• Resuscitation · May 2021

    Review

    Family presence during resuscitation in paediatric cardiac arrest: A systematic review.

    • Katie N Dainty, Dianne L Atkins, Jan Breckwoldt, Ian Maconochie, Steve M Schexnayder, Markus B Skrifvars, Janice Tijssen, Jonathan Wyllie, Marie Furuta, Richard Aickin, Jason Acworth, Dianne Atkins, Thomaz Bittencourt Couto, Anne-Marie Guerguerian, Monica Kleinman, David Kloeck, Vinay Nadkarni, Kee-Chong Ng, Gabrielle Nuthall, Yong-Kwang Gene Ong, Amelia Reis, Antonio Rodriguez-Nunez, Steve Schexnayder, Barney Scholefield, VoordePatrick van dePVNorth York General Hospital, Li Ka Shing Knowledge Institute, 4001 Leslie Street, Toronto, Ontario M3K 3E1, Canada., Myra Wyckoff, Helen Liley, Walid El-Naggar, Jorge Fabres, Joe Fawke, Elizabeth Foglia, Ruth Guinsburg, Shigeharu Hosono, Tetsuya Isayama, Mandira Kawakami, Vishal Kapadia, Han-Suk Kim, Chris McKinlay, Charles Roehr, Georg Schmolzer, Takahiro Sugiura, Daniele Trevisanuto, Gary Weiner, Robert Greif, Farhan Bhanji, Janet Bray, Adam Cheng, Jonathan Duff, Kathryn Eastwood, Elaine Gilfoyle, Ming-Ju Hsieh, Kasper Lauridsen, Andrew Lockey, Tasuku Matsuyama, Catherine Patocka, Jeffrey Pellegrino, Taylor Sawyer, Sebastian Schnaubel, Joyce Yeung, International Liaison Committee on Resuscitation’s (ILCOR) Pediatric, Neonatal Life Support Task Force, and Education, Implementation and Teams Task Force.
    • North York General Hospital, Li Ka Shing Knowledge Institute, 4001 Leslie Street, Toronto, Ontario M3K 3E1, Canada. Electronic address: katie.dainty@utoronto.ca.
    • Resuscitation. 2021 May 1; 162: 203420-34.

    ContextParent/family presence at pediatric resuscitations has been slow to become consistent practice in hospital settings and has not been universally implemented. A systematic review of the literature on family presence during pediatric and neonatal resuscitation has not been previously conducted.ObjectiveTo conduct a systematic review of the published evidence related to family presence during pediatric and neonatal resuscitation.Data SourcesSix major bibliographic databases was undertaken with defined search terms and including literature up to June 14, 2020.Study Selection3200 titles were retrieved in the initial search; 36 ultimately included for review.Data ExtractionData was double extracted independently by two reviewers and confirmed with the review team. All eligible studies were either survey or interview-based and as such we turned to narrative systematic review methodology.ResultsThe authors identified two key sets of findings: first, parents/family members want to be offered the option to be present for their child's resuscitation. Secondly, health care provider attitudes varied widely (ranging from 15% to >85%), however, support for family presence increased with previous experience and level of seniority.LimitationsEnglish language only; lack of randomized control trials; quality of the publications.ConclusionsParents wish to be offered the opportunity to be present but opinions and perspectives on the family presence vary greatly among health care providers. This topic urgently needs high quality, comparative research to measure the actual impact of family presence on patient, family and staff outcomes.Prospero Registration NumberCRD42020140363.Copyright © 2021 Elsevier B.V. All rights reserved.

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