key: cord-0924132-t8ds5y8m
authors: Ramos, Juliano; Westphal, Caio; Fezer, Aline Peluso; Moerschberger, Mayara Schirmer; Westphal, Glauco Adrieno
title: Effect of virtual information on the satisfaction for decision-making among family members of critically ill COVID-19 patients
date: 2022-01-28
journal: Intensive Care Med
DOI: 10.1007/s00134-021-06616-7
sha: 74088fc120bd1fe905ac2bd7eed168f615ba0781
doc_id: 924132
cord_uid: t8ds5y8m

nan

We used Student's t test or Mann-Whitney to compare continuous variables, chi-squared test for categorical variables. Multiple logistic regression model was constructed to identify predictors of an overall satisfaction assessment > 75 (very good or excellent).

Eighty-four relatives of critically ill patients were included, 42 cases and 42 controls. Characteristics of patients and relatives are shown in Supplementary  Table 1 . Cases were more severe than controls according to SAPS 3 (p = 0.002). The overall satisfaction with decision-making was > 75 in both groups, but significantly lower among cases (75.9 ± 16.5 vs. 89.8 ± 8.6, p < 0.001). The satisfaction rates with the "information needs" (p < 0.001) and "deliberation" domains (p < 0.001) were lower in the case group. Eight out of nine items that compose the two domains differed significantly between groups ( Fig. 1 ). Supplementary Table 2 shows the satisfaction ratings categorically.

After logistic regression, adjustment for confounders, belonging to the control group (OR 6.25, 95% CI 1.77-10.85, p = 0.03) and honesty of information (OR 10.70, 95% CI 2.17-15.50, p = 0.04) were the variables associated with an overall satisfaction score > 75.

Although virtual information seems to be feasible and the overall satisfaction score was good in both groups, the quality of information for decision-making was evaluated worse among family members of COVID-19 patients who received information delivered online compared to face-to-face communication delivered to family members of non-COVID-19 patients. Virtual information requires great adaptability of health professionals who, in the context of the COVID-19 pandemic, *Correspondence: glauco.ww@gmail.com 1 Centro Hospitalar Unimed, Joinville, Brazil Full author information is available at the end of the article needed to develop alternatives and new skills to share information related to patients' health and to support family members in difficult decisions at a distance in the context of such a poorly known and highly lethal disease [1, 2] . Further studies are needed to confirm our findings.

The online version contains supplementary material available at https:// doi. org/ 10. 1007/ s00134-021-06616-7. 

Clinical communication with families in the age of covid-19: a challenge for critical care teams

Communication skills in the age of COVID-19

SPIKES-a six-step protocol for delivering bad news: application to the patient with cancer

Family-reported experiences evaluation (FREE) study: a mixed-methods study to evaluate families' satisfaction with adult critical care services in the NHS

Adaptação transcultural do family satisfaction with care in the intensive care unit para o brasil/cross-cultural adaptation of the family satisfaction with care in the Intensive Care Unit for Brazil

Special thanks to all intensivists and intensive care psychologist, and to the system analysts Lucimeri Albino and Mauricio Gonçalves for their help in the data extraction from the EHR.

The authors declare that there are no conflicts of interest.

The study was approved by the institutional Research Ethics Committee (CAAE Registration no. 29920620.7.0000.5362).

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