Effect of Flexible Family Visitation on Delirium Among Patients in the Intensive Care Unit

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Abstract

The effects of intensive care unit (ICU) visiting hours remain uncertain.

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Most cited references 21

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The minimal important difference of the hospital anxiety and depression scale in patients with chronic obstructive pulmonary disease

Milo A. Puhan, Martin Frey, Stefan Büchi … (2008)

Background Interpretation of the Hospital Anxiety and Depression Scale (HADS), commonly used to assess anxiety and depression in COPD patients, is unclear. Since its minimal important difference has never been established, our aim was to determine it using several approaches. Methods 88 COPD patients with FEV1 ≤ 50% predicted completed the HADS and other patient-important outcome measures before and after an inpatient respiratory rehabilitation. For the anchor-based approach we determined the correlation between the HADS and the anchors that have an established minimal important difference (Chronic Respiratory Questionnaire [CRQ] and Feeling Thermometer). If correlations were ≥ 0.5 we performed linear regression analyses to predict the minimal important difference from the anchors. As distribution-based approach we used the Effect Size approach. Results Based on CRQ emotional function and mastery domain as well as on total scores, the minimal important difference was 1.41 (95% CI 1.18–1.63) and 1.57 (1.37–1.76) for the HADS anxiety score and 1.68 (1.48–1.87) and 1.60 (1.38–1.82) for the HADS total score. Correlations of the HADS depression score and CRQ domain and Feeling Thermometer scores were < 0.5. Based on the Effect Size approach the MID of the HADS anxiety and depression score was 1.32 and 1.40, respectively. Conclusion The minimal important difference of the HADS is around 1.5 in COPD patients corresponding to a change from baseline of around 20%. It can be used for the planning and interpretation of trials.

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Flexible Versus Restrictive Visiting Policies in ICUs

Regis Rosa, Cassiano Teixeira, Maicon Falavigna … (2018)

To synthesize data on outcomes related to patients, family members, and ICU professionals by comparing flexible versus restrictive visiting policies in ICUs.

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Effectiveness and Safety of an Extended ICU Visitation Model for Delirium Prevention

Regis Rosa, Túlio Tonietto, Daiana Barbosa da Silva … (2017)

To evaluate the effect of an extended visitation model compared with a restricted visitation model on the occurrence of delirium among ICU patients.

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Author and article information

Journal

Title: JAMA

Abbreviated Title: JAMA

Publisher: American Medical Association (AMA)

ISSN (Print): 0098-7484

Publication date Created: July 16 2019

Publication date (Print): July 16 2019

Volume: 322

Issue: 3

Page: 216

Affiliations

[1 ]Intensive Care Unit, Hospital Moinhos de Vento (HMV), Porto Alegre, Rio Grande do Sul, Brazil

[2 ]Research Projects Office, HMV, Porto Alegre, Rio Grande do Sul, Brazil

[3 ]Brazilian Research in Intensive Care Network (BRICNet), São Paulo, São Paulo

[4 ]HCor Research Institute, São Paulo, São Paulo, Brazil

[5 ]Department of Anesthesiology, Pain and Intensive Care, Universidade Federal de São Paulo (UNIFESP), São Paulo, São Paulo, Brazil

[6 ]Intensive Care Unit, Hospital Sírio-Libanês, São Paulo, São Paulo, Brazil

[7 ]Department of Critical Care, Instituto D’Or de Pesquisa e Ensino, Rio de Janeiro, Rio de Janeiro, Brazil

[8 ]Intensive Care Unit, Hospital de Clínicas de Porto Alegre (HCPA), Porto Alegre, Rio Grande do Sul, Brazil

[9 ]Intensive Care Unit, Hospital Santa Cruz, Santa Cruz do Sul, Rio Grande do Sul, Brazil

[10 ]Intensive Care Unit, Hospital Santa Rita, Porto Alegre, Rio Grande do Sul, Brazil

[11 ]Intensive Care Unit, Hospital Universitário do Oeste do Paraná, Cascavel, Paraná, Brazil

[12 ]Intensive Care Unit, Hospital do Câncer de Cascavel, Cascavel, Paraná, Brazil

[13 ]Intensive Care Unit, Hospital das Clínicas, Faculdade de Medicina de Ribeirão Preto, Ribeirão Preto, São Paulo, Brazil

[14 ]Intensive Care Unit, Santa Casa de Misericórdia de Feira de Santana, Feira de Santana, Bahia, Brazil

[15 ]Intensive Care Unit, Hospital Geral Clériston Andrade, Feira de Santana, Bahia, Brazil

[16 ]Intensive Care Unit, Santa Casa de Misericórdia de São João Del Rei, São João Del Rei, Minas Gerais, Brazil

[17 ]Intensive Care Unit, Hospital Regional Doutor Deoclécio Marques de Lucena, Parnamirim, Rio Grande do Norte, Brazil

[18 ]Intensive Care Unit, Fundação Hospital Adriano Jorge, Manaus, Amazonas, Brazil

[19 ]Intensive Care Unit, Hospital Agamenon Magalhães, Recife, Pernambuco, Brazil

[20 ]Intensive Care Unit, Hospital da Cidade, Passo Fundo, Rio Grande do Sul, Brazil

[21 ]Intensive Care Unit, Hospital Mãe de Deus, Porto Alegre, Rio Grande do Sul, Brazil

[22 ]Intensive Care Unit, Hospital de Urgências de Goiânia, Goiânia, Goiânia, Brazil

[23 ]Intensive Care Unit, Hospital das Clínicas, Universidade Federal de Minas Gerais (UFMG), Belo Horizonte, Minas Gerais, Brazil

[24 ]Intensive Care Unit, Pavilhão Pereira Filho, Porto Alegre, Rio Grande do Sul, Brazil

[25 ]Intensive Care Unit, Hospital Regional do Baixo Amazonas, Santarém, Pará, Brazil

[26 ]Intensive Care Unit, Hospital Nossa Senhora da Conceição, Porto Alegre, Rio Grande do Sul, Brazil

[27 ]School of Medicine, Universidade Federal de Ciências da Saúde de Porto Alegre (UFCSPA), Porto Alegre, Rio Grande do Sul, Brazil

[28 ]Department of Public Health Sciences, Medical University of South Carolina, Charleston

[29 ]Unit of Pediatric Anesthesia and Intensive Care, Ospedale dei Bambini—ASST Spedali Civili, Brescia, Italy

[30 ]Oswaldo Cruz Foundation (FIOCRUZ), Rio de Janeiro, Rio de Janeiro, Brazil

Article

DOI: 10.1001/jama.2019.8766

PMC ID: 6635909

PubMed ID: 31310297

SO-VID: 981ae255-a5df-47bf-bbe3-d91036056b44

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Effect of Flexible Family Visitation on Delirium Among Patients in the Intensive Care Unit : The ICU Visits Randomized Clinical Trial

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