Trial reportCritical care medicine2018
Prevalence, Risk Factors, and Outcomes of Financial Stress in Survivors of Critical Illness.
Trial report in Critical care medicine, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 48 papers.
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
48 citing papers in PubMed, 103 citations in OpenAlex.
- The Association between Patient Health Status and Surrogate Decision Maker Post-Traumatic Stress Disorder Symptoms in Chronic Critical Illness.Annals of the American Thoracic Society · 2021Trial
- Financial strain and ideal cardiovascular health in middle-aged and older women: Data from the Women's health study.American heart journal · 2019Trial
- Predictive Utility of In-Hospital Screening for Postdischarge Depression Symptoms Among Survivors of Critical Illness.CHEST critical care · 2026Article
- The cost of dengue shock and septic shock in Vietnam: a patient-centred economic analysis.International health · 2026Observational
- PICS-SES postintensive care syndrome and socioeconomic status.Journal of intensive care · 2026Article
- Predictors of Patient-Reported Financial Hardship in Patients Hospitalized With Critical Illness and Its Association With Patient Outcomes.CHEST critical care · 2026Article
- Predicting 6-month decisional regret among family surrogate decision-makers of ICU patients: development and internal validation of prediction models.Frontiers in public health · 2026Observational
- A Research Agenda to Mitigate Racial and Ethnic Disparities in U.S. Critical Care Medicine: An Official American Thoracic Society Research Statement.American journal of respiratory and critical care medicine · 2025Article
- Association of Financial Distress With Nonmedical Out-of-Pocket Expenses in Those With Critical Illness.Hospital pediatrics · 2025Article
- Incidence rate of post-intensive care syndrome-family in Japan: A post-hoc analysis of a prospective observational study.Journal of critical care medicine (Universitatea de Medicina si Farmacie din Targu-Mures) · 2025Article
- Article
- Risk Factors and Consequences of Financial Hardship among Family of Critically Ill Patients.Annals of the American Thoracic Society · 2025Article
- Family Experiences of Financial Hardship after Critical Illness.Annals of the American Thoracic Society · 2025Article
- Lived experiences of caregivers with a family member living with a severe mental health condition in South Africa.BMC psychiatry · 2025Article
- Time to Talk Money? Intensive Care Unit Clinicians' Perspectives on Addressing Patients' Financial Hardship.American journal of critical care : an official publication, American Association of Critical-Care Nurses · 2025Article
- The Financial Impact of Post Intensive Care Syndrome.Critical care clinics · 2025Review
- PRACTICE: Development of a Core Outcome Set for Trials of Physical Rehabilitation in Critical Illness.Annals of the American Thoracic Society · 2024Article
- Article
- Financial Hardship: A Qualitative Study Exploring Perspectives of Seriously Ill Patients and Their Family.Journal of pain and symptom management · 2024Article
- Nutritional therapy for the prevention of post-intensive care syndrome.Journal of intensive care · 2024Review
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
13 authors at 3 institutions in 1 country.
Funding
Abstract
objectivesLittle is known about the experience of financial stress for patients who survive critical illness or their families. Our objective was to describe the prevalence of financial stress among critically ill patients and their families, identify clinical and demographic characteristics associated with this stress, and explore associations between financial stress and psychologic distress.
designSecondary analysis of a randomized trial comparing a coping skills training program and an education program for patients surviving acute respiratory failure and their families.
settingFive geographically diverse hospitals.
participantsPatients (n = 175) and their family members (n = 85) completed surveys within 2 weeks of arrival home and 3 and 6 months after randomization. MEASUREMENTS AND MAIN
resultsWe used regression analyses to assess associations between patient and family characteristics at baseline and financial stress at 3 and 6 months. We used path models and mediation analyses to explore relationships between financial stress, symptoms of anxiety and depression, and global mental health. Serious financial stress was high at both time points and was highest at 6 months (42.5%) among patients and at 3 months (48.5%) among family members. Factors associated with financial stress included female sex, young children at home, and baseline financial discomfort. Experiencing financial stress had direct effects on symptoms of anxiety (β = 0.260; p < 0.001) and depression (β = 0.048; p = 0.048).
conclusionsFinancial stress after critical illness is common and associated with symptoms of anxiety and depression. Our findings provide direction for potential interventions to reduce this stress and improve psychologic outcomes for patients and their families.
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