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Risk factors for complicated grief among family members bereaved in intensive care unit settings: A systematic review.
Sanderson, Emma A M; Humphreys, Sally; Walker, Fiona; Harris, Daniel; Carduff, Emma; McPeake, Joanne; Boyd, Kirsty; Pattison, Natalie; Lone, Nazir I.
  • Sanderson EAM; Usher Institute, University of Edinburgh, Edinburgh, United Kingdom.
  • Humphreys S; University of Hertfordshire, Hatfield, United Kingdom.
  • Walker F; NHS Lothian, Edinburgh, United Kingdom.
  • Harris D; Cambridge University Hospitals NHS Foundation Trust, Cambridge, United Kingdom.
  • Carduff E; Marie Curie Hospice, Glasgow, United Kingdom.
  • McPeake J; University of Glasgow, Glasgow, United Kingdom.
  • Boyd K; Usher Institute, University of Edinburgh, Edinburgh, United Kingdom.
  • Pattison N; University of Hertfordshire, Hatfield, United Kingdom.
  • Lone NI; East and North Herts NHS Trust, Stevenage, Hertfordshire, United Kingdom.
PLoS One ; 17(3): e0264971, 2022.
Article in English | MEDLINE | ID: covidwho-1742014
ABSTRACT

BACKGROUND:

Families of intensive care unit (ICU) decedents are at increased risk of experiencing complicated grief. However, factors associated with complicated grief in ICU and bereavement needs assessment are not available routinely. We aimed to conduct a systematic review identifying risk factors associated with complicated grief among family members of ICU decedents. MATERIALS AND

METHODS:

MEDLINE, EMBASE, CINAHL, PsycINFO, the Cochrane Library and Web of Science were searched to identify relevant articles. Observational studies and randomised and non-randomised controlled trials were included. Studies were screened and quality appraised in duplicate. Risk of bias was assessed using Newcastle-Ottawa Scale. A narrative synthesis was undertaken.

RESULTS:

Seven studies conducted across three continents were eligible. Four studies were of high quality. 61 risk factors were investigated across the studies. Factors associated with a decreased risk of complicated grief included age, patient declining treatment and involvement in decision-making. Factors associated with increased risk included living alone, partner, dying while intubated, problematic communication, and not having the opportunity to say goodbye.

CONCLUSION:

This systematic review has identified risk factors which may help identify family members at increased risk of complicated grief. Many of the studies has small sample sizes increasing the risk of erroneously reporting no effect due to type II error. Some factors are specific to the ICU setting and are potentially modifiable. Bereavement services tailored to the needs of bereaved family members in ICU settings are required. (PROSPERO registration ID 209503).
Subject(s)

Full text: Available Collection: International databases Database: MEDLINE Main subject: Bereavement / Grief Type of study: Experimental Studies / Observational study / Prognostic study / Randomized controlled trials / Reviews / Systematic review/Meta Analysis Limits: Humans Language: English Journal: PLoS One Journal subject: Science / Medicine Year: 2022 Document Type: Article Affiliation country: Journal.pone.0264971

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Full text: Available Collection: International databases Database: MEDLINE Main subject: Bereavement / Grief Type of study: Experimental Studies / Observational study / Prognostic study / Randomized controlled trials / Reviews / Systematic review/Meta Analysis Limits: Humans Language: English Journal: PLoS One Journal subject: Science / Medicine Year: 2022 Document Type: Article Affiliation country: Journal.pone.0264971