Evidence map›Paper›PMID 33207937›Full record

ArticleThe American journal of hospice & palliative care2021

Family Meetings in the Intensive Care Unit During the Coronavirus Disease 2019 Pandemic.

Gina M Piscitello, Corinna M Fukushima, Anna K Saulitis, Katherine T Tian, Jennifer Hwang, Shreya Gupta, Mark Sheldon

Abstract read
In one paragraph

Article in The American journal of hospice & palliative care, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
25citing papers in PubMed, 2 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

25 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
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  12. Ethical issues encountered by French intensive care unit caregivers during the first COVID-19 outbreak.Canadian journal of anaesthesia = Journal canadien d'anesthesie · 2023
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  14. Review
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  16. Effect of the COVID-19 Pandemic on Place of Death Among Medicaid and Commercially Insured Patients With Cancer in Washington State.Journal of clinical oncology : official journal of the American Society of Clinical Oncology · 2023
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  19. Cultural adaptation of a community-based advance serious illness planning decision aid to the Quebec context involving end-users.Health expectations : an international journal of public participation in health care and health policy · 2022
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Gina M PiscitelloSection of Palliative Medicine, 12245Rush Medical College, Chicago, IL, USA.ORCID https://orcid.org/0000-0002-3958-4491
Corinna M Fukushima12245Rush Medical College, Chicago, IL, USA.
Anna K SaulitisRush University Medical Center, Chicago, IL USA.
Katherine T TianDepartment of Medicine, 12245Rush Medical College, Chicago, IL, USA.
Jennifer Hwang12245Rush Medical College, Chicago, IL, USA.
Shreya GuptaRush University Medical Center, Chicago, IL USA.
Mark SheldonDepartment of Philosophy, 3270Northwestern University, Evanston, IL, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeVisitor restrictions during the COVID-19 pandemic limit in-person family meetings for hospitalized patients. We aimed to evaluate the quantity of family meetings by telephone, video and in-person during the COVID-19 pandemic by manual chart review. Secondary outcomes included rate of change in patient goals of care between video and in-person meetings, the timing of family meetings, and variability in meetings by race and ethnicity.

methodsA retrospective cohort study evaluated patients admitted to the intensive care unit at an urban academic hospital between March and June 2020. Patients lacking decision-making capacity and receiving a referral for a video meeting were included in this study.

resultsMost patients meeting inclusion criteria (N = 61/481, 13%) had COVID-19 pneumonia (n = 57/61, 93%). A total of 650 documented family meetings occurred. Few occurred in-person (n = 70/650, 11%) or discussed goals of care (n = 233/650, 36%). For meetings discussing goals of care, changes in patient goals of care occurred more often for in-person meetings rather than by video (36% vs. 11%, p = 0.0006). The average time to the first goals of care family meeting was 11.4 days from admission. More documented telephone meetings per admission were observed for White (10.5, SD 9.5) and Black/African-American (7.1, SD 6.6) patients compared to Hispanic or Latino patients (4.9, SD 4.9) (p = 0.02).

conclusionsDuring this period of strict visitor restrictions, few family meetings occurred in-person. Statistically significant fewer changes in patient goals of care occurred following video meetings compared to in-person meetings, providing support limiting in-person meetings may affect patient care.

Indexed as

Professional-Family RelationsAcademic Medical CentersAdultAdvance Care PlanningAgedAged, 80 and overBlack or African AmericanCommunicationCOVID-19Crown-Rump LengthEthnicityFamilyFemaleHispanic or LatinoHumansIntensive Care UnitsCOVID-19critical carefamily meetingsintensive care unitpatient-physician communicationtelehealth

Identifiers

PMID33207937
PMCPMC7859662

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.