Interprofessional Shared Decision-Making in the ICU: A Systematic Review and Recommendations From an Expert Panel
There is growing recognition that high-quality care for patients and families in the ICU requires exemplary interprofessional collaboration and communication. One important aspect is how the ICU team makes complex decisions. However, no recommendations have been published on interprofessional shared...
Gespeichert in:
| Veröffentlicht in: | Critical care medicine Jg. 47; H. 9; S. 1258 |
|---|---|
| Hauptverfasser: | , , , , , , , , , , , |
| Format: | Journal Article |
| Sprache: | Englisch |
| Veröffentlicht: |
United States
01.09.2019
|
| Schlagworte: | |
| ISSN: | 1530-0293, 1530-0293 |
| Online-Zugang: | Weitere Angaben |
| Tags: |
Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
|
| Abstract | There is growing recognition that high-quality care for patients and families in the ICU requires exemplary interprofessional collaboration and communication. One important aspect is how the ICU team makes complex decisions. However, no recommendations have been published on interprofessional shared decision-making. The aim of this project is to use systematic review and normative analysis by experts to examine existing evidence regarding interprofessional shared decision-making, describe its principles and provide ICU clinicians with recommendations regarding its implementation.
We conducted a systematic review using MEDLINE, Cumulative Index to Nursing and Allied Health Literature, and Cochrane databases and used normative analyses to formulate recommendations regarding interprofessional shared decision-making.
Three authors screened titles and abstracts in duplicate.
Four papers assessing the effect of interprofessional shared decision-making on quality of care were identified, suggesting that interprofessional shared decision-making is associated with improved processes and outcomes. Five recommendations, largely based on expert opinion, were developed: 1) interprofessional shared decision-making is a collaborative process among clinicians that allows for shared decisions regarding important treatment questions; 2) clinicians should consider engaging in interprofessional shared decision-making to promote the most appropriate and balanced decisions; 3) clinicians and hospitals should implement strategies to foster an ICU climate oriented toward interprofessional shared decision-making; 4) clinicians implementing interprofessional shared decision-making should consider incorporating a structured approach; and 5) further studies are needed to evaluate and improve the quality of interprofessional shared decision-making in ICUs.
Clinicians should consider an interprofessional shared decision-making model that allows for the exchange of information, deliberation, and joint attainment of important treatment decisions. |
|---|---|
| AbstractList | There is growing recognition that high-quality care for patients and families in the ICU requires exemplary interprofessional collaboration and communication. One important aspect is how the ICU team makes complex decisions. However, no recommendations have been published on interprofessional shared decision-making. The aim of this project is to use systematic review and normative analysis by experts to examine existing evidence regarding interprofessional shared decision-making, describe its principles and provide ICU clinicians with recommendations regarding its implementation.OBJECTIVESThere is growing recognition that high-quality care for patients and families in the ICU requires exemplary interprofessional collaboration and communication. One important aspect is how the ICU team makes complex decisions. However, no recommendations have been published on interprofessional