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Article ; Online: Improvements in Sepsis-associated Mortality among Patients with Cancer: An Encouraging Finding with Uncertain Implications.

Greenberg, Jared A

2020 Volume 17, Issue 4, Page(s) 425–426

MeSH term(s)	Hospital Mortality ; Humans ; Neoplasms ; Sepsis ; Uncertainty
Language	English
Publishing date	2020-04-01
Publishing country	United States
Document type	Editorial ; Comment
ZDB-ID	2717461-X
ISSN	2325-6621 ; 1943-5665 ; 2325-6621
ISSN (online)	2325-6621 ; 1943-5665
ISSN	2325-6621
DOI	10.1513/AnnalsATS.201912-889ED
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Article ; Online: Psychological Distress Persists Among COVID-19 Health Care Providers, Suggesting New Challenges and Missed Opportunities for Support.

Eaton England, Ashley / Greenberg, Jared A

Chest

2021 Volume 160, Issue 3, Page(s) 797–798

MeSH term(s)	COVID-19 ; Health Personnel ; Humans ; Psychological Distress ; SARS-CoV-2
Language	English
Publishing date	2021-09-02
Publishing country	United States
Document type	Editorial ; Comment
ZDB-ID	1032552-9
ISSN	1931-3543 ; 0012-3692
ISSN (online)	1931-3543
ISSN	0012-3692
DOI	10.1016/j.chest.2021.06.007
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Article ; Online: Healthy Sleep for Family Members of Intensive Care Unit Patients.

Gerhart, James / Lee, Jane / Burgess, Helen J / Paun, Olimpia / Fosler, Laura / Basapur, Santosh / Greenberg, Jared A

Critical care nurse

2024 Volume 44, Issue 2, Page(s) 10–11

MeSH term(s)	Humans ; Critical Care ; Intensive Care Units ; Family ; Sleep
Language	English
Publishing date	2024-04-01
Publishing country	United States
Document type	Journal Article
ZDB-ID	632663-8
ISSN	1940-8250 ; 0279-5442
ISSN (online)	1940-8250
ISSN	0279-5442
DOI	10.4037/ccn2024997
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Article ; Online: Written Communication, Visitation Policies, and Awareness of Medical Issues Among Intensive Care Unit Families.

Thinnes, William E / Harrison, Mitchell R / Basapur, Santosh / Weiss, Matthew A / Quinn, Thomas V / Ritz, Ethan M / Shah, Raj C / Greenberg, Jared A

American journal of critical care : an official publication, American Association of Critical-Care Nurses

2023 Volume 32, Issue 4, Page(s) 302–306

Abstract: Background: Open intensive care unit (ICU) visitation policies facilitate communication between clinicians and patients' families. Restrictive visitation policies (eg, during a pandemic) may reduce families' comprehension of information.: Objectives: ...

Abstract	Background: Open intensive care unit (ICU) visitation policies facilitate communication between clinicians and patients' families. Restrictive visitation policies (eg, during a pandemic) may reduce families' comprehension of information. Objectives: To determine whether written communication increased awareness of medical issues among ICU families and whether the effect size depended on the visitation policies in place when participants were enrolled. Methods: Families of ICU patients were randomly assigned to receive usual care with or without daily written patient care updates from June 2019 to January 2021. Participants were asked whether patients had experienced 6 ICU problems at up to 2 time points during the ICU stay. Responses were compared with the study investigators' consensus. Results: Of 219 participants, 131 (60%) were restricted from visiting. Participants in the written communication group were more likely than participants in the control group to correctly identify shock, renal failure, and weakness and were just as likely as participants in the control group to correctly identify respiratory failure, encephalopathy, and liver failure. Participants in the written communication group were more likely than participants in the control group to correctly identify the patient's ICU problems when all 6 were grouped as a composite outcome, with the adjusted odds ratio of correct identification tending to be higher among participants enrolled during restricted versus open visitation periods: 2.9 (95% CI, 1.9-4.2; P < .001) vs 1.8 (95% CI, 1.1-3.1; P = .02), P = .17 for difference. Conclusions: Written communication helps families correctly identify ICU issues. The benefit may be enhanced when families cannot visit the hospital. ClinicalTrials.gov Identifier: NCT03969810.
MeSH term(s)	Humans ; Intensive Care Units ; Critical Care ; Communication ; Consensus ; Policy
Language	English
Publishing date	2023-06-29
Publishing country	United States
Document type	Randomized Controlled Trial ; Journal Article
ZDB-ID	1130987-8
ISSN	1937-710X ; 1062-3264
ISSN (online)	1937-710X
ISSN	1062-3264
DOI	10.4037/ajcc2023986
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Article ; Online: Surrogates and Physician Preferences regarding the Continuation of Mechanical Ventilation among Critically Ill Adults.

