Communication and visiting policies in Italian intensive care units during the first COVID-19 pandemic wave and lockdown: a nationwide survey.
Health communication
Intensive care units
Pandemics
Patient-centered care
Professional-family relations
Journal
BMC anesthesiology
ISSN: 1471-2253
Titre abrégé: BMC Anesthesiol
Pays: England
ID NLM: 100968535
Informations de publication
Date de publication:
17 06 2022
17 06 2022
Historique:
received:
23
12
2021
accepted:
09
06
2022
entrez:
16
6
2022
pubmed:
17
6
2022
medline:
22
6
2022
Statut:
epublish
Résumé
During the first coronavirus disease 2019 (COVID-19) pandemic wave, an unprecedented number of patients with respiratory failure due to a new, highly contagious virus needed hospitalization and intensive care unit (ICU) admission. The aim of the present study was to describe the communication and visiting policies of Italian intensive care units (ICUs) during the first COVID-19 pandemic wave and national lockdown and compare these data with prepandemic conditions. A national web-based survey was conducted among 290 Italian hospitals. Each ICU (active between February 24 and May 31, 2020) was encouraged to complete an individual questionnaire inquiring the hospital/ICU structure/organization, communication/visiting habits and the role of clinical psychology prior to, and during the first COVID-19 pandemic wave. Two hundred and nine ICUs from 154 hospitals (53% of the contacted hospitals) completed the survey (202 adult and 7 pediatric ICUs). Among adult ICUs, 60% were dedicated to COVID-19 patients, 21% were dedicated to patients without COVID-19 and 19% were dedicated to both categories (Mixed). A total of 11,102 adult patients were admitted to the participating ICUs during the study period and only approximately 6% of patients received at least one visit. Communication with family members was guaranteed daily through an increased use of electronic devices and was preferentially addressed to the same family member. Compared to the prepandemic period, clinical psychologists supported physicians more often regarding communication with family members. Fewer patients received at least one visit from family members in COVID and mixed-ICUs than in non-COVID ICUs, l (0 [0-6]%, 0 [0-4]% and 11 [2-25]%, respectively, p < 0.001). Habits of pediatric ICUs were less affected by the pandemic. Visiting policies of Italian ICUs dedicated to adult patients were markedly altered during the first COVID-19 wave. Remote communication was widely adopted as a surrogate for family meetings. New strategies to favor a family-centered approach during the current and future pandemics are warranted.
Sections du résumé
BACKGROUND
During the first coronavirus disease 2019 (COVID-19) pandemic wave, an unprecedented number of patients with respiratory failure due to a new, highly contagious virus needed hospitalization and intensive care unit (ICU) admission. The aim of the present study was to describe the communication and visiting policies of Italian intensive care units (ICUs) during the first COVID-19 pandemic wave and national lockdown and compare these data with prepandemic conditions.
METHODS
A national web-based survey was conducted among 290 Italian hospitals. Each ICU (active between February 24 and May 31, 2020) was encouraged to complete an individual questionnaire inquiring the hospital/ICU structure/organization, communication/visiting habits and the role of clinical psychology prior to, and during the first COVID-19 pandemic wave.
RESULTS
Two hundred and nine ICUs from 154 hospitals (53% of the contacted hospitals) completed the survey (202 adult and 7 pediatric ICUs). Among adult ICUs, 60% were dedicated to COVID-19 patients, 21% were dedicated to patients without COVID-19 and 19% were dedicated to both categories (Mixed). A total of 11,102 adult patients were admitted to the participating ICUs during the study period and only approximately 6% of patients received at least one visit. Communication with family members was guaranteed daily through an increased use of electronic devices and was preferentially addressed to the same family member. Compared to the prepandemic period, clinical psychologists supported physicians more often regarding communication with family members. Fewer patients received at least one visit from family members in COVID and mixed-ICUs than in non-COVID ICUs, l (0 [0-6]%, 0 [0-4]% and 11 [2-25]%, respectively, p < 0.001). Habits of pediatric ICUs were less affected by the pandemic.
CONCLUSIONS
Visiting policies of Italian ICUs dedicated to adult patients were markedly altered during the first COVID-19 wave. Remote communication was widely adopted as a surrogate for family meetings. New strategies to favor a family-centered approach during the current and future pandemics are warranted.
