Aim

Objective: To conduct a systematic review of the published evidence related to family presence during adult resuscitation from cardiac arrest.

Methods

This review, registered with PROSPERO (CRD42021242384) and reported according to PRISMA guidelines, included studies of adult cardiac arrest with family presence during resuscitation that reported one or more patient, family or provider outcomes. Three databases (Medline, CINAHL and EMBASE) were searched from inception to 10/05/2022. Two investigators screened the studies, extracted data, and assessed risks of bias using the Mixed Method Appraisal Tool (MMAT). The synthesis approach was guided by Synthesis Without Meta-Analysis (SWiM) reporting guidelines and a narrative synthesis method.

Results

The search retrieved 9,459 citations of which 31 were included: 18 quantitative studies (including two RCTs), 12 qualitative studies, and one mixed methods study. The evidence was of very low or low certainty. There were four major findings. High-certainty evidence regarding the effect of family presence during resuscitation on patient outcomes is lacking. Family members had mixed outcomes in terms of depression, anxiety, post-traumatic stress disorder (PTSD) symptoms, and experience of witnessing resuscitation. Provider experience was variable and resuscitation setting, provider education, and provider experience were major influences on family presence during resuscitation. Finally, providers reported that a family support person and organisational guidelines were important for facilitating family presence during resuscitation.

Conclusion

The effect of family presence during resuscitation varies between individuals. There was variability in the effect of family presence during resuscitation on patient outcomes, family and provider outcomes and perceptions.

中文翻译：

---

成人心脏骤停复苏期间家人在场：系统评价

目的

目的：对已发表的与成人心脏骤停复苏期间家人在场相关的证据进行系统回顾。

方法

该综述已在 PROSPERO (CRD42021242384) 注册，并根据 PRISMA 指南进行报告，包括对成人心脏骤停进行复苏时有家人在场的研究，报告了一名或多名患者、家属或提供者的结果。从建立到 2022 年 10 月 5 日，对三个数据库（Medline、CINAHL 和 EMBASE）进行了检索。两名研究人员筛选研究、提取数据并使用混合方法评估工具 (MMAT) 评估偏倚风险。综合方法以无荟萃分析的综合（SWiM）报告指南和叙述综合方法为指导。

结果

检索检索到 9,459 条引用，其中包含 31 条：18 项定量研究（包括两项随机对照试验）、12 项定性研究和一项混合方法研究。证据的质量非常低或很低。有四个主要发现。关于复苏过程中家人在场对患者预后的影响，缺乏高质量的证据。家庭成员在抑郁、焦虑、创伤后应激障碍（PTSD）症状和目睹复苏经历方面的结果参差不齐。提供者的经验是可变的，复苏设置、提供者教育和提供者经验是复苏期间家庭在场的主要影响因素。最后，提供者报告说，家庭支持人员和组织指南对于促进复苏期间家人在场非常重要。

结论

复苏过程中家人在场的影响因人而异。复苏期间家人在场对患者结果、家庭和提供者结果和看法的影响存在差异。