Evidence map›Paper›PMID 30466485›Full record

ArticleCritical care (London, England)2018

Anxiety, Depression and Post Traumatic Stress Disorder after critical illness: a UK-wide prospective cohort study.

Robert Hatch, Duncan Young, Vicki Barber, John Griffiths, David A Harrison, Peter Watkinson

2 registry-linked trialsOpen access · goldAbstract readMulticenter Study
In one paragraph

Article in Critical care (London, England), 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 229 papers, 7 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
229citing papers in PubMed, 7 pooled it
25.5field-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.

NCT04375709 unknown statusnot on this mapstarted 2020, after this paper: background citation

Health-related Quality of Life (HRQOL) and Physical Performance in Individuals After COVID-19 Induced Hospitalisation and the Impact of a Standard Care Follow-up Program: a Longitudinal Observational Cohort Study

TypeobservationalSponsorKantonsspital Winterthur KSWRan2020 to 2021Enrolled60ConditionsCovid-19 (New Coronavirus) InfectionArmsPhysical exercise, Education sessions
NCT04527627 nacompletednot on this mapstarted 2019, after this paper: background citation

Development and Evaluation of a Nursing Intervention in the Patient Being Discharged From the Intensive Care Unit: a Protocol for Mixed Methods Research

TypeinterventionalSponsorHospital Clinic of BarcelonaRan2019 to 2021Enrolled178ConditionsAnxiety, DepressionArmsNursing Empowerment Intervention
3 · Its place in the literature

Who cites it

229 citing papers in PubMed, 7 syntheses or guidelines pooled it, 531 citations in OpenAlex.

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169 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

6 authors at 4 institutions in 1 country.

Robert HatchNIHR Academic Clinical Fellow in Intensive Care Medicine, Oxford Deanery, Oxford, UK.
Duncan YoungProfessor of Intensive Care Medicine, University of Oxford, Oxford, UK.
Vicki BarberOCTRU Hub Manager, University of Oxford, Oxford, UK.
John GriffithsConsultant in Intensive Care Medicine, Oxford University Hospitals NHS Foundation Trust, Oxford, UK.
David A HarrisonHead Statistician, Intensive Care National Audit & Research Centre (ICNARC), London, UK.
Peter WatkinsonAssociate Professor of Intensive Care Medicine, Oxford University Hospitals NHS Trust, Oxford, UK. peter.watkinson@ndcn.ox.ac.uk.ORCID 0000-0003-1023-3927
John Radcliffe Hospital · GBIntensive Care National Audit & Research Centre · GBOxford University Hospitals NHS Trust · GBUniversity of Oxford · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundSurvivors of intensive care are known to be at increased risk of developing longer-term psychopathology issues. We present a large UK multicentre study assessing the anxiety, depression and post-traumatic stress disorder (PTSD) caseness in the first year following discharge from an intensive care unit (ICU).

methodsDesign: prospective multicentre follow-up study of survivors of ICU in the UK.

settingpatients from 26 ICUs in the UK. INCLUSION CRITERIA: patients who had received at least 24 h of level 3 ICU care and were 16 years of age or older.

interventionspostal follow up: Hospital Anxiety and Depression Score (HADS) and the Post-Traumatic Stress Disorder (PTSD) Check List-Civilian (PCL-C) at 3 and 12 months following discharge from ICU.

main outcome measurecaseness of anxiety, depression and PTSD, 2-year survival.

resultsIn total, 21,633 patients admitted to ICU were included in the study. Postal questionnaires were sent to 13,155 survivors; of these 38% (4943/13155) responded and 55% (2731/4943) of respondents passed thresholds for one or more condition at 3 or 12 months following discharge. Caseness prevalence was 46%, 40% and 22% for anxiety, depression and PTSD respectively; 18% (870/4943 patients) met the caseness threshold for all three psychological conditions. Patients with symptoms of depression were 47% more likely to die during the first 2 years after discharge from ICU than those without (HR 1.47, CI 1.19-1.80).

conclusionsOver half of those who respond to postal questionnaire following treatment on ICU in the UK reported significant symptoms of anxiety, depression or PTSD. When symptoms of one psychological disorder are present, there is a 65% chance they will co-occur with symptoms of one of the other two disorders. Depression following critical illness is associated with an increased mortality risk in the first 2 years following discharge from ICU.

trial registrationISRCTN Registry, ISRCTN69112866 . Registered on 2 May 2006.

Indexed as

AgedAnxietyAPACHECohort StudiesCritical IllnessDepressionFemaleHumansIntensive Care UnitsMaleMiddle AgedProspective StudiesPsychometricsStress Disorders, Post-TraumaticSurveys and QuestionnairesSurvivorsAnxietyCritical careCritical illnessDepressionIntensive careMulticentre studyOutcome assessmentPCL-CPICSPostalPost-Intensive Care SyndromePost-traumatic stress disorderPost-traumatic stress disorder civilian checklistPTSDQuestionnaireSurvivors

Identifiers

PMID30466485
PMCPMC6251214
OpenAlexW2900956124

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.