospital discharge); scale from 0 to 20 CINT (admission to regular ward); scale from 0 to 100 BSRS (in ICU, time point not specified); scale from 0 to 20 Lower scores in all scales indicate less...
Information or education intervention vs no information or education intervention
no estimate extracted3 studies · 332 participantsVery low
Downgraded: risk of bias, imprecision, inconsistency
Severity of depression in patients HADS‐D (1 week after hospital discharge); scale from 0 to 20 BSRS (in ICU, time point not specified); scale from 0 to 20 Lower scores in both scales indicate less depression.
Information or education intervention vs no information or education intervention
no estimate extracted2 studies · 160 participantsVery low
Downgraded: risk of bias, imprecision, inconsistency
Knowledge acquisition (patients and carers)
Information or education intervention vs no information or education intervention
no estimate extractedNRNo studies
Severity of PTSD in patients treated in ICUs
Information or education intervention vs no information or education intervention
no estimate extractedNRNo studies
Patient or carer satisfaction with information provided (e.g. self reported)
Information or education intervention vs no information or education intervention
no estimate extractedNRNo studies
Health‐related quality of life (HRQoL) SF‐12 MCS (3 months after ICU discharge); scale from 0 to 100 Lower scores indicate reduced HRQoL.
Information or education intervention vs no information or education intervention
no estimate extracted1 study · 143 participantsVery low
Downgraded: risk of bias, imprecision
Adverse effects
Information or education intervention vs no information or education intervention
no estimate extractedNRNo studies

Information or education intervention as part of a complex intervention versus complex intervention without information or education

Population: adult ICU patients and their carers
7 questions
OutcomeEffectEvidenceStatus / GRADE
Severity of anxiety in patients HADS‐A (at hospital discharge or at 28 days, whichever time point was soonest); scale from 0 to 20 Lower scores indicate less anxiety.
Information or education intervention as part of a complex intervention vs complex intervention without information or education
no estimate extracted1 study · 38 participantsVery low
Downgraded: risk of bias, imprecision
Severity of depression in patients HADS‐D (at hospital discharge or 28 days, whichever time point was soonest); scale from 0 to 20 Lower scores indicate less depression.
Information or education intervention as part of a complex intervention vs complex intervention without information or education
no estimate extracted1 study · 38 participantsVery low
Downgraded: risk of bias, imprecision
Knowledge acquisition (patients and carers)
Information or education intervention as part of a complex intervention vs complex intervention without information or education
no estimate extracted1 study · 175 participantsVery low
Downgraded: risk of bias, imprecision
Severity of PTSD in patients treated in ICUs
Information or education intervention as part of a complex intervention vs complex intervention without information or education
no estimate extractedNRNo studies
Patient or carer satisfaction with information provided CCFNI (between day 3 and day 5); scale from 14 to 56 Lower scores indicate increased satisfaction. FS‐ICU 24 (90 days after randomisation); scale from 0 to 100 Lower scores indicate less sati...
Information or education intervention as part of a complex intervention vs complex intervention without information or education
no estimate extracted2 studies · 487 participantsVery low
Downgraded: risk of bias, imprecision, inconsistency
Health‐related quality of life
Information or education intervention as part of a complex intervention vs complex intervention without information or education
no estimate extractedNRNo studies
Adverse effects
Information or education intervention as part of a complex intervention vs complex intervention without information or education
no estimate extracted1 study · 59 participantsVery low
Downgraded: risk of bias, imprecision