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Variation in communication and family visiting policies in intensive care within and between countries during the Covid-19 pandemic: The COVISIT international survey

2022; Elsevier BV; Volume: 71; Linguagem: Inglês

10.1016/j.jcrc.2022.154050

1557-8615

Alexis Tabah, Muhammed Elhadi, E Ballard, Andrea Cortegiani, Maurizio Cecconi, Takeshi Unoki, Laurą Galarza, Régis Goulart Rosa, François Barbier, Élie Azoulay, Kevin B. Laupland, Nathalie Ssi Yan Kai, Marlies Ostermann, Guy François, Jan J. De Waele, Kirsten M. Fiest, Peter E. Spronk, Julie Benbenishty, Mariangela Pellegrini, Louise Rose, Mahesh Ramanan, Rachel L. Bailey, Irmgard Kronberger, Anis Cerovac, Wendy Sligl, Jasminka Peršec, Eddy Lincango-Naranjo, Nermin Osman, Yousef Tanas, Yomna E. Dean, Ahmed M. Abbas, Mohamed Elbahnasawy, Eslam M Elshennawy, Omar Elmandouh, Fatima Hamed Ahmed, Despoina Koulenti, Ioannis Tsakiridis, Mohan Gurjar, Marilaeta Cindryani, Ata Mahmoodpoor, Hogir Imad Rasheed Aldawoody, Francesco Zuccaro, Pasquale Iozzo, Mariachiara Ippolito, Yukiko Katayama, Tomoki Kuribara, Satoko Miyazaki, Asami Nakayama, Akira Ouchi, Hideaki Sakuramoto, Mitsuhiro Tamoto, Toru Yamada, Hashem Abu Serhan, Saqr Alsakarneh, Zhannur Kaligozhin, Dmitriy Viderman, Lina Karout, Mohd Shahnaz Hasan, Andee Dzulkarnaen Zakaria, Silvio A. Ñamendys‐Silva, Lajpat Rai, Antonio Thaddeus R. Abello, Pedro Póvoa, Dana Tomescu, E. S. Drozdov, Alberto Orejas Gallego, U M Jariod-Ferrer, Bernardo Nuñez-Garçia, Ahmed Ibrahim, Abram Raymon Moneer George, Marie‐Madlen Jeitziner, Kemal Tolga Saraçoğlu, Arda Işık, Abdullah Tarık Aslan, Tomasz Torliński,

Grief, Bereavement, and Mental Health

During the COVID-19 pandemic, intensive care units (ICU) introduced restrictions to in-person family visiting to safeguard patients, healthcare personnel, and visitors. 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). 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. 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.