Greenberg, Jared A / Quinn, Thomas V / Gerhart, James / Shah, Raj C

Annals of the American Thoracic Society

2020 Volume 17, Issue 11, Page(s) 1448–1454

Abstract: Rationale: ...

Abstract	Rationale:
MeSH term(s)	Adult ; Critical Illness/therapy ; Decision Making ; Humans ; Physicians ; Prognosis ; Respiration, Artificial
Language	English
Publishing date	2020-07-10
Publishing country	United States
Document type	Journal Article
ZDB-ID	2717461-X
ISSN	2325-6621 ; 1943-5665 ; 2325-6621
ISSN (online)	2325-6621 ; 1943-5665
ISSN	2325-6621
DOI	10.1513/AnnalsATS.202003-239OC
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Article ; Online: Score for Predicting Ventilator Weaning Duration in Patients With Tracheostomies.

Greenberg, Jared A / Balk, Robert A / Shah, Raj C

American journal of critical care : an official publication, American Association of Critical-Care Nurses

2018 Volume 27, Issue 6, Page(s) 477–485

Abstract: Background: Factors affecting the timing of ventilator liberation among patients requiring prolonged mechanical ventilation (≥21 consecutive days) are poorly understood. After tracheostomy placement, ventilator liberation typically involves daily ... ...

Abstract	Background: Factors affecting the timing of ventilator liberation among patients requiring prolonged mechanical ventilation (≥21 consecutive days) are poorly understood. After tracheostomy placement, ventilator liberation typically involves daily reductions in ventilator support as patients regain the capacity to breathe independently. Objectives: To determine the association between ventilator requirements on the day after tracheostomy placement and subsequent weaning duration. Methods: Retrospective review of medical records of adults with tracheostomies treated at an academic medical center from 2011 to 2015. A new ventilator independence score based on ventilator settings on the day after tracheostomy was developed. Scores range from 0% to 100%; higher scores reflect greater levels of unassisted breathing for a greater proportion of the day. A multi-variable competing-risk survival regression model was used to determine the association between the ventilator independence score and time from tracheostomy placement to ventilator liberation. Results: Of 372 patients, 72% were liberated from mechanical ventilation. The ventilator independence score measured on the day after tracheostomy placement had an area under the receiver operating characteristic curve value of 0.71 (95% CI, 0.65-0.76) for differentiating patients who were liberated within the next 14 days from those who were not. Median time from tracheostomy placement to ventilator liberation was 41 days for patients with a score of 0%, 20 days for scores between 0% and 50%, 15 days for scores between 50% and 75%, and 10 days for scores between 75% and 100%. Conclusions: A score derived from ventilator settings may help clinicians predict the timing of ventilator liberation in patients requiring prolonged mechanical ventilation.
MeSH term(s)	Adult ; Age Factors ; Aged ; Body Mass Index ; Female ; Humans ; Male ; Middle Aged ; Pilot Projects ; Respiration, Artificial/nursing ; Respiratory Distress Syndrome, Adult/nursing ; Respiratory Distress Syndrome, Adult/therapy ; Retrospective Studies ; Severity of Illness Index ; Sex Factors ; Socioeconomic Factors ; Time Factors ; Tracheostomy/nursing ; Ventilator Weaning/nursing
Language	English
Publishing date	2018-10-29
Publishing country	United States
Document type	Journal Article
ZDB-ID	1130987-8
ISSN	1937-710X ; 1062-3264
ISSN (online)	1937-710X
ISSN	1062-3264
DOI	10.4037/ajcc2018532
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Article ; Online: Piloting Group-Based Behavioral Activation Therapy for Families of Deceased COVID-19 Patients.

