Evidence map›Paper›PMID 26792081›Full record

ReviewCritical care (London, England)2016

Reported burden on informal caregivers of ICU survivors: a literature review.

Ilse van Beusekom, Ferishta Bakhshi-Raiez, Nicolette F de Keizer, Dave A Dongelmans, Marike van der Schaaf

5 registry-linked trialsOpen access · goldAbstract readReview
In one paragraph

Review in Critical care (London, England), 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 5 registered trials, which are not on this map. Cited by 110 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
110citing papers in PubMed, 3 pooled it
32.7field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT03325049 naterminatednot on this mapstarted 2017, after this paper: background citation

The Health Promoting Conversations Intervention for Families With a Critically Ill Relative: A Pilot RCT

TypeinterventionalSponsorLinkoeping UniversityRan2017 to 2020Enrolled17ConditionsFamily HealthArmsThe health-promoting conversations, Usual Care
NCT04602351 completednot on this mapstarted 2021, after this paper: background citation

Communication in ICU During COVID-19: Multinational, Multicentric Cross-sectional Survey (ComICU)

TypeobservationalSponsorNMC Specialty HospitalRan2021 to 2021Enrolled296ConditionsCOVID-19, Severe Acute Respiratory Syndrome Coronavirus 2, Severe Acute Respiratory SyndromeArmsCommunication
NCT05348720 unknown statusnot on this mapstarted 2020, after this paper: background citation

Impact of a COVID-19 Related ICU Stay on Mental Health for Patients and Their Relatives. An Exploratory 18-month Follow-up Study for COVID-19 ICU Survivors and Their Relatives.

TypeobservationalSponsorGeneral Hospital GroeningeRan2020 to 2023Enrolled120ConditionsPost Intensive Care Syndrome, PICS, COVID-19, Critically Ill
NCT05827354 unknown statusnot on this mapstarted 2023, after this paper: background citation

Incidence and Factors Associated to The Development of Post-Intensive Care Syndrome Among Family Members of Intensive Care Unit Survivors: A Longitudinal Exploratory Study

TypeobservationalSponsorPontificia Universidad Catolica de ChileRan2023 to 2025Enrolled175ConditionsPost Intensive Care Syndrome, Family Members, Caregiver Burden, Critical Illness
NCT06463158 narecruitingnot on this mapstarted 2024, after this paper: background citation

A Phase I Clinical Trial Evaluating the Impact of the Family Room App on Caregiver Well-being, Satisfaction, and Engagement in the Intensive Care Unit

TypeinterventionalSponsorUniversity of NebraskaRan2024 to 2027Enrolled100ConditionsWell-Being, Psychological, Engagement, Satisfaction, ConsumerArmsFamily Room Application
3 · Its place in the literature

Who cites it

110 citing papers in PubMed, 3 syntheses or guidelines pooled it, 280 citations in OpenAlex.

  1. Pooled it
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  6. Rates and Risk Factors for Post-Traumatic Stress Disorder Symptomatology among Adult Hematopoietic Cell Transplant Recipients and Their Informal Caregivers.Biology of blood and marrow transplantation : journal of the American Society for Blood and Marrow Transplantation · 2019
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  14. [Contribution of hospital chaplains in supporting relatives of intensive care patients].Medizinische Klinik, Intensivmedizin und Notfallmedizin · 2026
    Review
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50 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 2 institutions in 1 country.

Ilse van BeusekomDepartment of Medical Informatics, Academic Medical Center, University of Amsterdam, Amsterdam, The Netherlands. i.vanbeusekom@amc.uva.nl.
Ferishta Bakhshi-RaiezDepartment of Medical Informatics, Academic Medical Center, University of Amsterdam, Amsterdam, The Netherlands.
Nicolette F de KeizerDepartment of Medical Informatics, Academic Medical Center, University of Amsterdam, Amsterdam, The Netherlands.
Dave A DongelmansNational Intensive Care Evaluation, Amsterdam, The Netherlands.
Marike van der SchaafDepartment of Rehabilitation, Academic Medical Center, University of Amsterdam, Amsterdam, The Netherlands.
Academic Medical Center · NLUniversity of Amsterdam · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundCritical illness and the problems faced after ICU discharge do not only affect the patient, it also negatively impacts patients' informal caregivers. There is no review which summarizes all types of burden reported in informal caregivers of ICU survivors. It is important that the burdens these informal caregivers suffer are systematically assessed so the caregivers can receive the professional care they need. We aimed to provide a complete overview of the types of burdens reported in informal caregivers of adult ICU survivors, to make recommendations on which burdens should be assessed in this population, and which tools should be used to assess them.

methodWe performed a systematic search in PubMed and CINAHL from database inception until June 2014. All articles reporting on burdens in informal caregivers of adult ICU survivors were included. Two independent reviewers used a standardized form to extract characteristics of informal caregivers, types of burdens and instruments used to assess these burdens. The quality of the included studies was assessed using the Newcastle-Ottawa and the PEDro scales.

resultsThe search yielded 2704 articles, of which we included 28 in our review. The most commonly reported outcomes were psychosocial burden. Six months after ICU discharge, the prevalence of anxiety was between 15% and 24%, depression between 4.7% and 36.4% and post-traumatic stress disorder (PTSD) between 35% and 57.1%. Loss of employment, financial burden, lifestyle interference and low health-related quality of life (HRQoL) were also frequently reported. The most commonly used tools were the Hospital Anxiety and Depression Scale (HADS), Centre for Epidemiological Studies-Depression questionnaire, and Impact of Event Scale (IES). The quality of observational studies was low and of randomized studies moderate to fair.

conclusionsInformal caregivers of ICU survivors suffer a substantial variety of burdens. Although the quality of the included studies was poor, there is evidence that burden in the psychosocial field is most prevalent. We suggest screening informal caregivers of ICU survivors for anxiety, depression, PTSD, and HRQoL using respectively the HADS, IES and Short Form 36 and recommend a follow-up period of at least 6 months.

Indexed as

Cost of IllnessAnxietyCaregiversDepressionFemaleFollow-Up StudiesHumansIntensive Care UnitsMalePatient CarePrevalenceQuality of LifeStress Disorders, Post-TraumaticSurveys and QuestionnairesSurvivors

Identifiers

PMID26792081
PMCPMC4721206
OpenAlexW2284085060

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.