The effect of shared decision-making for critically ill patients: a systematic review and meta-analysis

Key Points

• Shared decision-making reduces ICU length of stay for critically ill patients who ultimately die, without affecting mortality rates.
• The meta-analysis indicates that culturally tailored interventions are necessary to meet diverse patient and surrogate needs.
• Observational analysis across critical care settings highlights the need for better alignment of decision-making practices with patient values.
• This study underscores the importance of integrating patient preferences in critical care, emphasizing more effective communication strategies.

Abstract