SynthesisCritical care (London, England)2022
Efficacy and safety of unrestricted visiting policy for critically ill patients: a meta-analysis.
Synthesis in Critical care (London, England), 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers.
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.
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.
Who cites it
19 citing papers in PubMed.
- Flexible family visitation and postoperative delirium in an orthopedic intensive care unit: A randomized trial examining surgical-type heterogeneity and cost outcomes.The Journal of international medical research · 2026Trial
- Surrogate resilience and clinical titration of presence in the open intensive care unit: a systematic narrative synthesis.International journal of nursing studies advances · 2026Review
- Phenomenology of a Biographical Disruption: Delirium in the Critically Ill Patient.Journal of evaluation in clinical practice · 2026Article
- Inpatient ward nurses' perceptions of extended visiting hours in a Singapore tertiary acute hospital: a repeated cross-sectional mixed-methods study.BMC nursing · 2026Article
- 'Being an Outsider' and 'Being an Insider': A Focused Ethnography of Family Members' Visitation Experiences in an Adult ICU.Journal of advanced nursing · 2026Article
- Nurse-led family participatory support intervention on clinical outcomes in ICU patients: a prospective quasi-experimental study.Critical care (London, England) · 2026Article
- The effects of restricted visitation on delirium incidence in the intensive care units of a tertiary hospital in South Korea.Acute and critical care · 2025Article
- Family presence policy and waiting room conditions in Japanese intensive care units: A multicentre questionnaire survey.Critical care (London, England) · 2025Article
- Clinical efficacy and psychological influence of lateral rectus approach for treating pelvic fracture with lumbosacral plexus injury.World journal of psychiatry · 2025Article
- The Japanese Clinical Practice Guidelines for Management of Sepsis and Septic Shock 2024.Journal of intensive care · 2025Article
- From bedside to recovery: exercise therapy for prevention of post-intensive care syndrome.Journal of intensive care · 2024Review
- Understanding patient and family experiences of critical care in Bangladesh and India: What are the priority actions to promote person-centred care?PLOS global public health · 2024Article
- Effect of occupational therapy on the occurrence of delirium in critically ill patients: a systematic review and meta-analysis.Frontiers in neurology · 2024Review
- Critical care and pandemic preparedness and response.British journal of anaesthesia · 2023Review
- The Effect of Video Call with Family Members on Physiological Parameters of Critically Ill Patients in Intensive Care Unit: A Quasi-experimental Study.Indian journal of critical care medicine : peer-reviewed, official publication of Indian Society of Critical Care Medicine · 2023Article
- Clinician perceptions of the impact of ICU family visiting restrictions during the COVID-19 pandemic: an international investigation.Critical care (London, England) · 2023Article
- The Japanese Clinical Practice Guidelines for Management of Sepsis and Septic Shock 2024.Acute medicine & surgeryArticle
- Post-intensive care syndrome: Recent advances and future directions.Acute medicine & surgeryReview
- Early Active Mobilization of Mechanically Ventilated Patients in the ICU: A Qualitative Study on Patient Experience.Inquiry : a journal of medical care organization, provision and financingArticle
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
8 authors.
Funding
Abstract
aimTo compare the safety and effects of unrestricted visiting policies (UVPs) and restricted visiting policies (RVPs) in intensive care units (ICUs) with respect to outcomes related to delirium, infection, and mortality.
methodsMEDLINE, Cochrane Library, Embase, Web of Science, CINAHL, CBMdisc, CNKI, Wanfang, and VIP database records generated from their inception to 22 January 2022 were searched. Randomized controlled trials and quasi-experimental studies were included. The main outcomes investigated were delirium, ICU-acquired infection, ICU mortality, and length of ICU stay. Two reviewers independently screened studies, extracted data, and assessed risks of bias. Random‑effects and fixed-effects meta‑analyses were conducted to obtain pooled estimates, due to heterogeneity. Meta-analyses were performed using RevMan 5.3 software. The results were analyzed using odds ratios (ORs), 95% confidence intervals (CIs), and standardized mean differences (SMDs).
resultsEleven studies including a total of 3741 patients that compared UVPs and RVPs in ICUs were included in the analyses. Random effects modeling indicated that UVPs were associated with a reduced incidence of delirium (OR = 0.4, 95% CI 0.25-0.63, I
conclusionThe current meta-analysis indicates that adopting a UVP may significantly reduce the incidence of delirium in ICU patients, without increasing the risks of ICU-acquired infection or mortality. Further large-scale, multicenter studies are needed to confirm these indications.
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