Evidence map›Paper›PMID 27652496›Full record

ArticleJournal of critical care2017

The relationship between executive dysfunction, depression, and mental health-related quality of life in survivors of critical illness: Results from the BRAIN-ICU investigation.

Maria C Duggan, Li Wang, Jo Ellen Wilson, Robert S Dittus, E Wesley Ely, James C Jackson

Registry-linked trialAbstract read
In one paragraph

Article in Journal of critical care, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07035106 (I-WEAR), which is not on this map. Cited by 26 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
26citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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.

NCT07035106 narecruitingnot on this mapstarted 2025, after this paper: background citation

I-WEAR: From ICU to Recovery - Evaluating the Feasibility and Usability of Bi-Weekly Health Summaries Using Wearables in Patients After Intensive Care Unit Treatment - A Pilot Study

TypeinterventionalSponsorLudwig Boltzmann GesellschaftRan2025 to 2026Enrolled60ConditionsPost-Intensive Care Syndrome (PICS), Critical Illness Recovery, Coronary Artery DiseaseArmsWearable Health Monitoring, Digital Health Summary and Lifestyle Counseling
3 · Its place in the literature

Who cites it

26 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Review
  3. Article
  4. Article
  5. Review
  6. Observational
  7. Article
  8. [Research advances on post-burn cognitive disorders and its mechanism].Zhonghua shao shang yu chuang mian xiu fu za zhi · 2023
    Review
  9. Review
  10. Article
  11. Review
  12. Frequency and profile of objective cognitive deficits in hospitalized patients recovering from COVID-19.Neuropsychopharmacology : official publication of the American College of Neuropsychopharmacology · 2021
    Article
  13. Observational
  14. Delirium.Nature reviews. Disease primers · 2020
    Review
  15. Review
  16. Article
  17. Article
  18. Observational
  19. Aging and Post-Intensive Care Syndrome: A Critical Need for Geriatric Psychiatry.The American journal of geriatric psychiatry : official journal of the American Association for Geriatric Psychiatry · 2018
    Review
  20. Article
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

6 authors.

Maria C DugganGeriatric Research Education and Clinical Center (GRECC), Department of Veteran Affairs, Tennessee Valley Healthcare System, Nashville, TN; Department of Medicine, Division of General Internal Medicine and Public Health, Vanderbilt University School of Medicine, Nashville, TN; Department of Medicine, Division of Geriatric Medicine, Vanderbilt University School of Medicine, Nashville, TN. Electronic address: maria.e.carlo@vanderbilt.edu.
Li WangDepartment of Biostatistics, Vanderbilt University School of Medicine, Nashville, TN.
Jo Ellen WilsonGeriatric Research Education and Clinical Center (GRECC), Department of Veteran Affairs, Tennessee Valley Healthcare System, Nashville, TN; Department of Psychiatry, Vanderbilt University School of Medicine, Nashville, TN.
Robert S DittusGeriatric Research Education and Clinical Center (GRECC), Department of Veteran Affairs, Tennessee Valley Healthcare System, Nashville, TN; Department of Medicine, Division of General Internal Medicine and Public Health, Vanderbilt University School of Medicine, Nashville, TN; Center for Health Services Research, Institute for Medicine and Public Health, Vanderbilt University Medical Center, Nashville, TN.
E Wesley ElyGeriatric Research Education and Clinical Center (GRECC), Department of Veteran Affairs, Tennessee Valley Healthcare System, Nashville, TN; Center for Health Services Research, Institute for Medicine and Public Health, Vanderbilt University Medical Center, Nashville, TN; Department of Medicine, Division of Allergy, Pulmonary and Critical Care Medicine, Vanderbilt University School of Medicine, Nashville, TN.
James C JacksonDepartment of Psychiatry, Vanderbilt University School of Medicine, Nashville, TN; Center for Health Services Research, Institute for Medicine and Public Health, Vanderbilt University Medical Center, Nashville, TN; Department of Medicine, Division of Allergy, Pulmonary and Critical Care Medicine, Vanderbilt University School of Medicine, Nashville, TN; Research Service, Department of Veteran Affairs, Tennessee Valley Healthcare System, Nashville, TN.

Funding

The Vanderbilt Institute for Clinical and Translational Research (VICTR)UL1TR000445 · NCATS · VANDERBILT UNIVERSITY MEDICAL CENTER · PI BERNARD, GORDON RAPHAEL · 2012 to 2016
$41.4M
NCATS NIH HHS UL1 TR000445
6 · The paper itself

Abstract

purposeAlthough executive dysfunction and depression are common among intensive care unit (ICU) survivors, their relationship has not been evaluated in this population. We sought to determine (1) if executive dysfunction is independently associated with severity of depressive symptoms or worse mental health-related quality of life (HRQOL) in ICU survivors, and (2) if age modifies these associations.

methodsIn a prospective cohort (n=136), we measured executive dysfunction by the Behavior Rating Inventory of Executive Function-Adult, depression by the Beck Depression Inventory-II, and mental HRQOL by the Short-Form 36. We used multiple linear regression models, adjusting for potential confounders. We included age as an interaction term to test for effect modification.

resultsExecutive dysfunction 3 months post-ICU was independently associated with more depressive symptoms and worse mental HRQOL 12 months post-ICU (25th vs 75th percentile of executive functioning scored 4.3 points worse on the depression scale [95% confidence interval, 1.3-7.4; P=.015] and 5 points worse on the Short-Form 36 [95% confidence interval, 1.7-8.3; P=.006]). Age did not modify these associations (depression: P=.12; mental HRQOL: P=.80).

conclusionRegardless of age, executive dysfunction was independently associated with subsequent worse severity of depressive symptoms and worse mental HRQOL. Executive dysfunction may have a key role in the development of depression.

Indexed as

Executive FunctionMental HealthAgedAge FactorsBrainCognitive DysfunctionCohort StudiesCritical IllnessDepressionFemaleHumansIntensive Care UnitsLinear ModelsMaleMiddle AgedProspective StudiesCognitive impairmentCritical illnessDepressionExecutive dysfunctionQuality of life

Identifiers

PMID27652496
PMCPMC5240988

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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.