North York General Hospital, Li Ka Shing Knowledge Institute, 4001 Leslie Street, Toronto, Ontario M3K 3E1, Canada.
North York General Hospital, Li Ka Shing Knowledge Institute, 4001 Leslie Street, Toronto, Ontario M3K 3E1, Canada.
Resuscitation. 2021 May;162:20-34. doi: 10.1016/j.resuscitation.2021.01.017. Epub 2021 Feb 9.
Parent/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.
To conduct a systematic review of the published evidence related to family presence during pediatric and neonatal resuscitation.
Six major bibliographic databases was undertaken with defined search terms and including literature up to June 14, 2020.
3200 titles were retrieved in the initial search; 36 ultimately included for review.
Data 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.
The 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.
English language only; lack of randomized control trials; quality of the publications.
Parents 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.
CRD42020140363.
在儿科复苏中，让家长/家属在场的做法在医院环境中一直缓慢普及，尚未得到普遍实施。此前尚未对儿科和新生儿复苏期间家属在场的文献进行系统评价。
对已发表的关于儿科和新生儿复苏期间家属在场的文献进行系统评价。
采用明确的检索词对 6 个主要文献数据库进行检索，检索时间截至 2020 年 6 月 14 日。
最初检索得到 3200 篇标题；最终纳入 36 篇进行综述。
两名评审员独立进行数据提取，并与评审小组确认。所有合格的研究均为调查或访谈研究，因此我们采用叙述性系统评价方法。
作者确定了两组关键发现：首先，父母/家属希望获得让其在场参与孩子复苏的机会。其次，医护人员的态度差异很大（15%至＞85%），但随着经验和职称的增加，对家属在场的支持也增加。
仅为英文文献；缺乏随机对照试验；研究报告的质量。
家长希望有机会在场，但医护人员对家属在场的看法存在很大差异。这个话题迫切需要高质量的、具有可比性的研究，以衡量家属在场对患者、家庭和医护人员结局的实际影响。
PROSPERO 注册号：CRD42020140363。
