ArticleAnnals of the American Thoracic Society2017
The Experience of Patients with Alcohol Misuse after Surviving a Critical Illness. A Qualitative Study.
Article in Annals of the American Thoracic Society, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 1 of them a synthesis that pooled it.
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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.
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Who cites it
7 citing papers in PubMed, 1 synthesis or guideline pooled it, 6 citations in OpenAlex.
- Delirium-related distress in the ICU: A qualitative meta-synthesis of patient and family perspectives and experiences.International journal of nursing studies · 2021Pooled it
- This is my way of Drinking: A Scoping Review of how Individuals Narrate Their Alcohol-Related Problems.Nordisk alkohol- & narkotikatidskrift : NAT · 2026Review
- Effect of high-dose baclofen on post-traumatic stress disorder symptoms five years after hospitalization among critically ill patients with unhealthy alcohol use.Scientific reports · 2026Observational
- Decisional needs of intensive care unit survivors with alcohol use disorder considering alcohol treatment: A qualitative study.Journal of substance use and addiction treatment · 2025Article
- Service-level barriers to and facilitators of accessibility to treatment for problematic alcohol use: a scoping review.Frontiers in public health · 2023Article
- Course and outcome of patients with alcohol use disorders following an alcohol intervention during hospital attendance: mixed method study.BJPsych open · 2020Article
- Alcohol misuse and outpatient follow-up after hospital discharge: a retrospective cohort study.Addiction science & clinical practice · 2018Article
Corrections and comments
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Authors and funding
8 authors at 5 institutions in 1 country.
Funding
Abstract
rationaleAlcohol misuse is common in patients admitted to the intensive care unit (ICU), but there is currently no evidence-based approach to address drinking in ICU survivors.
objectivesWe sought to describe the experience of ICU survivors with alcohol misuse during their hospitalization and the 3 months after hospital discharge to inform an alcohol-specific intervention for this unique population.
methodsWe conducted a descriptive qualitative study of ICU survivors from medical ICUs in three separate hospitals with a positive screening result on the Alcohol Use Disorders Identification Test. Semistructured interviews were conducted 3 months after hospital discharge of patients. Patients were also allowed to nominate up to two friends or family members for enrollment to provide additional perspective on the patient's experience.
resultsWe enrolled 50 patients and 22 of their friends and/or family members. The average APACHE II score was 23, 80% of patients were male, and the average age was 50 years; 70% of patients and 77% of friends/family members completed the semistructured interview 3 months after hospital discharge. We identified three domains that could inform an alcohol-specific intervention, each with multiple themes: motivation with complications (anxiety and depression, critical illness as a catalyst, delirium and cognitive impairment); therapeutic alliance (autonomy, failure and opportunities to build a therapeutic alliance); and the return to the home milieu (lack of screening for depression and anxiety, social network support for drinking, social isolation, social network support for abstinence, lack of available and affordable treatment, and negative experiences with Alcoholics Anonymous).
conclusionsAn alcohol intervention for ICU survivors would account for the context in which patients are making a decision about their drinking and optimize the patient-provider interaction. Contrary to current paradigms that focus on addressing alcohol consumption only during a hospitalization, an intervention for ICU survivors should continue as patients transition from the hospital to home.
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Registered trials
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