Coronavirus Disease 2019 Policy Restricting Family Presence May Have Delayed End-of-Life Decisions for Critically Ill Patients

OBJECTIVES: To determine if a restrictive visitor policy inadvertently lengthened the decision-making process for dying inpatients without coronavirus disease 2019. DESIGN: Regression discontinuity and time-to-event analysis. SETTING: Two large academic hospitals in a unified health system. PATIENTS OR SUBJECTS: Adult decedents who received greater than or equal to 1 day of ICU care during their terminal admission over a 12-month period. INTERVENTIONS: Implementation of a visit restriction policy. MEASUREMENTS AND MAIN RESULTS: We identified 940 adult decedents without coronavirus disease 2019 during the study period. For these patients, ICU length of stay was 0.8 days longer following policy implementation, although this effect was not statistically significant (95% CI, –2.3 to 3.8; p = 0.63). After excluding patients admitted before the policy but who died after implementation, we observed that ICU length of stay was 2.9 days longer post-policy (95% CI, 0.27–5.6; p = 0.03). A time-to-event analysis revealed that admission after policy implementation was associated with a significantly longer time to first do not resuscitate/do not intubate/comfort care order (adjusted hazard ratio, 2.2; 95% CI, 1.6–3.1; p
Source: Critical Care Medicine - Category: Emergency Medicine Tags: Online Brief Report Source Type: research

Related Links:

This study included 1430 retrieved articles with open access mostly. The top five journals in this field were Annals of the Rheumatic Diseases (n = 65), Rheumatology International (n = 51), Clinical Rheumatology (n = 50), Lancet Rheumatology (n = 50), and Frontiers In Immunology (n = 33). Most studies originate from countries with a high incidence of COVID-19 among the general population (the USA—387; Italy—268; UK—184; France—114; Germany—110; India—98 and Spain—96, China—94, Canada—73 Turkey—6...
Source: Rheumatology International - Category: Rheumatology Source Type: research
Covid-19 was “the eighth-highest killer of kids in this age group over the past year,” said a C.D.C. official in favor of broader authorization.
Source: NYT Health - Category: Consumer Health News Authors: Tags: Children and Childhood Pfizer Inc Vaccination and Immunization Coronavirus (2019-nCoV) Coronavirus Risks and Safety Concerns Disease Rates Food and Drug Administration United States Politics and Government Centers for Disease Control and P Source Type: news
We turned to five experts to answer these frequently-asked questions.
Source: NYT Health - Category: Consumer Health News Authors: Tags: Vaccination and Immunization Coronavirus (2019-nCoV) Children and Childhood Immune System Source Type: news
Introduction: Coinfection with severe acute respiratory syndrome-coronavirus 2 (SARS-CoV-2) and another virus may influence the clinical trajectory of emergency department (ED) patients. However, little empirical data exists on the clinical outcomes of coinfection with SARS-CoV-2Methods: In this retrospective cohort analysis, we included adults presenting to the ED with confirmed, symptomatic coronavirus 2019 who also underwent testing for additional viral pathogens within 24 hours. To investigate the association between coinfection status with each of the outcomes, we performed logistic regression.Results: Of 6,913 ED pat...
Source: Western Journal of Emergency Medicine - Category: Emergency Medicine Source Type: research
Louisiana is ending its statewide indoor mask mandate after emerging from its latest and worst coronavirus spike of the pandemic and seeing a sharp decline in new COVID-19 infections
Source: ABC News: Health - Category: Consumer Health News Tags: Health Source Type: news
But he cautioned that the pandemic is not over and that the state lags far behind in vaccinations.
Source: NYT Health - Category: Consumer Health News Authors: Tags: Disease Rates Masks Coronavirus (2019-nCoV) Vaccination and Immunization Centers for Disease Control and Prevention Pfizer Inc Louisiana Source Type: news
When Americans divide themselves into camps, they stick to them fiercely: Democrats versus Republicans, pro-life versus pro-choice, gun rights versus gun control. Add to that, as has become apparent over the course of the past year, those who are pro- versus anti-coronavirus vaccines. As with so many other polarizing issues, your position on getting or not getting inoculated against COVID-19 has become more than a medical question. It’s morphed into a form of cultural identifier, a sign of your membership in one tribe or another. More than ever, that’s becoming clear as booster shots are rolled out around the n...
Source: TIME: Health - Category: Consumer Health News Authors: Tags: Uncategorized Source Type: news
Dallas Mayor Eric Johnson says he has tested positive for COVID-19 after being fully vaccinated against the coronavirus
Source: ABC News: Health - Category: Consumer Health News Tags: Health Source Type: news
But the US is still reporting more than 70,000 new cases and 1,500 new deaths each day, and the coronavirus is the leading cause of death among older age groups.WebMD Health News
Source: Medscape Infectious Diseases Headlines - Category: Infectious Diseases Tags: Infectious Diseases News Source Type: news
The North Dakota Department of Health has switched off comments on its social media accounts in an effort to stop the spread of misinformation, mostly about the coronavirus
Source: ABC News: Health - Category: Consumer Health News Tags: Health Source Type: news
More News: Academia | Coronavirus | COVID-19 | Emergency Medicine | Hospitals | Statistics | Study