shared decision-making. The aim of this project is to use systematic review and normative analysis by experts to examine existing evidence regarding interprofessional shared decision-making, describe its principles and provide ICU clinicians with recommendations regarding its implementation.We conducted a systematic review using MEDLINE, Cumulative Index to Nursing and Allied Health Literature, and Cochrane databases and used normative analyses to formulate recommendations regarding interprofessional shared decision-making.DATA SOURCESWe conducted a systematic review using MEDLINE, Cumulative Index to Nursing and Allied Health Literature, and Cochrane databases and used normative analyses to formulate recommendations regarding interprofessional shared decision-making.Three authors screened titles and abstracts in duplicate.STUDY SELECTIONThree authors screened titles and abstracts in duplicate.Four papers assessing the effect of interprofessional shared decision-making on quality of care were identified, suggesting that interprofessional shared decision-making is associated with improved processes and outcomes. Five recommendations, largely based on expert opinion, were developed: 1) interprofessional shared decision-making is a collaborative process among clinicians that allows for shared decisions regarding important treatment questions; 2) clinicians should consider engaging in interprofessional shared decision-making to promote the most appropriate and balanced decisions; 3) clinicians and hospitals should implement strategies to foster an ICU climate oriented toward interprofessional shared decision-making; 4) clinicians implementing interprofessional shared decision-making should consider incorporating a structured approach; and 5) further studies are needed to evaluate and improve the quality of interprofessional shared decision-making in ICUs.DATA SYNTHESISFour papers assessing the effect of interprofessional shared decision-making on quality of care were identified, suggesting that interprofessional shared decision-making is associated with improved processes and outcomes. Five recommendations, largely based on expert opinion, were developed: 1) interprofessional shared decision-making is a collaborative process among clinicians that allows for shared decisions regarding important treatment questions; 2) clinicians should consider engaging in interprofessional shared decision-making to promote the most appropriate and balanced decisions; 3) clinicians and hospitals should implement strategies to foster an ICU climate oriented toward interprofessional shared decision-making; 4) clinicians implementing interprofessional shared decision-making should consider incorporating a structured approach; and 5) further studies are needed to evaluate and improve the quality of interprofessional shared decision-making in ICUs.Clinicians should consider an interprofessional shared decision-making model that allows for the exchange of information, deliberation, and joint attainment of important treatment decisions.CONCLUSIONSClinicians should consider an interprofessional shared decision-making model that allows for the exchange of information, deliberation, and joint attainment of important treatment decisions. There is growing recognition that high-quality care for patients and families in the ICU requires exemplary interprofessional collaboration and communication. One important aspect is how the ICU team makes complex decisions. However, no recommendations have been published on interprofessional shared decision-making. The aim of this project is to use systematic review and normative analysis by experts to examine existing evidence regarding interprofessional shared decision-making, describe its principles and provide