Cochrane · systematic review · CD012829
Interventions to increase patient and family involvement in escalation of care for acute life‐threatening illness in community health and hospital settings
Mackintosh, NJ, Davis, RE, Easter, A, et al. · Cochrane Database of Systematic Reviews · 2020 · 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
7
current version
GRADE rated
5
No studies
2
Included studies
NR
No studies 2 · 28.6%Ungraded 0 · 0%Very low 0 · 0%Low 3 · 42.9%Moderate 2 · 28.6%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
Summary of findings
Population: Adults (and/or family members) with potential for acute life‐threatening illness
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Patient and family knowledge of danger signs and appropriate care‐seeking behaviours (1a) Acute Coronary Syndrome Response Index with 3 scales to measure knowledge (21 items), attitudes (5 items) and beliefs (7 items) (Buckley 2007; Dracup 2009). ... | mean difference 1.21 | 30864 studies · 30864 participants | Low Downgraded: risk of bias, indirectness |
Patient and family self‐efficacy (1e) | 1.4 | 2 studies · 217 participants | Low Downgraded: risk of bias, imprecision, inconsistency, indirectness |
Time from start of symptoms to delivery of professional treatment (2a) Mean, median prehospital delay time from symptom onset of arrival at hospital/ED, proportion of participants presenting to the emergency department (ED) within 2, 3, and 4.5 hours | no estimate extracted | 4 studies · 27023 participants | Low Downgraded: risk of bias, imprecision, inconsistency, indirectness |
Mortality measured by mortality rates including failure‐to‐rescuerates (3a) Stillbirth | no estimate extracted | 1 study · 409175 participants | Moderate Downgraded: risk of bias, imprecision, inconsistency, indirectness |
Patient and family perceptions of involvement in escalation of care (4b) | no estimate extracted | NR | No studies |
Patient and family satisfaction with care received (4e) | no estimate extracted | NR | No studies |
Patient harms associated with patient and family involvement in escalation of care (5a) Multiple Affect Adjective Checklist total score for state anxiety (range 0‐21). Higher scores signify higher anxiety; a score of ≥ 11 indicates clinically sign... | no estimate extracted | 1 study · 2597 participants | Moderate Downgraded: risk of bias, imprecision, inconsistency, indirectness |