"RéaNet", the Internet utilization among surrogates of critically ill patients with sepsis.

Détails

ID Serval
serval:BIB_89240391F3AB
Type
Article: article d'un périodique ou d'un magazine.
Collection
Publications
Titre
"RéaNet", the Internet utilization among surrogates of critically ill patients with sepsis.
Périodique
PloS one
Auteur(s)
Nguyen Y.L., Porcher R., Argaud L., Piquilloud L., Guitton C., Tamion F., Hraiech S., Mira J.P.
Collaborateur(s)
“RéaNet” collaboration group
ISSN
1932-6203 (Electronic)
ISSN-L
1932-6203
Statut éditorial
Publié
Date de publication
2017
Peer-reviewed
Oui
Volume
12
Numéro
3
Pages
e0174292
Langue
anglais
Notes
Publication types: Journal Article
Publication Status: epublish
Résumé
Health-related Internet utilization is common but its use by proxies of critically ill patients is unknown. Our objective was to describe the prevalence and the Internet utilization characteristics among surrogates of critically ill septic patients. We conducted a prospective observational study in French ICUs. Three survey instruments were used to describe ICU organization regarding information delivery, patients and surrogates characteristics.
169 surrogates of 146 septic patients hospitalized in 19 ICUs were included. One sixth of ICUs (n = 3, 16%) had their own website. Majority of patients were males (n = 100, 68%), aged 64±1 years old, with a SAPS2 score at 53±17 and required vasopressors (n = 117, 83%), mechanical ventilation (n = 116, 82%). More than one quarter required renal replacement therapy (n = 36, 26%). Majority of surrogates were female, in their fifties. Only one in five knew the word sepsis (n = 27, 16%). Majority of proxies internet users (n = 77; 55%) search on the internet about sepsis. The main motivation was curiosity. Majority of surrogates found the information online reliable, suitable for request and concordant. Prior use of health-related Internet (OR = 20.7 [4.30-100.1]), the presence of a nursing staff during family-physician meetings (OR = 3.33 [1.17-9.53]), a younger patient age (OR = 1.32 [1.01-1.72]) and renal replacement therapy requirement (OR = 2.58 [1.06-6.26]) were associated with health-related Internet use. Neither satisfaction with medical care or information provision, neither presence of anxiety-depression symptoms, were associated with health-related Internet use. Majority of surrogates (N = 76 (52%)) would have like receiving a list of selected websites on sepsis.
Majority of proxies of critically ill patients with sepsis use Internet to learn more about sepsis. Internet utilization is independent of satisfaction with global ICU care, perceived quality of information delivery by doctors or the existence of anxiety-depression symptoms during ICU stay. The delivery of a list of recommended web sites on sepsis would have been appreciated.

Mots-clé
Adolescent, Adult, Aged, Critical Illness, Female, Humans, Intensive Care Units/statistics & numerical data, Internet/statistics & numerical data, Length of Stay, Male, Middle Aged, Prospective Studies, Proxy/statistics & numerical data, Sepsis, Surveys and Questionnaires, Young Adult
Pubmed
Web of science
Open Access
Oui
Création de la notice
21/12/2017 11:35
Dernière modification de la notice
20/08/2019 14:48
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