{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,13]],"date-time":"2026-04-13T22:57:27Z","timestamp":1776121047094,"version":"3.50.1"},"reference-count":29,"publisher":"Wiley","issue":"12","license":[{"start":{"date-parts":[[2022,8,27]],"date-time":"2022-08-27T00:00:00Z","timestamp":1661558400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Internal Medicine Journal"],"published-print":{"date-parts":[[2022,12]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>COVID\u201019 has led to challenges in providing effective and timely communication in healthcare. Services have been required to adapt and evolve as successful communication remains core to high\u2010quality patient\u2010centred care.<\/jats:p><\/jats:sec><jats:sec><jats:title>Aim<\/jats:title><jats:p>To describe the communication between admitted patients, their families and clinicians (medical, nursing, allied health) during end\u2010of\u2010life care.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>This retrospective review included all patients (<jats:italic>n<\/jats:italic> =\u2009230) who died directly due to COVID\u201019 at five Melbourne hospitals between 1 January and 31 December 2020. Contacts and modality used (face to face, video, telephone) during the 8\u2009days prior to death were recorded.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Patients were predominantly elderly (median age 86\u2009years) and from residential aged care facilities (62%; <jats:italic>n<\/jats:italic> =\u2009141). Communication frequency increased the closer the patient was to death, where on day of death, contact between clinicians and patients was 93% (<jats:italic>n<\/jats:italic> =\u2009213) clinicians and families 97% (<jats:italic>n<\/jats:italic> =\u2009222) and between patients and families 50% (<jats:italic>n<\/jats:italic> =\u2009115). Most contact between patients and families was facilitated by a clinician (91.3% (<jats:italic>n<\/jats:italic> =\u2009105) day of death) with the most commonly used mode being video call (<jats:italic>n<\/jats:italic> =\u200930 day of death).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>This study is one of the first and largest Australian reports on how communication occurs at the end of life for patients dying of COVID\u201019. Contact rates were relatively low between patients and families, compared with other cohorts dying from non\u2010COVID\u201019 related causes. The impact of this difference on bereavement outcomes requires surveillance and attention.<\/jats:p><\/jats:sec>","DOI":"10.1111\/imj.15788","type":"journal-article","created":{"date-parts":[[2022,4,26]],"date-time":"2022-04-26T14:05:44Z","timestamp":1650981944000},"page":"2068-2075","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["A multi\u2010centre study on patients dying from COVID\u201019: communication between clinicians, patients and their families"],"prefix":"10.1111","volume":"52","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3638-5419","authenticated-orcid":false,"given":"Rachel","family":"Everitt","sequence":"first","affiliation":[{"name":"Parkville integrated Palliative Care Service The Royal Melbourne Hospital  Melbourne Victoria Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6507-1219","authenticated-orcid":false,"given":"Aaron K.","family":"Wong","sequence":"additional","affiliation":[{"name":"Parkville integrated Palliative Care Service The Royal Melbourne Hospital  Melbourne Victoria Australia"},{"name":"Palliative Care Service Peter MacCallum Cancer Centre  Melbourne Victoria Australia"},{"name":"Department of Medicine University of Melbourne  Melbourne Victoria Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Olivia","family":"Wawryk","sequence":"additional","affiliation":[{"name":"Department of General Practice University of Melbourne  Melbourne Victoria Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0830-4864","authenticated-orcid":false,"given":"Brian","family":"Le","sequence":"additional","affiliation":[{"name":"Parkville Integrated Palliative Care Service The Royal Melbourne Hospital  Melbourne Victoria Australia"},{"name":"Department of Medicine RMH The University of Melbourne  Melbourne Victoria Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jaclyn","family":"Yoong","sequence":"additional","affiliation":[{"name":"Palliative Care Service Northern Health  Melbourne Victoria Australia"},{"name":"Monash Health Monash University  Melbourne Victoria Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Maria","family":"Pisasale","sequence":"additional","affiliation":[{"name":"Palliative Care Service Werribee Mercy Hospital  Melbourne Victoria Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0880-8819","authenticated-orcid":false,"given":"Ruwani","family":"Mendis","sequence":"additional","affiliation":[{"name":"Palliative Care Service Western Health  Melbourne Victoria Australia"},{"name":"Department of Medicine, Western Health University of Melbourne  Melbourne Victoria Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3312-0645","authenticated-orcid":false,"given":"Jennifer","family":"Philip","sequence":"additional","affiliation":[{"name":"Parkville integrated Palliative Care Service The Royal Melbourne Hospital  Melbourne Victoria Australia"},{"name":"Department of Medicine University of Melbourne  Melbourne Victoria Australia"},{"name":"Palliative Care Service St Vincent's Hospital  Melbourne Victoria Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2022,8,27]]},"reference":[{"key":"e_1_2_7_2_1","unstructured":"World Health Organization (WHO). 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