Table 3.
Policy or process compared | Variables | Pre-pandemic times | During pandemic | Chi-square (p value) |
---|---|---|---|---|
Process of communication with family members | In-person counseling and documentation | 269 (93.1%) | 119 (41%) | <0.001 |
In-person under video/audio recording and documentation | 17 (5.9%) | 43 (14.8%) | ||
Recorded video/audio (no in-person) | 2 (0.7%) | 25 (8.6%) | ||
Recorded video/audio and physician documentation in medical records | 1 (0.3%) | 103 (35.5%) | ||
Healthcare professional responsible for communication with family members | Primary treating team | 23 (7.9%) | 19 (6.5%) | 0.27 |
ICU consultant | 64 (22.1%) | 56 (19.2%) | ||
Specialist trainee | 15 (5.2%) | 25 (8.6%) | ||
Nursing | 3 (1%) | 7 (2.4%) | ||
Any of the above | 180 (61.1%) | 183 (62.6%) | ||
Others (dedicated team) | 5 (1.7%) | 2 (0.7%) | ||
DNAR or EOL care discussion with family members | No DNAR policy | 38 (13%) | 41 (14%) | <0.001 |
In-person | 239 (81.8%) | 133 (45.5%) | ||
In-person, video, and audio | 8 (2.7%) | 69 (23.6%) | ||
Video and audio | 2 (0.7%) | 49 (16.8%) | ||
Healthcare professional responsible for DNAR or EOL care discussion with family members | Consultant | 145 (49.7%) | 122 (41.8%) | 0.459 |
Specialist trainee | 17 (5.8%) | 21 (7.2%) | ||
Combined | 91 (31.2%) | 106 (36.0%) | ||
Dedicated team | 1 (0.3%) | 1 (0.3%) | ||
Nursing | 0 (%) | 1 (0.3%) | ||
No DNAR policy | 38 (13%) | 41 (14%) |
p <0.05 is significant. COVID-19, coronavirus disease-2019; DNAR, do not attempt to resuscitate; EOL, end-of-life-care