England, Ashley Eaton / Lietzau, Stephanie / Vu, James / Hebert, Charles / Banayan, David / Greenberg, Jared A / Gerhart, James

Critical care explorations

2022 Volume 4, Issue 12, Page(s) e0803

Abstract: Surrogate decision-making is a stressful process for many family members of critically ill patients. The COVID-19 pandemic may have amplified the risk for anxiety, depression, and posttraumatic stress disorder (PTSD) symptoms in ICU surrogates.: ... ...

Abstract	Surrogate decision-making is a stressful process for many family members of critically ill patients. The COVID-19 pandemic may have amplified the risk for anxiety, depression, and posttraumatic stress disorder (PTSD) symptoms in ICU surrogates. Objectives: This study piloted an online group-based behavioral intervention with family members of deceased COVID-19 patients. Participant engagement, perceptions, and responses related to the intervention were assessed. Design: A single-arm pilot study was conducted with bereaved families. Quantitative analysis of measures of anxiety, depression, and PTSD symptoms was conducted with mixed models. Qualitative data were analyzed to identify themes in surrogates' experiences with the intervention. Setting: Participants were recruited from ICUs at a tertiary academic medical center. Participants completed the intervention, measures, and interviews online. Subjects: Participants were family members of patients who died from COVID-19. Interventions: The intervention involved six online group-based behavioral activation sessions. Sessions covered topics pertinent to grieving and engagement in personally meaningful activities. Measurements and main results: Semi-structured interviews explored participants' experiences with the intervention. Surrogates also completed measures of anxiety, depression, and PTSD symptoms before and after the intervention. Nineteen of 26 participants (73.1%) completed the study. Thematic analysis suggested that surrogates found the group helpful for overcoming perceived isolation, receiving validation, and developing coping skills. Significant pre-to-post reductions were observed in symptoms of Hospital and Anxiety Disorder Scale (HADS) anxiety (pre-mean = 9.27, sd = 5.30 vs post-mean = 6.80, sd = 4.16; Limitations: This was a preliminary study based on qualitative and self-report measures. Future studies should include a control group. Conclusions: Online group-based behavioral activation therapy appears to be a potentially useful intervention for family members of ICU patients who died from COVID-19.
Language	English
Publishing date	2022-12-05
Publishing country	United States
Document type	Journal Article
ISSN	2639-8028
ISSN (online)	2639-8028
DOI	10.1097/CCE.0000000000000803
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Article ; Online: Clinician-initiated written communication for families of patients at a long-term acute care hospital.

Schwartz, Nathaniel H / Teed, Don N / Glover, Crystal M / Basapur, Santosh / Blodgett, Carly / Giesing, Connor / Lawm, Gerald / Podzimek, Glenn / Reeter, Roger / Schorfheide, Laura / Swiderski, Sara / Greenberg, Jared A

PEC innovation

2023 Volume 3, Page(s) 100179

Abstract: Objective: To assess the experience of families and clinicians at a long term acute care hospital (LTACH) after implementing a written communication intervention.: Methods: Written communication templates were developed for six clinical disciplines. ... ...

