Thomas Quinn|Jesse Moskowitz|Muhammad Waqas Khan|Lori Shutter|Robert J. Goldberg|Nananda F. Col|Kathleen M. Mazor|Susanne Muehlschlegel
What Families Need and Physicians Deliver: Contrasting Communication Preferences Between Surrogate Decision-Makers and Physicians During Outcome Prognostication in Critically Ill TBI Patients
University of Massachusetts Chan Medical School|University of Massachusetts Chan Medical School|University of Massachusetts Chan Medical School|University of Pittsburgh|University of Massachusetts Chan Medical School|University of Massachusetts Chan Medical School|University of Massachusetts Chan Medical School
surrogate decisionmakers surrogates physicians incapacitated patients different views prognosis communicated investigated neurocritically ill patients examined surrogates communication preferences physicians practices outcome prognostication critically ill traumatic brain injury citbi patients two level1 trauma centers seven academic medical centers usa used qualitative content analysis descriptive statistics transcribed interviews identify themes surrogates n 16 physicians n 20 majority surrogates 82 preferred numeric estimates describing patients prognosis felt would increase prognostic certainty limit uncertainty perceived frustrating conversely 75 physicians reported intentionally omitting numeric estimates prognostication meetings due low confidence family members abilities appropriately interpret probabilities worry creating false hope distrust accuracy data quality existing tbi outcome models physicians felt models research applied individual patients surrogates valued compassion prognostication discussions acceptance goalsofcare decision clinicians physicians surrogates agreed avoiding false hope identified fundamental differences communication preferences prognostic information citbi patient surrogates physicians findings inform content future decision aid goalsofcare discussions citbi patients validated findings may important implications improving communication practices neurointensive care unit independent whether formal decision aid used