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A multi-centre study on patients dying from COVID-19 : communication between clinicians, patients, and their families
Article indépendant
Background: COVID-19 has led to challenges in providing effective and timely communication in healthcare. Services have been required to adapt and evolve as successful communication remains core to high quality patient-centred care.
Aim: This study aims to describe the communication between admitted patients, their families and clinicians (medical, nursing, allied health) during end-of-life care.
Methods: This retrospective review included all patients (n = 230) who died directly due to COVID-19 at five Melbourne hospitals between 1 January and 31 December 2020. Contacts and modality used (face to face, video, telephone) during the 8{:zz2009}days prior to death were recorded.
Results: Patients were predominantly elderly (median age 86 years) and from residential aged care facilities (62%; n = 141). Communication frequency increased the closer the patient was to death, where on day of death, contact between clinicians and patients was 93% (n = 213) clinicians and families 97% (n = 222) and between patients and families 50% (n = 115). Most contact between patients and families was facilitated by a clinician (91.3% (n = 105) day of death) with the most commonly used mode being video call (n = 30 day of death).
Conclusions: This study is one of the first and largest Australian reports on how communication occurs at the end of life for patients dying of COVID-19. Contact rates were relatively low between patients and families, compared to other cohorts dying from non COVID-19 related causes. The impact of this difference on bereavement outcomes requires surveillance and attention.
http://dx.doi.org/10.1111/imj.15788
Voir la revue «Internal medicine journal, 52»
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