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Objectives:

To synthesize data on outcomes related to patients, family members, and ICU professionals by comparing flexible versus restrictive visiting policies in ICUs.

Data Sources:

Medline, Scopus, and Web of Science.

Study Selection:

Observational and randomized studies comparing flexible versus restrictive visiting policies in the ICU and evaluating at least one patient-, family member–, or ICU staff–related outcome.

Data Extraction:

Duplicate independent review and data abstraction.

Data Synthesis:

Of 16 studies identified for inclusion, seven were meta-analyzed. Most studies were rated as having a moderate risk of bias. Among patients, flexible visiting policies were associated with reduced frequency of delirium (odds ratio, 0.39; 95% CI, 0.22–0.69; I 2= 0%) and lower severity of anxiety symptoms (mean difference,–2.20; 95% CI,–3.80 to–0.61; I 2= 71%). Flexible visiting policies were not associated with …