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

IMPORTANCE: The effects of intensive care unit (ICU) visiting hours remain uncertain. OBJECTIVE: To determine whether a flexible family visitation policy in the ICU reduces the incidence of delirium. DESIGN, SETTING AND PARTICIPANTS: Cluster-crossover randomized clinical trial involving patients, fa...

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Published in:JAMA : the journal of the American Medical Association 2019-07, Vol.322 (3), p.216-228
Main Authors: Rosa, Regis Goulart, Falavigna, Maicon, da Silva, Daiana Barbosa, Sganzerla, Daniel, Santos, Mariana Martins Siqueira, Kochhann, Renata, de Moura, Rafaela Moraes, Eugênio, Cláudia Severgnini, Haack, Tarissa da Silva Ribeiro, Barbosa, Mirceli Goulart, Robinson, Caroline Cabral, Schneider, Daniel, de Oliveira, Débora Mariani, Jeffman, Rodrigo Wiltgen, Cavalcanti, Alexandre Biasi, Machado, Flávia Ribeiro, Azevedo, Luciano Cesar Pontes, Salluh, Jorge Ibrain Figueira, Pellegrini, José Augusto Santos, Moraes, Rafael Barberena, Foernges, Rafael Botelho, Torelly, Andre Peretti, Ayres, Lizandra de Oliveira, Duarte, Pericles Almeida Delfino, Lovato, Wilson José, Sampaio, Patrick Harrison Santana, de Oliveira Júnior, Lúcio Couto, Paranhos, Jorge Luiz da Rocha, Dantas, Alessandro da Silva, de Brito, Pollyanna Iracema Peixoto Gouveia Gomes, Paulo, Eliane Aparecida Peixoto, Gallindo, Marcos Antônio Cavalcanti, Pilau, Janaina, Valentim, Helen Martins, Meira Teles, José Mario, Nobre, Vandack, Birriel, Daniella Cunha, Corrêa e Castro, Livia, Specht, Andréia Martins, Medeiros, Gregory Saraiva, Tonietto, Tulio Frederico, Mesquita, Emersom Cicilini, da Silva, Nilton Brandão, Korte, Jeffrey E, Hammes, Luciano Serpa, Giannini, Alberto, Bozza, Fernando Augusto, Teixeira, Cassiano
Format: Article
Language:English
Subjects:
Age
Anxiety
Brazil
Burnout
Burnout, Professional
Caring for the Critically Ill Patient
Clinical trials
Critical Care - psychology
Cross-Over Studies
Delirium
Delirium - prevention & control
Depression
Family - psychology
Female
Health Education
Hospitalization
Humans
Incidence
Infections
Intensive care
Intensive Care Units - organization & administration
Male
Mental depression
Mental disorders
Middle Aged
Original Investigation
Time Factors
Visitors to Patients
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Summary:IMPORTANCE: The effects of intensive care unit (ICU) visiting hours remain uncertain. OBJECTIVE: To determine whether a flexible family visitation policy in the ICU reduces the incidence of delirium. DESIGN, SETTING AND PARTICIPANTS: Cluster-crossover randomized clinical trial involving patients, family members, and clinicians from 36 adult ICUs with restricted visiting hours (
ISSN:0098-7484
1538-3598
DOI:10.1001/jama.2019.8766