Evidence map›Paper›PMID 37464434›Full record

ArticleBMC health services research2023

Support for relatives in the intensive care unit: lessons from a cross-sectional multicentre cohort study during the COVID-19 pandemic.

Sophie C Renckens, H Roeline Pasman, Hanna T Klop, Chantal du Perron, Lia van Zuylen, Monique A H Steegers, Birkitt L Ten Tusscher, Floor C H Abbink, Wouter de Ruijter, Lilian C M Vloet and 2 more

Abstract readMulticenter Study
In one paragraph

Article in BMC health services research, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–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

4 citing papers in PubMed.

  1. 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
    Article
  2. Article
  3. Article
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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

12 authors.

Sophie C RenckensDepartment of Public and Occupational Health, Amsterdam UMC, Location VU Medical Center, Amsterdam, The Netherlands. s.renckens@amsterdamumc.nl.
H Roeline PasmanDepartment of Public and Occupational Health, Amsterdam UMC, Location VU Medical Center, Amsterdam, The Netherlands.
Hanna T KlopDepartment of Public and Occupational Health, Amsterdam UMC, Location VU Medical Center, Amsterdam, The Netherlands.
Chantal du PerronDepartment of Public and Occupational Health, Amsterdam UMC, Location VU Medical Center, Amsterdam, The Netherlands.
Lia van ZuylenExpertise Center for Palliative Care Amsterdam UMC, Amsterdam, The Netherlands.
Monique A H SteegersExpertise Center for Palliative Care Amsterdam UMC, Amsterdam, The Netherlands.
Birkitt L Ten TusscherDepartment of Intensive Care Medicine, Amsterdam UMC, Location VU Medical Center, Amsterdam, The Netherlands.
Floor C H AbbinkDepartment of Paediatrics, Amsterdam UMC, University of Amsterdam, Amsterdam, The Netherlands.
Wouter de RuijterDepartment of Intensive Care Medicine, Noordwest Ziekenhuisgroep, Alkmaar, The Netherlands.
Lilian C M VloetFoundation Family and Patient Centered Intensive Care (FCIC), Alkmaar, The Netherlands.
Stephanie C E KosterDepartment of Anaesthesiology and Department of Intensive Care Medicine, Zaans Medisch Centrum, Zaandam, The Netherlands.
Bregje D Onwuteaka-PhilipsenDepartment of Public and Occupational Health, Amsterdam UMC, Location VU Medical Center, Amsterdam, The Netherlands.

Funding

Netherlands Orginisation for Health Research and Development (ZonMw) 844001801
6 · The paper itself

Abstract

backgroundSupport for relatives is highly important in the intensive care unit (ICU). During the first COVID-19 wave  support for relatives had to be changed considerably. The alternative support could have decreased the quality and sense of support. We aimed to evaluate how support for relatives in Dutch ICUs was organised during the first COVID-19 wave and how this was experienced by these relatives in comparison to relatives from pre-COVID-19 and the second wave. Additionally, we aimed to investigate which elements of support are associated with positive experiences.

methodsWe performed a cross-sectional multicentre cohort study in six Dutch ICUs in the Netherlands. Written questionnaires were distributed among relatives of ICU patients from pre-COVID-19, the first wave and the second wave. The questionnaire included questions on demographics, the organisation of support, and the experiences and satisfaction of relatives with the support.

resultsA total of 329 relatives completed the questionnaire (52% partner, 72% woman and 63% ICU stay of 11 days or longer). Support for relatives of ICU patients during the first COVID-19 wave differed significantly from pre-COVID-19 and the second wave. Differences were found in all categories of elements of support: who, when, how and what. Overall, relatives from the three time periods were very positive about the support. The only difference in satisfaction between the three time periods, was the higher proportion of relatives indicating that healthcare professionals had enough time for them during the first wave. Elements of support which were associated with many positive experiences and satisfaction were: fixed timeslot, receiving information (e.g. leaflets) on ≥ 2 topics, discussing > 5 topics with healthcare professionals, and being offered emotional support.

conclusionsAlthough, support for relatives in the ICU changed considerably during the COVID-19 pandemic, relatives were still positive about this support. The altered support gave insight into avenues for improvement for future comparable situations as well as for normal daily ICU practice: e.g. daily contact at a fixed timeslot, offering video calling between patients and relatives, and offering emotional support. ICUs should consider which elements need improvement in their practice.

Indexed as

COVID-19Cohort StudiesCross-Sectional StudiesFemaleHumansIntensive Care UnitsPandemicsCOVID-19Critical careFamily Centred CareFamily supportICURelatives

Identifiers

PMID37464434
PMCPMC10353201

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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.