Evidence map›Paper›PMID 34195922›Full record

ArticleCanadian journal of anaesthesia = Journal canadien d'anesthesie2021

An environmental scan of visitation policies in Canadian intensive care units during the first wave of the COVID-19 pandemic.

Kirsten M Fiest, Karla D Krewulak, Carmen Hiploylee, Sean M Bagshaw, Karen E A Burns, Deborah J Cook, Robert A Fowler, Maia S Kredentser, Daniel J Niven, Kendiss Olafson and 12 more

Open access · hybridAbstract read
In one paragraph

Article in Canadian journal of anaesthesia = Journal canadien d'anesthesie, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers.

0numbers the graph read from it
0cells of the map it votes in
28citing papers in PubMed
7.1field-weighted citation impact, top 2% of its field
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

28 citing papers in PubMed, 49 citations in OpenAlex.

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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

22 authors at 7 institutions in 2 countries.

Kirsten M FiestDepartment of Critical Care Medicine, Alberta Health Services & University of Calgary, Ground Floor, McCaig Tower, 3134 Hospital Drive NW, Calgary, AB, T2N 5A1, Canada. kmfiest@ucalgary.ca.ORCID http://orcid.org/0000-0002-7299-6594
Karla D KrewulakDepartment of Critical Care Medicine, Alberta Health Services & University of Calgary, Ground Floor, McCaig Tower, 3134 Hospital Drive NW, Calgary, AB, T2N 5A1, Canada.
Carmen HiployleeDepartment of Critical Care Medicine, Alberta Health Services & University of Calgary, Ground Floor, McCaig Tower, 3134 Hospital Drive NW, Calgary, AB, T2N 5A1, Canada.
Sean M BagshawDepartment of Critical Care Medicine, Faculty of Medicine and Dentistry, University of Alberta, and Alberta Health Services, Edmonton, AB, Canada.
Karen E A BurnsLi Ka Shing Knowledge Institute, St. Michael's Hospital, Toronto, ON, Canada.
Deborah J CookDepartment of Health Research Methods, Evidence & Impact, McMaster University, Hamilton, ON, Canada.
Robert A FowlerInterdepartmental Division of Critical Care Medicine, University of Toronto, Toronto, ON, Canada.
Maia S KredentserDepartment of Clinical Health Psychology, University of Manitoba, Winnipeg, MB, Canada.
Daniel J NivenDepartment of Critical Care Medicine, Alberta Health Services & University of Calgary, Ground Floor, McCaig Tower, 3134 Hospital Drive NW, Calgary, AB, T2N 5A1, Canada.
Kendiss OlafsonDepartment of Internal Medicine, University of Manitoba, Winnipeg, Canada.
Ken Kuljit S ParharDepartment of Critical Care Medicine, Alberta Health Services & University of Calgary, Ground Floor, McCaig Tower, 3134 Hospital Drive NW, Calgary, AB, T2N 5A1, Canada.
Scott B PattenDepartment of Community Health Sciences, Cumming School of Medicine, University of Calgary, Calgary, AB, Canada.
Alison E Fox-RobichaudDepartment of Medicine, McMaster University, Hamilton, ON, Canada.
Oleksa G RewaDepartment of Critical Care Medicine, Faculty of Medicine and Dentistry, University of Alberta, and Alberta Health Services, Edmonton, AB, Canada.
Bram RochwergDepartment of Health Research Methods, Evidence & Impact, McMaster University, Hamilton, ON, Canada.
Krista L SpenceDepartment of Critical Care Medicine, Alberta Health Services & University of Calgary, Ground Floor, McCaig Tower, 3134 Hospital Drive NW, Calgary, AB, T2N 5A1, Canada.
Sharon E StrausLi Ka Shing Knowledge Institute, St. Michael's Hospital, Toronto, ON, Canada.
Sean SpenceDepartment of Critical Care Medicine, Alberta Health Services & University of Calgary, Ground Floor, McCaig Tower, 3134 Hospital Drive NW, Calgary, AB, T2N 5A1, Canada.
Andrew WestCanadian Society of Respiratory Therapists, Saint John, NB, Canada.
Henry T Stelfox *Department of Critical Care Medicine, Alberta Health Services & University of Calgary, Ground Floor, McCaig Tower, 3134 Hospital Drive NW, Calgary, AB, T2N 5A1, Canada.
Jeanna Parsons Leigh *Department of Critical Care Medicine, Alberta Health Services & University of Calgary, Ground Floor, McCaig Tower, 3134 Hospital Drive NW, Calgary, AB, T2N 5A1, Canada.
Canadian Critical Care Trials Group
Alberta Health Services · CAImpact · CASt. Michael's Hospital · CAUniversity of Manitoba · CAMcMaster University · CASunnybrook Health Science Centre · CAUniversity of Calgary · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeIn response to the rapid spread of SARS-CoV-2, hospitals in Canada enacted temporary visitor restrictions to limit the spread of COVID-19 and preserve personal protective equipment supplies. This study describes the extent, variation, and fluctuation of Canadian adult intensive care unit (ICU) visitation policies before and during the first wave of the COVID-19 pandemic.

methodsWe conducted an environmental scan of Canadian hospital visitation policies throughout the first wave of the pandemic. We conducted a two-phased study analyzing both quantitative and qualitative data.

resultsWe collected 257 documents with reference to visitation policies (preCOVID, 101 [39%]; midCOVID, 71 [28%]; and lateCOVID, 85 [33%]). Of these 257 documents, 38 (15%) were ICU-specific and 70 (27%) referenced the ICU. Most policies during the midCOVID/lateCOVID pandemic period allowed no visitors with specific exceptions (e.g., end-of-life). Framework analysis revealed five overarching themes: 1) reasons for restricted visitation policies; 2) visitation policies and expectations; 3) exceptions to visitation policy; 4) patient and family-centred care; and 5) communication and transparency.

conclusionsDuring the first wave of the COVID-19 pandemic, most Canadian hospitals had public-facing visitor restriction policies with specific exception categories, most commonly for patients at end-of-life, patients requiring assistance, or COVID-19 positive patients (varying from not allowed to case-by-case). Further studies are needed to understand the consistency with which visitation policies were operationalized and how they may have impacted patient- and family-centred care.

Indexed as

COVID-19PandemicsAdultCanadaHumansIntensive Care UnitsOrganizational PolicyPolicySARS-CoV-2Visitors to PatientsCOVID-19intensive care unitpolicyvisiting policies

Identifiers

PMID34195922
PMCPMC8244673
OpenAlexW3174624999

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

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.