Variation in communication and family visiting policies in intensive care within and between countries during the Covid-19 pandemic: The COVISIT international survey
Tabah A. Elhadi M. Ballard E. Cortegiani A. Cecconi M. Unoki T. Galarza L. Rosa R.G. Barbier F. Azoulay E. Laupland K.B. Kai N.S.Y. Ostermann M. Francois G. De Waele J.J. Fiest K. Spronk P. Benbenishty J. Pellegrini M. Rose L. Ramanan M. Bailey R. Kronberger I.E. Cerovac A. Sligl W. Peršec J. Lincango-Naranjo E. Osman N. Tanas Y. Dean Y. Abbas A.M. Elbahnasawy M.G. Elshennawy E.M. Elmandouh O. Ahmed F.H. Koulenti D. Tsakiridis I. Gurjar M. Cindryani M. Mahmoodpoor A. Aldawoody H.I.R. Zuccaro F. Iozzo P. Ippolito M. Katayama Y. Kuribara T. Miyazaki S. Nakayama A. Ouchi A. Sakuramoto H. Tamoto M. Yamada T. Serhan H.A.A. Alsakarneh S.G.G. Kaligozhin Z. Viderman D. Karout L. Hasan M.S. Zakaria A.D. amendys-Silva S. Rai L. Abello A.T.R. Povoa P. Tomescu D. Drozdov E. Gallego A.O. Jariod- Ferrer U.M. Garca B.N. Mohamed A.M.I. George A.R.M. Jeitziner M.-M. Saracoglu K.T. Isik A. Aslan A.T. Torlinski T.
October 2022W.B. Saunders
Journal of Critical Care
2022#71
Background: During the COVID-19 pandemic, intensive care units (ICU) introduced restrictions to in-person family visiting to safeguard patients, healthcare personnel, and visitors. Methods: We conducted a web-based survey (March–July 2021) investigating ICU visiting practices before the pandemic, at peak COVID-19 ICU admissions, and at the time of survey response. We sought data on visiting policies and communication modes including use of virtual visiting (videoconferencing). Results: We obtained 667 valid responses representing ICUs in all continents. Before the pandemic, 20% (106/525) had unrestricted visiting hours; 6% (30/525) did not allow in-person visiting. At peak, 84% (558/667) did not allow in-person visiting for patients with COVID-19; 66% for patients without COVID-19. This proportion had decreased to 55% (369/667) at time of survey reporting. A government mandate to restrict hospital visiting was reported by 53% (354/646). Most ICUs (55%, 353/615) used regular telephone updates; 50% (306/667) used telephone for formal meetings and discussions regarding prognosis or end-of-life. Virtual visiting was available in 63% (418/667) at time of survey. Conclusions: Highly restrictive visiting policies were introduced at the initial pandemic peaks, were subsequently liberalized, but without returning to pre-pandemic practices. Telephone became the primary communication mode in most ICUs, supplemented with virtual visits.
COVID-19 , Family , Intensive care , Restriction , Visiting
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Intensive Care Unit, Redcliffe Hospital, Metro North Hospital and Health services, QLD, Australia
Queensland University of Technology, Brisbane, QLD, Australia
Faculty of Medicine, University of Queensland, Brisbane, QLD, Australia
Faculty of Medicine, University of Tripoli, Tripoli, Libya
QIMR Berghofer Medical Research Institute, Brisbane, QLD, Australia
Department of Surgical, Oncological and Oral Sciences (Di.Chir.On.S.), University of Palermo, Italy
Department of Anesthesia, Intensive Care and Emergency, Policlinico Paolo Giaccone, Palermo, Italy
Anaesthesia and Intensive Care Units, Humanitas Research Hospital, Milan, Italy
Humanitas University, Milan, Italy
Department of Acute and Critical Care Nursing, School of Nursing, Sapporo City University, Sapporo, Japan
Department of Intensive Care, Hospital General Universitario de Castellon, Castellon de la Plana, Spain
Intensive Care Unit, Hospital Moinhos de Vento, Rio Grande do Sul, Porto Alegre, Brazil
Médecine Intensive – Réanimation Hôpital de la Source - CHR Orléans, Orléans, France
Médecine Intensive et Réanimation, Groupe FAMIREA, Hôpital Saint-Louis, Université de Paris, Paris, France
Department of Intensive Care Services, Royal Brisbane and Womens Hospital, Brisbane, Australia
Department of Critical Care & Nephrology, Kings College London, Guys & St. Thomas NHS Foundation Trust, London, United Kingdom
Division of Scientific Affairs, Research, European Society of Intensive Care Medicine, Brussels, Belgium
Department of Critical Care Medicine, Ghent University Hospital, Ghent, Belgium
Departments of Critical Care Medicine, Community Health Sciences,, Psychiatry, OBrien Institute for Public Health, University of Calgary, Calgary, Canada
Departments of Intensive Care Medicine, Gelre Hospitals, Albert Schweitzerlaan, Apeldoorn, Netherlands
Intensive Care Trauma, Hadassah Medical Center, Jerusalem, Israel
Intensive Care Unit, AnOpIVA, Akademiska sjukhuset, Uppsala, Sweden
Hedenstierna Laboratory, Department of Surgical Science, Uppsala University, Uppsala, Sweden
Florence Nightingale Faculty of Nursing, Midwifery and Palliative Care, Kings College London, London, United Kingdom
Critical Care and Lane Fox Clinical Respiratory Physiology Research Centre, Guys and St. Thomas NHS Foundation Trust, London, United Kingdom
Division of Internal Medicine and Pediatrics, Faculty of Medicine and Health Sciences, Ghent University, Ghent, Belgium
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Italy
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Intensive Care Unit
Queensland University of Technology
Faculty of Medicine
Faculty of Medicine
QIMR Berghofer Medical Research Institute
Department of Surgical
Department of Anesthesia
Anaesthesia and Intensive Care Units
Humanitas University
Department of Acute and Critical Care Nursing
Department of Intensive Care
Intensive Care Unit
Médecine Intensive – Réanimation Hôpital de la Source - CHR Orléans
Médecine Intensive et Réanimation
Department of Intensive Care Services
Department of Critical Care & Nephrology
Division of Scientific Affairs
Department of Critical Care Medicine
Departments of Critical Care Medicine
Departments of Intensive Care Medicine
Intensive Care Trauma
Intensive Care Unit
Hedenstierna Laboratory
Florence Nightingale Faculty of Nursing
Critical Care and Lane Fox Clinical Respiratory Physiology Research Centre
Division of Internal Medicine and Pediatrics
Australia
Austria
Bosnia and Herzegovina
Canada
Croatia
Ecuador
Egypt
Greece
India
Indonesia
Iran
Iraq
Italy
Japan
Jordan
Kazakhstan
Lebanon
Malaysia
Mexico
Pakistan
Philippines
Portugal
Romania
Russian Federation
Spain
Sudan
Switzerland
Turkey
United Kingdom
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