Evidence map›Paper›PMID 33892123›Full record

ArticleJournal of pain and symptom management2021

The Role of a Liaison Team in ICU Family Communication During the COVID 19 Pandemic.

Carmen Lopez-Soto, Eleanor Bates, Charlotte Anderson, Sian Saha, Laura Adams, Alex Aulakh, Francesca Bowtell, Marie Buckel, Thomas Emms, Moustafa Shebl and 1 more

Abstract read
In one paragraph

Article in Journal of pain and symptom management, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed, 1 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

20 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Beyond the ICU: family resilience and emotional turmoil after intensive care - a qualitative study.International journal of qualitative studies on health and well-being · 2026
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  6. Assessment of Family Satisfaction with Remote Communication for Critically Ill COVID-19 Patients: An Observational Cohort Study.Indian journal of critical care medicine : peer-reviewed, official publication of Indian Society of Critical Care Medicine · 2023
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

11 authors.

Carmen Lopez-SotoDepartment of Critical Care, King's College Hospital NHS Foundation Trust, London, UK.
Eleanor BatesDepartment of Critical Care, King's College Hospital NHS Foundation Trust, London, UK.
Charlotte AndersonDepartment of Critical Care, King's College Hospital NHS Foundation Trust, London, UK.
Sian SahaDepartment of Critical Care, King's College Hospital NHS Foundation Trust, London, UK.
Laura AdamsDepartment of Critical Care, King's College Hospital NHS Foundation Trust, London, UK.
Alex AulakhGuy's and St Thomas' Hospital NHS Foundation Trust, London, UK.
Francesca BowtellDepartment of Critical Care, King's College Hospital NHS Foundation Trust, London, UK.
Marie BuckelThe National Hospital for Neurology and Neurosurgery, London, UK.
Thomas EmmsAshford & St Peter's Hospital NHS Trust, Ashford, UK.
Moustafa SheblDepartment of Critical Care, King's College Hospital NHS Foundation Trust, London, UK.
Victoria MetaxaDepartment of Critical Care, King's College Hospital NHS Foundation Trust, London, UK. Electronic address: victoria.metaxa@nhs.net.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

contextIn the name of public safety, a general suspension on hospital visiting was imposed in the U.K., prohibiting family and friends to visit hospitalized patients, even if they were critically ill.

objectiveswe aimed to assess the impact of the FLT on the communication with patients' family and friends (PFF), especailly around end-of-life care, and their interaction with CC clinicians.

methodsA retrospective, mixed-methods analysis of a family liaison team (FLT) formed by redeployed clinicians in critical care (CC) during the first surge of the 2020 COVID 19 pandemic.

resultsThe FLT was constituted predominantly of non-ICU consultants (30/39, 77%). Following two one-hourly webinars around basic communication skills, the FLT facilitated over 12,000 video and telephone calls with 172 patients' family and friends (PFF). The majority of the PFF interviewed were mostly, very or extremely satisfied with the frequency, ease, understanding, honesty, completeness, and consistency of the information provided. Approximately 5% of the interviewees reported to be slightly or very dissatisfied in one or more of the following 3 categories: frequency, consistency, and ease of getting the information. The thematic analysis identified 3 themes: 1) being there with/ for the patient; 2) breakdown in communication; 3) disbelief at the speed of deterioration. In 14.9% of cases there was documented discrepancy between the information transmitted by the CC team and that by the FLT, particularly around the severity of the patient's illness and their imminent death.

conclusionThe formation of a dedicated FLT was feasible and associated with high levels of satisfaction by the PFF. Friction was created when communication was not consistent and did not convey the severity of the patient's condition, to prepare the PFF for a bad outcome.

Indexed as

COVID-19CommunicationFamilyHumansIntensive Care UnitsPandemicsRetrospective StudiesSARS-CoV-2COVID pandemicCritical careEnd of lifeFamily communication

Identifiers

PMID33892123
PMCPMC8057931

What OpenQuestion holds

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Read underepoch 390

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.