Evidence map›Paper›PMID 34551766›Full record

Observational studyBMC health services research2021

"Saying goodbye all alone with no close support was difficult"- Dying during the COVID-19 pandemic: an online survey among bereaved relatives about end-of-life care for patients with or without SARS-CoV2 infection.

Karlotta Schloesser, Steffen T Simon, Berenike Pauli, Raymond Voltz, Norma Jung, Charlotte Leisse, Agnes van der Heide, Ida J Korfage, Anne Pralong, Claudia Bausewein and 3 more

Open access · goldAbstract readObservational Study
In one paragraph

Observational study in BMC health services research, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed
6.5field-weighted citation impact, top 3% 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

22 citing papers in PubMed, 50 citations in OpenAlex.

  1. Announcements of Death During the COVID-19 Pandemic: A Qualitative Study of Family Experiences.Health expectations : an international journal of public participation in health care and health policy · 2025
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  2. Review
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  10. "The communication I had with him back then is still stuck in my mind." Bereaved families of cancer patients' experiences for end-of-life communication.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2023
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  14. Dying during the COVID-19 Pandemic in Sweden: Relatives' Experiences of End-of-Life Care (the CO-LIVE Study).International journal of environmental research and public health · 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

13 authors at 5 institutions in 2 countries.

Karlotta Schloesser *Department of Palliative Medicine, Faculty of Medicine and University Hospital, University of Cologne, Kerpener Street 62, 50937, Cologne, Germany. karlotta.schloesser@uk-koeln.de.
Steffen T Simon *Department of Palliative Medicine, Faculty of Medicine and University Hospital, University of Cologne, Kerpener Street 62, 50937, Cologne, Germany.
Berenike PauliDepartment of Palliative Medicine, Faculty of Medicine and University Hospital, University of Cologne, Kerpener Street 62, 50937, Cologne, Germany.
Raymond VoltzDepartment of Palliative Medicine, Faculty of Medicine and University Hospital, University of Cologne, Kerpener Street 62, 50937, Cologne, Germany.
Norma JungDepartment I of Internal Medicine, Faculty of Medicine and University Hospital, University of Cologne, Cologne, Germany.
Charlotte LeisseDepartment I of Internal Medicine, Faculty of Medicine and University Hospital, University of Cologne, Cologne, Germany.
Agnes van der HeideDepartment of Public Health, University Medical Center Rotterdam, Erasmus, MC, the Netherlands.
Ida J KorfageDepartment of Public Health, University Medical Center Rotterdam, Erasmus, MC, the Netherlands.
Anne PralongDepartment of Palliative Medicine, Faculty of Medicine and University Hospital, University of Cologne, Kerpener Street 62, 50937, Cologne, Germany.
Claudia BauseweinDepartment of Palliative Medicine, LMU University Hospital Munich, Munich, Germany.
Melanie JoshiDepartment of Palliative Medicine, Faculty of Medicine and University Hospital, University of Cologne, Kerpener Street 62, 50937, Cologne, Germany.
Julia StruppDepartment of Palliative Medicine, Faculty of Medicine and University Hospital, University of Cologne, Kerpener Street 62, 50937, Cologne, Germany.
for PallPan and the CO-LIVE study
University of Cologne · DEErasmus MC · NLHeinrich Heine University Düsseldorf · DELMU Klinikum · DEUniversity Hospital Cologne · DE

Funding

Bundesministerium für Bildung und Forschung 01KX2021
6 · The paper itself

Abstract

backgroundDuring the SARS-CoV2 pandemic, protection measures, as well as visiting restrictions, had a severe impact on seriously ill and dying patients and their relatives. The study aims to describe the experiences of bereaved relatives of patients who died during the SARS-CoV2 pandemic, regardless of whether patients were infected with SARS-CoV2 or not. As part of this, experiences related to patients' end-of-life care, saying goodbye, visiting restrictions and communication with the healthcare team were assessed.

methodsAn open observational post-bereavement online survey with free text options was conducted with 81 bereaved relatives from people who died during the pandemic in Germany, with and without SARS-CoV2 diagnosis.

results67/81 of the bereaved relatives were female, with a mean age of 57.2 years. 50/81 decedents were women, with a mean age of 82.4 years. The main underlying diseases causing death were cardiovascular diseases or cancer. Only 7/81 of the patients were infected with SARS-CoV2. 58/81 of the relatives felt burdened by the visiting restrictions and 60/81 suffered from pandemic-related stress. 10 of the patients died alone due to visiting restrictions. The burden for relatives in the hospital setting was higher compared to relatives of patients who died at home. 45/81 and 44/81 relatives respectively reported that physicians and nurses had time to discuss the patient's condition. Nevertheless, relatives reported a lack of proactive communication from the healthcare professionals.

conclusionsVisits of relatives play a major role in the care of the dying and have an impact on the bereavement of relatives. Visits must be facilitated, allowing physical contact. Additionally, virtual contact with the patients and open, empathetic communication on the part of healthcare professionals is needed.

trial registrationGerman Clinical Trials Register (DRKS00023552).

Indexed as

COVID-19Terminal CareAged, 80 and overCOVID-19 TestingFemaleHumansMaleMiddle AgedPandemicsRNA, ViralSARS-CoV-2RNA, ViralCommunicationDyingPalliative carePost-bereavement surveyRelativesSARS-CoV2SupportVisiting restrictions

Identifiers

PMID34551766
PMCPMC8455806
OpenAlexW3199881057

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.