The Struggle Continues: Improving Outcomes for Surrogate Decision-Makers after the ICU

Katherine R Courtright¹, James Downar^{2

3

4}

Affiliations

¹ Perelman School of Medicine University of Pennsylvania Philadelphia, Pennsylvania.
² Department of Medicine University of Ottawa Ottawa, Ontario, Canada.
³ Department of Critical Care The Ottawa Hospital Ottawa, Ontario, Canada.
⁴ Bruyere Health Research Institute Ottawa, Ontario, Canada.

Editorial

Katherine R Courtright et al. Am J Respir Crit Care Med. 2025 Mar.

. 2025 Mar;211(3):309-311.

doi: 10.1164/rccm.202411-2233ED.

Katherine R Courtright¹, James Downar^{2

3

4}

¹ Perelman School of Medicine University of Pennsylvania Philadelphia, Pennsylvania.
² Department of Medicine University of Ottawa Ottawa, Ontario, Canada.
³ Department of Critical Care The Ottawa Hospital Ottawa, Ontario, Canada.
⁴ Bruyere Health Research Institute Ottawa, Ontario, Canada.

No abstract available

Comment on

Randomized Clinical Trial of the Four Supports Intervention for Surrogate Decision-Makers in Intensive Care Units.
Butler RA, Seaman JB, Felman K, Stonehouse W, San Pedro R, Morse JQ, Chang CH, Lincoln T, Reynolds CF 3rd, Landefeld S, Happ MB, Song MK, Angus DC, Arnold RM, White DB. Butler RA, et al. Am J Respir Crit Care Med. 2025 Mar;211(3):370-380. doi: 10.1164/rccm.202405-0931OC. Am J Respir Crit Care Med. 2025. PMID: 39586017 Free PMC article. Clinical Trial.

1. Wendler D, Rid A. Systematic review: the effect on surrogates of making treatment decisions for others. Ann Intern Med . 2011;154:336–346. - PubMed
1. Scheunemann LP, Ernecoff NC, Buddadhumaruk P, Carson SS, Hough CL, Curtis JR, et al. Clinician-family communication about patients’ values and preferences in intensive care units. JAMA Intern Med . 2019;179:676–684. - PMC - PubMed
1. Taylor LJ, Johnson SK, Nabozny MJ, Tucholka JL, Steffens NM, Kwekkeboom KL, et al. Barriers to goal-concordant care for older patients with acute surgical illness: communication patterns extrinsic to decision aids. Ann Surg . 2018;267:677–682. - PMC - PubMed
1. Azoulay E, Pochard F, Kentish-Barnes N, Chevret S, Aboab J, Adrie C, et al. FAMIREA Study Group Risk of post-traumatic stress symptoms in family members of intensive care unit patients. Am J Respir Crit Care Med . 2005;171:987–994. - PubMed
1. Butler RA, Seaman JB, Felman K, Stonehouse W, San Pedro R, Morse JQ, et al. Randomized clinical trial of the four supports intervention for surrogate decision-makers in intensive care units. Am J Respir Crit Care Med . 2025;211:370–380. - PMC - PubMed