ICU clinicians with recommendations regarding its implementation. We conducted a systematic review using MEDLINE, Cumulative Index to Nursing and Allied Health Literature, and Cochrane databases and used normative analyses to formulate recommendations regarding interprofessional shared decision-making. Three authors screened titles and abstracts in duplicate. Four papers assessing the effect of interprofessional shared decision-making on quality of care were identified, suggesting that interprofessional shared decision-making is associated with improved processes and outcomes. Five recommendations, largely based on expert opinion, were developed: 1) interprofessional shared decision-making is a collaborative process among clinicians that allows for shared decisions regarding important treatment questions; 2) clinicians should consider engaging in interprofessional shared decision-making to promote the most appropriate and balanced decisions; 3) clinicians and hospitals should implement strategies to foster an ICU climate oriented toward interprofessional shared decision-making; 4) clinicians implementing interprofessional shared decision-making should consider incorporating a structured approach; and 5) further studies are needed to evaluate and improve the quality of interprofessional shared decision-making in ICUs. Clinicians should consider an interprofessional shared decision-making model that allows for the exchange of information, deliberation, and joint attainment of important treatment decisions. |
| Author | Hartog, Christiane S DeKeyser Ganz, Freda Kesecioglu, Jozef Latour, Jos M Long, Ann C Jensen, Hanne I Truog, Robert D Metaxa, Victoria Mahn, Anna R Michalsen, Andrej White, Douglas B Curtis, J Randall |
| Author_xml | – sequence: 1 givenname: Andrej surname: Michalsen fullname: Michalsen, Andrej organization: Department of Anaesthesiology and Critical Care, Medizin Campus Bodensee - Tettnang Hospital, Tettnang, Germany – sequence: 2 givenname: Ann C surname: Long fullname: Long, Ann C organization: Cambia Palliative Care Center of Excellence, Harborview Medical Center, Department of Medicine, University of Washington, Seattle, WA – sequence: 3 givenname: Freda surname: DeKeyser Ganz fullname: DeKeyser Ganz, Freda organization: Hadassah Hebrew University School of Nursing, Jerusalem, Israel – sequence: 4 givenname: Douglas B surname: White fullname: White, Douglas B organization: Department of Critical Care Medicine, University of Pittsburgh School of Medicine, Pittsburgh, PA – sequence: 5 givenname: Hanne I surname: Jensen fullname: Jensen, Hanne I organization: Institute of Regional Health Research, University of Southern Denmark, Odense, Denmark – sequence: 6 givenname: Victoria surname: Metaxa fullname: Metaxa, Victoria organization: Department of Critical Care, King's College Hospital NHS Foundation Trust, London, United Kingdom – sequence: 7 givenname: Christiane S surname: Hartog fullname: Hartog, Christiane S organization: Department of Anesthesiology and Operative Intensive Care Medicine, Charité - Universitätsmedizin Berlin, Berlin, Germany – sequence: 8 givenname: Jos M surname: Latour fullname: Latour, Jos M organization: School of Nursing and Midwifery, Faculty of Health and Human Sciences, University of Plymouth, Plymouth, United Kingdom – sequence: 9 givenname: Robert D surname: Truog fullname: Truog, Robert D organization: Center for Bioethics, Harvard, Medical School, as well as Department of Anesthesiology, Critical Care, and Pain Medicine, Boston Children's Hospital, Boston, MA – sequence: 10 givenname: Jozef surname: Kesecioglu fullname: Kesecioglu, Jozef organization: Department of Intensive Care Medicine, University Medical Center Utrecht, Utrecht University, Utrecht, The Netherlands – sequence: 11 givenname: Anna R surname: Mahn fullname: Mahn, Anna R organization: Department of Anesthesiology and Operative Intensive Care Medicine, Charité - Universitätsmedizin Berlin, Berlin, Germany – sequence: 12 givenname: J Randall surname: Curtis fullname: Curtis, J Randall organization: Cambia Palliative Care Center of Excellence, Harborview Medical Center, Department of Medicine, University of Washington, Seattle, WA |
