Evidence map›Paper›PMID 34563234›Full record

ArticleCritical care (London, England)2021

Restricted visitation policies in acute care settings during the COVID-19 pandemic: a scoping review.

Stephana J Moss, Karla D Krewulak, Henry T Stelfox, Sofia B Ahmed, Melanie C Anglin, Sean M Bagshaw, Karen E A Burns, Deborah J Cook, Christopher J Doig, Alison Fox-Robichaud and 20 more

Abstract readScoping Review
In one paragraph

Article in Critical care (London, England), 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 42 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
42citing 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

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

  1. Pooled it
  2. Pooled it
  3. Association Between State Essential Caregiver Programs and Antipsychotic Medication Use Rate in Nursing Homes During the COVID-19 Pandemic.The American journal of geriatric psychiatry : official journal of the American Association for Geriatric Psychiatry · 2026
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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

30 authors.

Stephana J MossDepartment of Critical Care Medicine, Cumming School of Medicine, University of Calgary, Calgary, AB, Canada.
Karla D KrewulakDepartment of Critical Care Medicine, Cumming School of Medicine, University of Calgary, Calgary, AB, Canada.
Henry T StelfoxDepartment of Critical Care Medicine, Cumming School of Medicine, University of Calgary, Calgary, AB, Canada.
Sofia B AhmedDepartment of Medicine, Cumming School of Medicine, University of Calgary, Calgary, AB, Canada.
Melanie C AnglinDepartment of Critical Care Medicine, Cumming School of Medicine, University of Calgary, Calgary, AB, Canada.
Sean M BagshawDepartment of Critical Care Medicine, Faculty of Medicine and Dentistry, University of Alberta, and Alberta Health Services, Edmonton, Canada.
Karen E A BurnsInterdepartmental Division of Critical Care, University of Toronto, Toronto, ON, Canada.
Deborah J CookDepartment of Medicine, McMaster University, Hamilton, ON, Canada.
Christopher J DoigDepartment of Critical Care Medicine, Cumming School of Medicine, University of Calgary, Calgary, AB, Canada.
Alison Fox-RobichaudDepartment of Medicine, McMaster University, Hamilton, ON, Canada.
Robert FowlerDepartment of Medicine, University of Toronto, Toronto, ON, Canada.
Laura HernándezDepartment of Critical Care Medicine, Cumming School of Medicine, University of Calgary, Calgary, AB, Canada.
Michelle E KhoSchool of Rehabilitation Science, McMaster University, Hamilton, ON, Canada.
Maia KredentserDepartment of Clinical Health Psychology, University of Manitoba, Manitoba, Canada.
Kira MakukDepartment of Critical Care Medicine, Cumming School of Medicine, University of Calgary, Calgary, AB, Canada.
Srinivas MurthyDepartment of Pediatrics, University of British Columbia, British Columbia, Canada.
Daniel J NivenDepartment of Critical Care Medicine, Cumming School of Medicine, University of Calgary, Calgary, AB, Canada.
Kendiss OlafsonDepartment of Medicine, University of Manitoba, Manitoba, Canada.
Ken Kuljit S ParharDepartment of Critical Care Medicine, Cumming School of Medicine, University of Calgary, Calgary, AB, Canada.
Scott B PattenDepartment of Psychiatry, Cumming School of Medicine, Cuthbertson and Fischer Chair in Pediatric Mental Health, University of Calgary, Calgary, AB, Canada.
Oleksa G RewaDepartment of Critical Care Medicine, University of Alberta, Edmonton, AB, Canada.
Bram RochwergDepartment of Medicine, McMaster University, Hamilton, ON, Canada.
Bonnie SeptDepartment of Critical Care Medicine, Cumming School of Medicine, University of Calgary, Calgary, AB, Canada.
Andrea SooDepartment of Critical Care Medicine, Cumming School of Medicine, University of Calgary and Alberta Health Services, Calgary, AB, Canada.
Krista SpenceDepartment of Critical Care Medicine, Cumming School of Medicine, University of Calgary, Calgary, AB, Canada.
Sean SpenceChinook Regional Hospital, Lethbridge County, Alberta, Canada.
Sharon StrausDepartment of Medicine, University of Toronto, Toronto, ON, Canada.
Andrew WestCanadian Society of Respiratory Therapists, Saint John, NB, Canada.
Jeanna Parsons LeighSchool of Health Administration, Faculty of Health, Dalhousie University, Halifax, NS, Canada.
Kirsten M FiestDepartment of Critical Care Medicine, Cumming School of Medicine, University of Calgary, Calgary, AB, Canada. kmfiest@ucalgary.ca.ORCID 0000-0002-7299-6594

Funding

CIHR 447521
6 · The paper itself

Abstract

backgroundRestricted visitation policies in acute care settings because of the COVID-19 pandemic have negative consequences. The objective of this scoping review is to identify impacts of restricted visitation policies in acute care settings, and describe perspectives and mitigation approaches among patients, families, and healthcare professionals.

methodsWe searched Medline, Embase, PsycINFO, Healthstar, CINAHL, Cochrane Central Register of Controlled Trials on January 01/2021, unrestricted, for published primary research records reporting any study design. We included secondary (e.g., reviews) and non-research records (e.g., commentaries), and performed manual searches in web-based resources. We excluded records that did not report primary data. Two reviewers independently abstracted data in duplicate.

resultsOf 7810 citations, we included 155 records. Sixty-six records (43%) were primary research; 29 (44%) case reports or case series, and 26 (39%) cohort studies; 21 (14%) were literature reviews and 8 (5%) were expert recommendations; 54 (35%) were commentary, editorial, or opinion pieces. Restricted visitation policies impacted coping and daily function (n = 31, 20%) and mental health outcomes (n = 29, 19%) of patients, families, and healthcare professionals. Participants described a need for coping and support (n = 107, 69%), connection and communication (n = 107, 69%), and awareness of state of well-being (n = 101, 65%). Eighty-seven approaches to mitigate impact of restricted visitation were identified, targeting families (n = 61, 70%), patients (n = 51, 59%), and healthcare professionals (n = 40, 46%).

conclusionsPatients, families, and healthcare professionals were impacted by restricted visitation polices in acute care settings during COVID-19. The consequences of this approach on patients and families are understudied and warrant evaluation of approaches to mitigate their impact. Future pandemic policy development should include the perspectives of patients, families, and healthcare professionals.

trial registrationThe review was registered on PROSPERO (CRD42020221662) and a protocol peer-reviewed prior to data extraction.

Indexed as

Critical CareFamilyHealth PolicyInpatientsPhysical DistancingVisitors to PatientsCommunicationCOVID-19Health PersonnelHumansMental Health ServicesPandemicsPsychological DistressSARS-CoV-2TelephoneAcute careCOVID-19Family presenceHospital PolicyVisitors

Identifiers

PMID34563234
PMCPMC8465762

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.