title: "RéaNet", the Internet utilization among surrogates of critically ill patients with sepsis.
abstract: BACKGROUND
  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.
  
  
  RESULTS
  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.
  
  
  CONCLUSIONS
  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.
authors.affiliation: Medical intensive care unit, Cochin hospital, AP-HP, Paris Descartes University, Paris, France.|Anesthesiology and surgical critical care medicine department, Cochin academic hospital, APHP, Paris Descartes University, Paris, France.
authors.forename: Yên-Lan
authors.identifier: http://orcid.org/0000-0002-6341-8960
authors.initials: YL
authors.lastname: Nguyen
authors.affiliation: Clinical epidemiology center, INSERM U1153, Hôtel-Dieu academic hospital, APHP, Paris Descartes University, Paris, France.
authors.forename: Raphaël
authors.initials: R
authors.lastname: Porcher
authors.affiliation: Medical intensive care unit, Hospices Civils de Lyon, Edouard Herriot academic hospital, Lyon, France.
authors.forename: Laurent
authors.initials: L
authors.lastname: Argaud
authors.affiliation: Medical intensive care unit, Angers academic hospital, Angers university, Angers, France.
authors.forename: Lise
authors.initials: L
authors.lastname: Piquilloud
authors.affiliation: Medical intensive care unit, Nantes academic hospital, Nantes university, Nantes, France.
authors.forename: Christophe
authors.initials: C
authors.lastname: Guitton
authors.affiliation: Medical intensive care unit, Rouen academic hospital, Rouen university, Rouen, France.
authors.forename: Fabienne
authors.initials: F
authors.lastname: Tamion
authors.affiliation: Medical intensive care unit, North hospital Marseille, AP-HM, Marseille, France.
authors.forename: Sami
authors.initials: S
authors.lastname: Hraiech
authors.affiliation: Medical intensive care unit, Cochin hospital, AP-HP, Paris Descartes University, Paris, France.
authors.forename: Jean-Paul
authors.initials: JP
authors.lastname: Mira
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D016638:Critical Illness; D005260:Female; D006801:Humans; D007362:Intensive Care Units / Q000706:statistics & numerical data; D020407:Internet / Q000706:statistics & numerical data*; D007902:Length of Stay; D008297:Male; D008875:Middle Aged; D011446:Prospective Studies; D019727:Proxy / Q000706:statistics & numerical data*; D018805:Sepsis; D011795:Surveys and Questionnaires; D055815:Young Adult