| BackLink | https://www.ncbi.nlm.nih.gov/pubmed/31169620$$D View this record in MEDLINE/PubMed |
| BookMark | eNpNkFtPwkAQhTcGIxf9B8bsoy_FvXR3qW-kgpJANCLPzXY7ldV2C92i8u8tERPmZb7MOZmcmT7quMoBQteUDCmJ1F0cL4bkpPhIkTPUo4KTgLCId064i_refxBCQ6H4BepySmUkGemh7cw1UG_qKgfvbeV0gZdrXUOGH8DYwyRY6E_r3rF1uFkDnsWrezzGy71voNSNNfgVvix8Y-2yFk1VluCyVqicx9O6KlsBT342UDf4RTsoLtF5rgsPV8c-QKvp5C1-CubPj7N4PA9MSCgJBKNpRKjMI0NB8TxMpZaUSyqMEKLlMONhGHKjRtlIKm6kHoHIUyYiJYFJNkC3f3vb47Y78E1SWm-gKNoQ1c4njCnBhCLqYL05WndpCVmyqW2p633y_yb2Cx2aavw |
| CitedBy_id | crossref_primary_10_1590_0102_311xes134122 crossref_primary_10_1055_a_2211_9608 crossref_primary_10_1186_s12871_023_02173_2 crossref_primary_10_1097_ACO_0000000000000808 crossref_primary_10_12998_wjcc_v9_i28_8312 crossref_primary_10_1016_j_jcrc_2023_154363 crossref_primary_10_1016_j_jcrc_2021_12_006 crossref_primary_10_1097_01_JAA_0000902888_46676_73 crossref_primary_10_1186_s13054_023_04622_3 crossref_primary_10_1017_S1047951125000010 crossref_primary_10_1186_s12911_025_02965_1 crossref_primary_10_1161_CIR_0000000000001162 crossref_primary_10_1080_13561820_2021_1973975 crossref_primary_10_1097_CCM_0000000000004103 crossref_primary_10_1089_jpm_2021_0640 crossref_primary_10_1016_j_physio_2024_02_006 crossref_primary_10_3390_healthcare12232485 crossref_primary_10_1007_s00134_022_06729_7 crossref_primary_10_5812_mcj_137945 crossref_primary_10_1371_journal_pone_0288978 crossref_primary_10_1055_s_0043_1775596 crossref_primary_10_1186_s12882_025_04261_6 crossref_primary_10_1188_21_CJON_E35_E43 crossref_primary_10_1016_j_contraception_2024_110389 crossref_primary_10_1136_bmjopen_2022_062392 crossref_primary_10_1016_j_jpainsymman_2025_08_016 crossref_primary_10_1055_a_1989_2382 crossref_primary_10_1055_a_2069_7745 crossref_primary_10_1016_j_jpainsymman_2022_03_010 crossref_primary_10_1186_s13584_024_00662_4 crossref_primary_10_4037_ajcc2022585 crossref_primary_10_1007_s00134_024_07588_0 crossref_primary_10_1007_s11019_023_10179_3 crossref_primary_10_1080_13561820_2025_2530145 crossref_primary_10_1016_j_zefq_2022_05_001 crossref_primary_10_1097_CCM_0000000000003880 crossref_primary_10_1111_1742_6723_14377 crossref_primary_10_1097_CCM_0000000000004057 crossref_primary_10_2106_JBJS_OA_22_00107 crossref_primary_10_1016_j_iccn_2024_103856 crossref_primary_10_1016_j_ijnurstu_2024_104764 crossref_primary_10_1136_bmjopen_2023_076494 crossref_primary_10_1177_08850666251352456 crossref_primary_10_1590_0102_311xen134122 crossref_primary_10_3390_healthcare10101844 crossref_primary_10_1016_j_cnc_2023_05_012 crossref_primary_10_1590_0102_311xpt134122 crossref_primary_10_3390_jcm10143068 crossref_primary_10_1007_s10049_021_00888_8 crossref_primary_10_1186_s12910_022_00775_y crossref_primary_10_1016_j_chest_2023_04_018 crossref_primary_10_1016_j_resuscitation_2021_02_017 crossref_primary_10_1007_s00101_022_01139_2 crossref_primary_10_1111_nicc_12602 crossref_primary_10_1007_s00134_024_07579_1 crossref_primary_10_1016_j_jpainsymman_2021_06_016 crossref_primary_10_1016_j_ccc_2022_09_013 crossref_primary_10_1016_j_jpainsymman_2021_04_008 crossref_primary_10_3389_fmed_2022_806945 crossref_primary_10_1097_CCM_0000000000005208 crossref_primary_10_1007_s00134_019_05829_1 crossref_primary_10_2147_JMDH_S525581 crossref_primary_10_1371_journal_pone_0281447 crossref_primary_10_1016_j_iccn_2022_103328 