Variation in Communication and Family Visiting Policies in Italian Intensive Care Units during the COVID-19 Pandemic: A Secondary Analysis of the COVISIT International Survey.

COVID-19 ICU Italy communication visiting policies

Journal

Healthcare (Basel, Switzerland)
ISSN: 2227-9032
Titre abrégé: Healthcare (Basel)
Pays: Switzerland
ID NLM: 101666525

Informations de publication

Date de publication:
24 Feb 2023
Historique:
received: 16 01 2023
revised: 16 02 2023
accepted: 22 02 2023
entrez: 11 3 2023
pubmed: 12 3 2023
medline: 12 3 2023
Statut: epublish

Résumé

During COVID-19 pandemic, restrictions to in-person visiting of caregivers to patients admitted to intensive care units (ICU) were applied in many countries. Our aim was to describe the variations in communication and family visiting policies in Italian ICUs during the pandemic. A secondary analysis from the COVISIT international survey was conducted, focusing on data from Italy. Italian ICUs provided 118 (18%) responses out of 667 responses collected worldwide. A total of 12 Italian ICUs were at the peak of COVID-19 admissions at the time of the survey and 42/118 had 90% or more of patients admitted to ICU affected by COVID-19. During the COVID-19 peak, 74% of Italian ICUs adopted a no-in-person-visiting policy. This remained the most common strategy (67%) at the time of the survey. Information to families was provided by regular phone calls (81% in Italy versus 47% for the rest of the world). Virtual visiting was available for 69% and most commonly performed using devices provided by the ICU (71% in Italy versus 36% outside Italy). Our study showed that restrictions to the ICU applied during the COVID-19 pandemic were still in use at the time of the survey. The main means of communication with caregivers were telephone and virtual meetings.

Sections du résumé

BACKGROUND BACKGROUND
During COVID-19 pandemic, restrictions to in-person visiting of caregivers to patients admitted to intensive care units (ICU) were applied in many countries. Our aim was to describe the variations in communication and family visiting policies in Italian ICUs during the pandemic.
METHODS METHODS
A secondary analysis from the COVISIT international survey was conducted, focusing on data from Italy.
RESULTS RESULTS
Italian ICUs provided 118 (18%) responses out of 667 responses collected worldwide. A total of 12 Italian ICUs were at the peak of COVID-19 admissions at the time of the survey and 42/118 had 90% or more of patients admitted to ICU affected by COVID-19. During the COVID-19 peak, 74% of Italian ICUs adopted a no-in-person-visiting policy. This remained the most common strategy (67%) at the time of the survey. Information to families was provided by regular phone calls (81% in Italy versus 47% for the rest of the world). Virtual visiting was available for 69% and most commonly performed using devices provided by the ICU (71% in Italy versus 36% outside Italy).
CONCLUSION CONCLUSIONS
Our study showed that restrictions to the ICU applied during the COVID-19 pandemic were still in use at the time of the survey. The main means of communication with caregivers were telephone and virtual meetings.

Identifiants

pubmed: 36900674
pii: healthcare11050669
doi: 10.3390/healthcare11050669
pmc: PMC10001082
pii:
doi:

