Trial reportBMJ open2016
Patient and carer experience of hospital-based rehabilitation from intensive care to hospital discharge: mixed methods process evaluation of the RECOVER randomised clinical trial.
Trial report in BMJ open, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 6 of them syntheses that pooled 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.
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.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
16 citing papers in PubMed, 6 syntheses or guidelines pooled it, 43 citations in OpenAlex.
- Re-Engaging in Activities of Daily Living After Critical Illness: A Qualitative Review.Journal of clinical nursing · 2026Pooled it
- Towards a Quality Care Climate Perspective: A Systematic Review of Associations Among Patient Experience, Patient Outcomes, and Organisational Climate Factors in Hospitals.International journal of environmental research and public health · 2026Pooled it
- Nursing Interventions for Patient Empowerment during Intensive Care Unit Discharge: A Systematic Review.International journal of environmental research and public health · 2021Pooled it
- Rehabilitation to enable recovery from COVID-19: a rapid systematic review.Physiotherapy · 2021Pooled it
- The effect of delegation of therapy to allied health assistants on patient and organisational outcomes: a systematic review and meta-analysis.BMC health services research · 2020Pooled it
- Pooled it
- Facilitating the transition from hospital to home after hip fracture surgery: a qualitative study from the HIP HELPER trial.BMC geriatrics · 2024Trial
- Outcomes after specialized rehabilitation for patients with critical COVID-19 and prolonged intensive care unit stays.European clinical respiratory journal · 2026Article
- Functional and muscle recovery after critical illness: current and future nutritional, physical and metabolic strategies.Annals of intensive care · 2026Review
- Non-pharmacological post-intensive care interventions to improve patient outcome following critical illness: a scoping review.Critical care (London, England) · 2025Review
- Patients' experiences and perspectives of post-hospital follow-up care to improve physical recovery for intensive care survivors: A systematic review of qualitative research.International journal of nursing studies advances · 2023Review
- Feasibility of Telephone Follow-Up after Critical Care Discharge.Medical sciences (Basel, Switzerland) · 2020Article
- Compliance with the Very Integrated Program (VIP) for Smoking Cessation, Nutrition, Physical Activity and Comorbidity Education Among Patients in Treatment for Alcohol and Drug Addiction.International journal of environmental research and public health · 2019Article
- Identifying patients' support needs following critical illness: a scoping review of the qualitative literature.Critical care (London, England) · 2019Article
- Should ICU clinicians follow patients after ICU discharge? Yes.Intensive care medicine · 2018Article
- The role of psychosomatic medicine in intensive care units.Wiener medizinische Wochenschrift (1946) · 2018Review
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
8 authors at 4 institutions in 2 countries.
Funding
Abstract
objectivesTo explore and compare patient/carer experiences of rehabilitation in the intervention and usual care arms of the RECOVER trial (ISRCTN09412438); a randomised controlled trial of a complex intervention of post-intensive care unit (ICU) acute hospital-based rehabilitation following critical illness.
designMixed methods process evaluation including comparison of patients' and carers' experience of usual care versus the complex intervention. We integrated and compared quantitative data from a patient experience questionnaire (PEQ) with qualitative data from focus groups with patients and carers.
settingTwo university-affiliated hospitals in Scotland.
participants240 patients discharged from ICU who required ≥48 hours of mechanical ventilation were randomised into the trial (120 per trial arm). Exclusion criteria comprised: primary neurologic diagnosis, palliative care, current/planned home ventilation and age <18 years. 182 patients completed the PEQ at 3 months postrandomisation. 22 participants (14 patients and 8 carers) took part in focus groups (2 per trial group) at >3 months postrandomisation.
interventionsA complex intervention of post-ICU acute hospital rehabilitation, comprising enhanced physiotherapy, nutritional care and information provision, case-managed by dedicated rehabilitation assistants (RAs) working within existing ward-based clinical teams, delivered between ICU discharge and hospital discharge. Comparator was usual care. OUTCOME MEASURES: A novel PEQ capturing patient-reported aspects of quality care.
resultsThe PEQ revealed statistically significant between-group differences across 4 key intervention components: physiotherapy (p=0.039), nutritional care (p=0.038), case management (p=0.045) and information provision (p<0.001), suggesting greater patient satisfaction in the intervention group. Focus group data strongly supported and helped explain these findings. Specifically, case management by dedicated RAs facilitated greater access to physiotherapy, nutritional care and information that cut across disciplinary boundaries and staffing constraints. Patients highly valued its individualisation according to their needs, abilities and preferences.
conclusionsCase management by dedicated RAs improves patients' experiences of post-ICU hospital-based rehabilitation and increases perceived quality of care. TRIAL REGISTRATION NUMBER: ISRCTN09412438.
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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.