crossref_primary_10_1186_s12910_025_01178_5 crossref_primary_10_1007_s00063_021_00897_y crossref_primary_10_1177_10775587221103973 crossref_primary_10_1016_j_chest_2024_02_015 crossref_primary_10_1001_jamainternmed_2023_2450 crossref_primary_10_1016_j_anclin_2023_12_006 crossref_primary_10_1097_DCC_0000000000000451 crossref_primary_10_1111_jpc_14588 crossref_primary_10_1177_1049909120979982 crossref_primary_10_1016_j_aucc_2024_06_015 crossref_primary_10_1007_s00063_021_00794_4 crossref_primary_10_1136_openhrt_2020_001244 crossref_primary_10_1186_s13054_022_03971_9 crossref_primary_10_1007_s00134_023_07298_z crossref_primary_10_4037_ajcc2025476 crossref_primary_10_1016_j_chest_2022_05_007 crossref_primary_10_1080_13561820_2021_1980379 crossref_primary_10_1097_CCM_0000000000004029 crossref_primary_10_1080_09638288_2021_1922515 crossref_primary_10_5492_wjccm_v13_i2_89644 crossref_primary_10_1007_s00063_023_01016_9 crossref_primary_10_1016_j_jcrc_2025_155127 crossref_primary_10_1016_j_jpainsymman_2024_01_041 crossref_primary_10_1186_s12910_021_00612_8 crossref_primary_10_1111_hex_14162 crossref_primary_10_1177_09697330231153684 crossref_primary_10_1037_cpp0000488 crossref_primary_10_1186_s12913_023_10000_0 |
| ContentType | Journal Article |
| DBID | CGR CUY CVF ECM EIF NPM 7X8 |
| DOI | 10.1097/CCM.0000000000003870 |
| DatabaseName | Medline MEDLINE MEDLINE (Ovid) MEDLINE MEDLINE PubMed MEDLINE - Academic |
| DatabaseTitle | MEDLINE Medline Complete MEDLINE with Full Text PubMed MEDLINE (Ovid) MEDLINE - Academic |
| DatabaseTitleList | MEDLINE - Academic MEDLINE |
| Database_xml | – sequence: 1 dbid: NPM name: PubMed url: http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed sourceTypes: Index Database – sequence: 2 dbid: 7X8 name: MEDLINE - Academic url: https://search.proquest.com/medline sourceTypes: Aggregation Database |
| DeliveryMethod | no_fulltext_linktorsrc |
| Discipline | Medicine |
| EISSN | 1530-0293 |
| ExternalDocumentID | 31169620 |
| Genre | Systematic Review Journal Article |
| GroupedDBID | --- .-D .3C .55 .GJ .XZ .Z2 01R 0R~ 1J1 354 3O- 40H 4Q1 4Q2 4Q3 53G 5GY 5RE 5VS 6J9 6PF 71W 77Y 7O~ AAAAV AAAXR AAGIX AAHPQ AAIQE AAJCS AAMOA AAMTA AAQKA AAQQT AARTV AASCR AASOK AASXQ AAUEB AAWTL AAXQO AAYEP ABASU ABBUW ABDIG ABJNI ABOCM ABPPZ ABPXF ABVCZ ABXVJ ABXYN ABZAD ABZZY ACCJW ACDDN ACDOF ACEWG ACGFO ACGFS ACILI ACLDA ACOAL ACWDW ACWRI ACXJB ACXNZ ACZKN ADFPA ADGGA ADHPY ADNKB AE3 AE6 AEBDS AEETU AENEX AFBFQ AFDTB AFEXH AFFNX AFMBP AFNMH AFSOK AFUWQ AGINI AHOMT AHQNM AHQVU AHRYX AHVBC AI. AIJEX AINUH AJCLO AJIOK AJNWD AJNYG AJZMW AKCTQ AKULP ALKUP ALMA_UNASSIGNED_HOLDINGS ALMTX AMJPA AMKUR AMNEI AOHHW AOQMC BOYCO BQLVK BS7 BYPQX C45 CGR CS3 CUY CVF DIWNM DU5 DUNZO E.X EBS ECM EEVPB EIF EJD ERAAH EX3 F2K F2L F2M F2N F5P FCALG FL- FW0 GNXGY GQDEL H0~ HLJTE HZ~ IKREB IKYAY IN~ IPNFZ J5H JF9 JG8 JK3 JK8 K-A K-F K8S KD2 KMI L-C L7B M18 N4W N9A NEJ NPM N~7 N~B N~M O9- OAG OAH OB4 OBH OCUKA ODA ODMTH ODZKP OHH OHT OHYEH OL1 OLB OLG OLH OLU OLV OLY OLZ ONV OPUJH ORVUJ OUVQU OVD OVDNE OVIDH OVLEI OVOZU OWBYB OWU OWV OWW OWX OWY OWZ OXXIT P-K P2P PONUX R58 RIG RLZ S4R S4S T8P TEORI TSPGW V2I VH1 VVN W3M WOQ WOW X3V X3W X7M XXN XYM YFH YOC YOJ ZCG ZFV ZGI ZXP ZY1 ZZMQN ~9M 7X8 ADKSD ADSXY |
| ID | FETCH-LOGICAL-c4010-521b9016f9c1e73f4b6a613615c5556a64d34443c78d8673c6a8e5fb25976e262 |
| IEDL.DBID | 7X8 |
| ISICitedReferencesCount | 103 |
| ISICitedReferencesURI | http://www.webofscience.com/api/gateway?GWVersion=2&SrcApp=Summon&SrcAuth=ProQuest&DestLinkType=CitingArticles&DestApp=WOS_CPL&KeyUT=00003246-201909000-00013&url=https%3A%2F%2Fcvtisr.summon.serialssolutions.com%2F%23%21%2Fsearch%3Fho%3Df%26include.ft.matches%3Dt%26l%3Dnull%26q%3D |
| ISSN | 1530-0293 |
| IngestDate | Thu Oct 02 07:05:14 EDT 2025 Mon Jul 21 06:06:46 EDT 2025 |