Types de publication

Journal Article

Langues

eng

Références

Crit Care. 2021 Jun 2;25(1):191
pubmed: 34078445
Eur Respir J. 2015 May;45(5):1341-52
pubmed: 25614168
BMC Anesthesiol. 2022 Jun 17;22(1):187
pubmed: 35710331
Int J Nurs Stud. 2021 Sep;121:104000
pubmed: 34242976
Intensive Care Med. 2021 Oct;47(10):1165-1166
pubmed: 34363501
Ann Intensive Care. 2021 Jun 29;11(1):100
pubmed: 34189634
Nurs Crit Care. 2021 Nov;26(6):531-533
pubmed: 33955111
Crit Care Med. 2017 Jan;45(1):103-128
pubmed: 27984278
Intensive Care Med. 2021 Jul;47(7):792-794
pubmed: 33977347
Healthcare (Basel). 2022 Mar 27;10(4):
pubmed: 35455809
J Crit Care. 2022 Oct;71:154050
pubmed: 35525226
Life (Basel). 2022 Jan 12;12(1):
pubmed: 35054500
Minerva Anestesiol. 2019 Sep;85(9):971-980
pubmed: 30665282
J Perianesth Nurs. 2012 Feb;27(1):3-9
pubmed: 22264615
Int J Health Plann Manage. 2020 Jul;35(4):910-921
pubmed: 32329530
Ann Am Thorac Soc. 2021 Oct;18(10):1685-1692
pubmed: 33617747
Crit Care Med. 2008 Jan;36(1):30-5
pubmed: 18090167
Nurs Crit Care. 2020 Jul;25(4):221-228
pubmed: 31975479
Ther Adv Infect Dis. 2021 Feb 25;8:2049936121998562
pubmed: 33717482
JAMA Intern Med. 2022 Jun 1;182(6):624-633
pubmed: 35467698
Indian J Crit Care Med. 2022 Mar;26(3):268-275
pubmed: 35519910
JAMA Netw Open. 2021 Jun 1;4(6):e2113355
pubmed: 34152418
Crit Care Med. 2017 Oct;45(10):1660-1667
pubmed: 28671901
J Nurs Manag. 2022 Oct;30(7):3360-3367
pubmed: 36064189
Chest. 2022 Nov;162(5):1074-1085
pubmed: 35597285
BMC Anesthesiol. 2018 Aug 16;18(1):106
pubmed: 30111299
Crit Care. 2021 Sep 25;25(1):347
pubmed: 34563234

Auteurs

Barbara Simone (B)

Department of Surgical, Oncological and Oral Science, University of Palermo, Via Liborio Giuffrè 5, 90127 Palermo, Italy.

Mariachiara Ippolito (M)

Department of Surgical, Oncological and Oral Science, University of Palermo, Via Liborio Giuffrè 5, 90127 Palermo, Italy.
Department of Anaesthesia, Intensive Care and Emergency, University Hospital Policlinico Paolo Giaccone, 90127 Palermo, Italy.

Pasquale Iozzo (P)

Department of Anaesthesia, Intensive Care and Emergency, University Hospital Policlinico Paolo Giaccone, 90127 Palermo, Italy.

Francesco Zuccaro (F)

Department of Anesthesia and Intensive Care, Ospedale Madonna delle Grazie, Azienda Sanitaria Matera, 75100 Matera, Italy.

Antonino Giarratano (A)

Department of Surgical, Oncological and Oral Science, University of Palermo, Via Liborio Giuffrè 5, 90127 Palermo, Italy.
Department of Anaesthesia, Intensive Care and Emergency, University Hospital Policlinico Paolo Giaccone, 90127 Palermo, Italy.

Maurizio Cecconi (M)

Department of Biomedical Sciences, Humanitas University, Via Rita Levi Montalcini 4, Pieve Emanuele, 20072 Milan, Italy.
Department of Anesthesia and Intensive Care, IRCCS Humanitas Research Hospital, Via Manzoni 56, Rozzano, 20089 Milan, Italy.

Alexis Tabah (A)

Intensive Care Unit, Redcliffe Hospital, Metro North Hospital and Health Services, Redcliffe, QLD 4020, Australia.
School of Clinical Sciences, Queensland University of Technology, Brisbane, QLD 4000, Australia.
Antimicrobial Optimisation Group, UQ Centre for Clinical Research, The University of Queensland, Brisbane, QLD 4029, Australia.

Andrea Cortegiani (A)

Department of Surgical, Oncological and Oral Science, University of Palermo, Via Liborio Giuffrè 5, 90127 Palermo, Italy.
Department of Anaesthesia, Intensive Care and Emergency, University Hospital Policlinico Paolo Giaccone, 90127 Palermo, Italy.

Classifications MeSH