Abstract	Objective: To assess the experience of families and clinicians at a long term acute care hospital (LTACH) after implementing a written communication intervention. Methods: Written communication templates were developed for six clinical disciplines. LTACH clinicians used templates to describe the condition of 30 mechanically ventilated patients at up to three time points. Completed templates were the basis for written summaries that were sent to families. Impressions of the intervention among families ( Results: We identified four themes during interviews with families: Written summaries 1) facilitated communication with LTACH staff, 2) reduced stress related to COVID-19 visitor restrictions, 3) facilitated understanding of the patient condition, prognosis, and goals and 4) facilitated communication among family members. Although clinicians understood why families would appreciate written material, they did not feel that the intervention addressed their main challenge - overly optimistic expectations for patient recovery among families. Conclusion: Written communication positively affected the experience of families of LTACH patients, but was less useful for clinicians. Innovation: Use of written patient care updates helps LTACH clinicians initiate communication with families.
Language	English
Publishing date	2023-06-14
Publishing country	Netherlands
Document type	Journal Article
ISSN	2772-6282
ISSN (online)	2772-6282
DOI	10.1016/j.pecinn.2023.100179
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Article ; Online: Symptoms of Anxiety, Depression, and Stress among Families of Critically Ill Patients with COVID-19: A Longitudinal Clinical Trial.

Sarigiannis, Kalli A / Tringali, Jonathan J / Vu, James / Eaton England, Ashley / Lietzau, Stephanie / Hebert, Charles / Banayan, David / Basapur, Santosh / Glover, Crystal M / Shah, Raj C / Gerhart, James / Greenberg, Jared A

Annals of the American Thoracic Society

2023 Volume 20, Issue 5, Page(s) 705–712

Abstract: Rationale: ...

Abstract	Rationale:
MeSH term(s)	Humans ; Anxiety/psychology ; COVID-19 ; Critical Illness/psychology ; Depression/psychology ; Intensive Care Units ; Stress Disorders, Post-Traumatic/psychology
Language	English
Publishing date	2023-01-05
Publishing country	United States
Document type	Clinical Trial ; Journal Article ; Research Support, Non-U.S. Gov't
ZDB-ID	2717461-X
ISSN	2325-6621 ; 1943-5665 ; 2325-6621
ISSN (online)	2325-6621 ; 1943-5665
ISSN	2325-6621
DOI	10.1513/AnnalsATS.202209-797OC
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Article ; Online: Written Care Summaries Facilitate Communication Between Families and Providers of ICU Patients: A Pilot Study.

Bulger, Jeffrey L / Quinn, Thomas V / Glover, Crystal M / Basapur, Santosh / Shah, Raj C / Greenberg, Jared A

Critical care explorations

2021 Volume 3, Issue 7, Page(s) e0473

Abstract: ICU providers may invite families to participate in daily rounds to inform them of the patient's condition and to support their emotional well-being. Daily written summaries of care may provide complementary benefits.: Design: Qualitative interviews ... ...

Abstract	ICU providers may invite families to participate in daily rounds to inform them of the patient's condition and to support their emotional well-being. Daily written summaries of care may provide complementary benefits. Design: Qualitative interviews with surrogates of ICU patients who received daily written summaries of care. Setting: Single, urban academic medical center. Patients/subjects: A convenience sample of 30 surrogates of nondecisional, medical ICU patients. Interventions: Daily written summaries detailed each of the patient's main ICU problems, the presumed causes of each of the problems, and the medical team's plan to address each of the problems for each ICU day. Measurements and main results: There were four ways that written summaries affected the participant's experience: 1) providing clarity to participants regarding the patient's condition, 2) facilitating participant understanding of the patient's clinical course, 3) facilitating communication between participants and medical providers, and 4) facilitating communication between participants and other family members. Overarching themes were that summaries were understandable, had appropriate level of detail, and added value to the ICU experience. Conclusions: In this pilot study, family members had positive impressions of receiving daily written summaries of care. Further study is needed to determine the extent to which written communication may affect family and patient outcomes.
Language	English
Publishing date	2021-07-13
Publishing country	United States
Document type	Journal Article
ISSN	2639-8028
ISSN (online)	2639-8028
DOI	10.1097/CCE.0000000000000473
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