| IsPeerReviewed | true |
| IsScholarly | true |
| Issue | 9 |
| Language | English |
| LinkModel | DirectLink |
| MergedId | FETCHMERGED-LOGICAL-c4010-521b9016f9c1e73f4b6a613615c5556a64d34443c78d8673c6a8e5fb25976e262 |
| Notes | ObjectType-Article-1 SourceType-Scholarly Journals-1 ObjectType-Feature-2 content type line 23 ObjectType-Undefined-3 |
| PMID | 31169620 |
| PQID | 2275257076 |
| PQPubID | 23479 |
| ParticipantIDs | proquest_miscellaneous_2275257076 pubmed_primary_31169620 |
| PublicationCentury | 2000 |
| PublicationDate | 2019-September |
| PublicationDateYYYYMMDD | 2019-09-01 |
| PublicationDate_xml | – month: 09 year: 2019 text: 2019-September |
| PublicationDecade | 2010 |
| PublicationPlace | United States |
| PublicationPlace_xml | – name: United States |
| PublicationTitle | Critical care medicine |
| PublicationTitleAlternate | Crit Care Med |
| PublicationYear | 2019 |
| References | 31415316 - Crit Care Med. 2019 Sep;47(9):1279-1281 |
| References_xml | – reference: 31415316 - Crit Care Med. 2019 Sep;47(9):1279-1281 |
| SSID | ssj0014573 |
| Score | 2.6133611 |
| SecondaryResourceType | review_article |
| Snippet | There is growing recognition that high-quality care for patients and families in the ICU requires exemplary interprofessional collaboration and communication.... |
| SourceID | proquest pubmed |
| SourceType | Aggregation Database Index Database |
| StartPage | 1258 |
| SubjectTerms | Clinical Decision-Making - methods Communication Cooperative Behavior Group Processes Humans Intensive Care Units - organization & administration Interprofessional Relations Patient Care Team - organization & administration |
| Title | Interprofessional Shared Decision-Making in the ICU: A Systematic Review and Recommendations From an Expert Panel |
| URI | https://www.ncbi.nlm.nih.gov/pubmed/31169620 https://www.proquest.com/docview/2275257076 |
| Volume | 47 |
| WOSCitedRecordID | wos00003246-201909000-00013&url=https%3A%2F%2Fcvtisr.summon.serialssolutions.com%2F%23%21%2Fsearch%3Fho%3Df%26include.ft.matches%3Dt%26l%3Dnull%26q%3D |
| hasFullText | |
| inHoldings | 1 |
| isFullTextHit | |
| isPrint | |
| link | http://cvtisr.summon.serialssolutions.com/2.0.0/link/0/eLvHCXMwpV1dS8MwFA3qRHzx-2N-EcHXYNukSeuLjOlQsGOgk72VNklh4Nptnf5-b9LMPQmCfSiFUhrSJPfknttzELqRVPpMc0Z4IDOTrdIEgnBMCiPxo7KcMlub8_4i-v1oNIoHLuFWu7LK5ZpoF2pVSZMjvw0CYR3XBL-fzohxjTLsqrPQWEctClDGlHSJ0YpFYKFlmGFSe8SDuLb8dS4Wt91u0kgXuoNGwvsdZNpg09v9bzP30I6DmbjTjIt9tKbLA7SVOCL9EM1cseFKlwMb6Wat8IMz3SGJ9anC4xIDRsTP3eEd7uDXH-Fn3LAKOCsVNnvYyUQ7f6Ya9-bVBG5gq6O8wIOs1B9HaNh7fOs-Eee-QCQzDDnE9RzAAi9i6WtBC5bzDGI_ICAZhiFcM0UZY1SKSEVcUMmzSIdFDvspwXXAg2O0UValPkXYkItMGYeNImOAOPKAyUILL_aU78MWuY2ul52Zwug2lAU0rPqs01V3ttFJ80XSaSPDkVLf5zEPvLM_PH2OtuG9rjjsArUKmNv6Em3Kr8W4nl_ZYQPn_iD5Bn92yQI |
| linkProvider | ProQuest |
| openUrl | ctx_ver=Z39.88-2004&ctx_enc=info%3Aofi%2Fenc%3AUTF-8&rfr_id=info%3Asid%2Fsummon.serialssolutions.com&rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Ajournal&rft.genre=article&rft.atitle=Interprofessional+Shared+Decision-Making+in+the+ICU%3A+A+Systematic+Review+and+Recommendations+From+an+Expert+Panel&rft.jtitle=Critical+care+medicine&rft.au=Michalsen%2C+Andrej&rft.au=Long%2C+Ann+C&rft.au=DeKeyser+Ganz%2C+Freda&rft.au=White%2C+Douglas+B&rft.date=2019-09-01&rft.issn=1530-0293&rft.eissn=1530-0293&rft.volume=47&rft.issue=9&rft.spage=1258&rft_id=info:doi/10.1097%2FCCM.0000000000003870&rft.externalDBID=NO_FULL_TEXT |
| thumbnail_l | http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/lc.gif&issn=1530-0293&client=summon |
| thumbnail_m | http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/mc.gif&issn=1530-0293&client=summon |
| thumbnail_s | http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/sc.gif&issn=1530-0293&client=summon |