Identifiants
pubmed: 35710331
doi: 10.1186/s12871-022-01726-1
pii: 10.1186/s12871-022-01726-1
pmc: PMC9203262
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
187Investigateurs
Barbara Lissoni
(B)
Andrea De Martini
(A)
Nadia Mareto
(N)
Concetta Rossitto
(C)
Ugo Zummo
(U)
Martina Taverna
(M)
Patrizia Machieraldo
(P)
Mauro Navarra
(M)
Massimiliano Parlanti Garbero
(M)
Chiara Scaletti
(C)
Silvia Perno
(S)
Luca Amendolia
(L)
Giorgia Montrucchio
(G)
Deliana Veliaj
(D)
Giuseppe Barbarello
(G)
Maria Alesci
(M)
Luca Bolgiaghi
(L)
Davide Vailati
(D)
Angelo Pezzi
(A)
Enrico Boselli
(E)
Francesca Piccoli
(F)
Massimiliano Greco
(M)
Marco Gemma
(M)
Marco Resta
(M)
Stefania Crotti
(S)
Nicola Bottino
(N)
Chiara Abruzzese
(C)
Monica Savioli
(M)
Giuseppina Migliorino
(G)
Stefano Muttini
(S)
Michele Umbrello
(M)
Beatrice Borghi
(B)
Stefano Greco
(S)
Micaela Dizeo
(M)
Maurizio Bottiroli
(M)
Michele Giovanni Mondino
(MG)
Manlio Prosepri
(M)
Giampaolo Casella
(G)
Francesco Curto
(F)
Matteo Zaniboni
(M)
Riccardo Giudici
(R)
Carlo Gentile
(C)
Michela Bombino
(M)
Roberto Rona
(R)
Barbara Cortinovis
(B)
Annalisa Benini
(A)
Leonello Avalli
(L)
Mario Tavola
(M)
Matteo Ferrario
(M)
Roberta Preda
(R)
Enzo Primerano
(E)
Gianluca Russo
(G)
Virginia Porta
(V)
Federico Valdambrini
(F)
Paola Fassini
(P)
Serena Orando
(S)
Eduardo Beck
(E)
Matteo Pedeferri
(M)
Giacomina Cogliati
(G)
Denise Testini
(D)
Benedetta Moroni
(B)
Vito Codeluppi
(V)
Patrizia Ruggeri
(P)
Elisa Milanesi
(E)
Mirko Belliato
(M)
Alessandra Besozzi
(A)
Mario Riccio
(M)
Silvia Zerbi
(S)
Davide Corbella
(D)
Francesco Ferri
(F)
Lorenzo Grazioli
(L)
Ezio Bonanomi
(E)
Matteo Giacomini
(M)
Noemi Sacchi
(N)
Cristian Codognola
(C)
Alessandra Ambrosini
(A)
Luca Guatteri
(L)
Matteo Subert
(M)
Gian Paolo Castelli
(GP)
Massimo Borelli
(M)
Erica Venier
(E)
Loredana Dittura
(L)
Stefania Buttera
(S)
Roberto Bigai
(R)
Sandra Magnoni
(S)
Simon Rauch
(S)
Angelo Colombo
(A)
Giorgio Fullin
(G)
Caterina Donolato
(C)
Silvia Cattin
(S)
Veronica State
(V)
Enrico Redeghieri
(E)
Alessandro Russo
(A)
Simonetta Pastorini
(S)
Sandra Allena
(S)
Marina Munari
(M)
Federica Turchet
(F)
Mario Peta
(M)
Vincenzo De Santis
(V)
Cristina Scala
(C)
Francesca Facondini
(F)
Elisabetta Marangoni
(E)
Tania Tassinati
(T)
Chiara Zanzani
(C)
Emanuele Russo
(E)
Annamaria Marchio
(A)
Maria Barbagallo
(M)
Massimo Girardis
(M)
Paolo Taffache
(P)
Marco Mordacci
(M)
Matteo Vincenzi
(M)
Michele Pennica
(M)
Giovanna Bracciotti
(G)
Paola Iori
(P)
Davide Gambi
(D)
Iacopo Cappellini
(I)
Lara Vegnuti
(L)
Alessandra De Luca
(A)
Stefano Romagnoli
(S)
Giamila Mosti
(G)
Rossella Carla
(R)
Valeria Roticiani
(V)
Lorella Pelagalli
(L)
Ennio Fuselli
(E)
Emilio D'Avino
(E)
Massimo De Bellis
(M)
Giulia Gianni
(G)
Francesca Leonardis
(F)
Marzia Rossi
(M)
Rossana Lorusso
(R)
Eugenia Magnanimi
(E)
Sabrina Martelli
(S)
Floriana Baisi
(F)
Davide Balsamo
(D)
Virginia Cotticelli
(V)
Alessia Mattei
(A)
Ivano Farinelli
(I)
Teresa Riccini
(T)
Luisanna Cola
(L)
Antonella Jorio
(A)
Emanuele Iacobone
(E)
Roberta Domizi
(R)
Simone Pizzi
(S)
Armando Nasso
(A)
Romano Graziani
(R)
Anna Monaco
(A)
Manuela Manno
(M)
Carla Maria Ottelio
(CM)
Michela Del Rio
(M)
Antonio Serra
(A)
Barbara Enna
(B)
Francesco Marco Loddo
(FM)
Rita Galbiati
(R)
Serena Mellea
(S)
Michelle Brozzi Kimberly
(MB)
Matteo Vissani
(M)
Francesco Massimo Romito
(FM)
Laura Baccari
(L)
Nadia Zarrillo
(N)
Clelia Esposito
(C)
Patrizia Murino
(P)
Salvatore Notaro
(S)
Carmine Ausiello
(C)
Annachiara Marra
(A)
Carmela Policastro
(C)
Chiara Cafora
(C)
Giuseppe De Benedectis
(G)
Vincenzo Di Falco
(V)
Maria Sciddurlo
(M)
Giancarlo Negro
(G)
Paolo Vetuschi
(P)
Andrea Recchia
(A)
Rita Pasquariello
(R)
Rosalba Squillace
(R)
Antonio Ciambrone
(A)
Carmela Bencivenga
(C)
Melania Camiolo
(M)
Cristina Agozzino
(C)
Francesco Oliveri
(F)
Tiziana Notarrigo
(T)
Giacomo Castiglione
(G)
Antonella Mo
(A)
Laura Condorelli
(L)
Martina Favarato
(M)
Commentaires et corrections
Type : ErratumIn
Informations de copyright
© 2022. The Author(s).
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