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Table 4 Systematic offering of family presence compared to usual care for families of pediatric patients undergoing resuscitation

From: The offering of family presence during resuscitation: a systematic review and meta-analysis

Outcomes

No. of participants (studies) follow-up

Quality of the evidence (GRADE)

Relative effect (95 % CI)

Anticipated absolute effectsa

Risk with usual care

Risk difference with systematic offering of family presence

Mortality prior to 28 days or discharge

705 (1 RCT)

⨁⨁◯◯ Lowbc

OR 0.30 (0.11 to 0.79)

Study population

57 per 1000

39 fewer per 1000 (50 fewer to 11 fewer)

Duration of resuscitation

705 (1 RCT)

⨁⨁◯◯ Lowbc

-

The mean duration of resuscitation in the control group was 15 min

Median 0 higher (1 lower to 1 higher)

Time to key intervention assessed with: CT scan (trauma arrest) or first shock (cardiac arrest)

705 (1 RCT)

⨁⨁◯◯ Lowbc

-

The mean time to key intervention in the control group was 21 min

Median 0 higher (2 lower to 2 higher)

  1. CI confidence interval, RCT randomized controlled trial, RR risk ratio, OR odds ratio, CT computed tomography
  2. GRADE Working Group grades of evidence
  3. High quality: We are very confident that the true effect lies close to that of the estimate of the effect
  4. Moderate quality: We are moderately confident in the effect estimate: The true effect is likely to be close to the estimate of the effect, but there is a possibility that it is substantially different
  5. Low quality: Our confidence in the effect estimate is limited: The true effect may be substantially different from the estimate of the effect
  6. Very low quality: We have very little confidence in the effect estimate: The true effect is likely to be substantially different from the estimate of effect
  7. aThe risk in the intervention group (and its 95 % confidence interval) is based on the assumed risk in the comparison group and the relative effect of the intervention (and its 95 % CI)
  8. bStudy randomization on basis of even/odd days rather than on an individual basis
  9. cStudy included only pediatric patients undergoing trauma resuscitation; no children with primarily cardiac arrest were included
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Journal of Intensive Care

ISSN: 2052-0492