Evidence map›Paper›PMID 30560238›Full record

ArticleMayo Clinic proceedings. Innovations, quality & outcomes2018

Improving Quality of Life in Patients at Risk for Post-Intensive Care Syndrome.

Lisa M Daniels, Andrea B Johnson, Patrick J Cornelius, Catherine Bowron, Andrea Lehnertz, Mitch Moore, YongChun Shen, Philip J Schulte, Richard S Pendegraft, Kristin R Hall and 1 more

Open access · goldAbstract read
In one paragraph

Article in Mayo Clinic proceedings. Innovations, quality & outcomes, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
2.5field-weighted citation impact, top 10% 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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

12 citing papers in PubMed, 45 citations in OpenAlex.

  1. Trial
  2. Article
  3. Article
  4. Review
  5. Observational
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Review
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

11 authors at 4 institutions in 2 countries.

Lisa M DanielsDivision of Pulmonary and Critical Care, Department of Medicine, Mayo Clinic, Rochester, MN.
Andrea B JohnsonDivision of Pulmonary and Critical Care, Department of Medicine, Mayo Clinic, Rochester, MN.
Patrick J CorneliusDepartment of Physical Medicine and Rehabilitation, Mayo Clinic, Rochester, MN.
Catherine BowronDepartment of Nursing, Mayo Clinic, Rochester, MN.
Andrea LehnertzDepartment of Nursing, Mayo Clinic, Rochester, MN.
Mitch MooreCounselor Education Department, Winona State University, Winona, MN.
YongChun ShenWest China School of Medicine/West China Hospital, Sichuan University NO.37 Guo Xue Xiang, Chengdu, Sichuan, China.
Philip J SchulteDivision of Biomedical Statistics and Informatics, Department of Health Sciences Research, Mayo Clinic, Rochester, MN.
Richard S PendegraftDivision of Biomedical Statistics and Informatics, Department of Health Sciences Research, Mayo Clinic, Rochester, MN.
Kristin R HallDepartment of Physical Medicine and Rehabilitation, Mayo Clinic, Rochester, MN.
Philippe R BauerDivision of Pulmonary and Critical Care, Department of Medicine, Mayo Clinic, Rochester, MN.
Mayo Clinic in Arizona · USMayo Clinic in Florida · USSichuan University · CNWinona State University · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo improve quality of life (QOL) in patients at risk for post-intensive care syndrome (PICS). PATIENTS AND

methodsWe conducted a mixed-method, prospective, observational, pre-post interventional study in an adult medical and mixed medical/surgical/transplant intensive care unit (ICU) at a tertiary academic hospital. Preintervention included patients admitted from October 1 through October 31, 2016, and postintervention included patients admitted from January 15 through February 14, 2017. First, a multidisciplinary team of stakeholders identified barriers associated with decreased QOL in patients at risk for PICS. Next, interventions were designed and implemented. The effect of interventions was assessed using a mixed-method analysis. The qualitative analysis used a modified grounded theory approach. The quantitative analysis included assessment of preexisting symptoms and risk factors associated with PICS. The 36-Item Short-Form Health Status Survey (SF-36), which surveys physical and mental composite scores, was used to assess QOL.

resultsBarriers identified were lack of awareness and understanding of PICS. Interventions included educational videos, paper and online education and treatment materials, and online and in-person support groups for education and treatment. After interventions, the qualitative analysis found that patients who participated in the interventions after hospital discharge showed improved QOL, whereas education during hospitalization alone was not effective. The quantitative analysis did not find improvement in QOL, as defined by SF-36 physical or mental composite scores.

conclusionInterventions targeted to patients after hospitalization may offer subjective improvement in QOL for those at risk for PICS.

Indexed as

ADL, activities of daily livingAPACHE, Acute Physiology, Age, Chronic Health EvaluationBMI, body mass indexED, emergency departmentICU, intensive care unitOT, occupational therapyPICS, post–intensive care syndromePT, physical therapyQOL, quality of lifeSF-36, 36-Item Short-Form Health Status Survey

Identifiers

PMID30560238
PMCPMC6260497
OpenAlexW2903334160

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

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.