Evidence map›Paper›PMID 30736830›Full record

ArticleCritical care (London, England)2019

Impact of post-traumatic stress symptoms on the health-related quality of life in a cohort study with chronically critically ill patients and their partners: age matters.

Gloria-Beatrice Wintermann, Katja Petrowski, Kerstin Weidner, Bernhard Strauß, Jenny Rosendahl

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in Critical care (London, England), 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04745611 (Neurological and Neuropsychological Sequelae of COVID-19 Infection), which is not on this map. Cited by 22 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed, 3 pooled it
5.9field-weighted citation impact, top 4% 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.

NCT04745611 completednot on this mapstarted 2020, after this paper: background citation

Neurological and Neuropsychological Sequelae of COVID-19 Infection

Typeobservational_patient_registrySponsorMaastricht UniversityRan2020 to 2022Enrolled329ConditionsCOVID-19 InfectionArmsMRI, Neuropsychological assessment, Questionnaires Patient, Questionnaires Family
3 · Its place in the literature

Who cites it

22 citing papers in PubMed, 3 syntheses or guidelines pooled it, 54 citations in OpenAlex.

  1. Post-Intensive Care Syndrome in Family: A Concept Analysis.Scandinavian journal of caring sciences · 2025
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  18. Pelvic Floor Considerations in COVID-19.Journal of women's health physical therapy · 2020
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  19. [Psychotraumatological aspects in intensive care medicine].Medizinische Klinik, Intensivmedizin und Notfallmedizin · 2020
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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

5 authors at 4 institutions in 1 country.

Gloria-Beatrice WintermannDepartment of Psychotherapy and Psychosomatic Medicine, Medizinische Fakultät Carl Gustav Carus, Technische Universität Dresden, 01307, Dresden, Germany. gloria.wintermann@uniklinikum-dresden.de.ORCID http://orcid.org/0000-0002-6292-0852
Katja PetrowskiDepartment of Psychotherapy and Psychosomatic Medicine, Medizinische Fakultät Carl Gustav Carus, Technische Universität Dresden, 01307, Dresden, Germany.
Kerstin WeidnerDepartment of Psychotherapy and Psychosomatic Medicine, Medizinische Fakultät Carl Gustav Carus, Technische Universität Dresden, 01307, Dresden, Germany.
Bernhard StraußInstitute of Psychosocial Medicine and Psychotherapy, Jena University Hospital, Friedrich-Schiller University, Jena, Germany.
Jenny RosendahlInstitute of Psychosocial Medicine and Psychotherapy, Jena University Hospital, Friedrich-Schiller University, Jena, Germany.
Jena University Hospital · DEJohannes Gutenberg University Mainz · DEKlinik und Poliklinik für Psychotherapie und Psychosomatik · DETechnische Universität Dresden · DE

Funding

This study was supported by the German Federal Ministry of Education and Research grant. 01EO1002
6 · The paper itself

Abstract

backgroundSurvivors of an acute critical illness with continuing organ dysfunction and uncontrolled inflammatory responses are prone to become chronically critically ill. As mental sequelae, a post-traumatic stress disorder and an associated decrease in the health-related quality of life (QoL) may occur, not only in the patients but also in their partners. Currently, research on long-term mental distress in chronically critically ill patient-partner dyads, using appropriate dyadic analysis strategies (patients and partners being measured and linked on the same variables) and controlling for contextual factors, is lacking.

methodsThe present study investigates the interdependence of post-traumatic stress symptoms (PTSS) and the health-related QoL in n = 70 dyads of chronically critically ill patients and their partners, using the Actor-Partner-Interdependence Model (APIM) under consideration of contextual factors (age, gender, length of partnership). The Post-traumatic Stress Scale (PTSS-10) and Euro-Quality of Life (EQ-5D-3L) were applied in both the patients and their partners, within up to 6 months after the transfer from acute care ICU to post-acute ICU.

resultsClinically relevant post-traumatic stress symptoms were reported by 17.1% of the patients and 18.6% of the partners. Both the chronically critically ill patients and their partners with more severe post-traumatic stress symptoms also showed a decreased health-related QoL. The latter was more pronounced in male partners compared to female partners or female patients. In younger partners (≤ 57 years), higher values of post-traumatic stress symptoms were associated with a decreased QoL in the patients.

conclusionsMental health screening and psychotherapeutic treatment options should be offered to both the chronically critically ill patients and their partners. Future research is required to address the special needs of younger patient-partner dyads, following protracted ICU treatment.

trial registrationGerman Clinical Trials Register No. DRKS00003386 . Registered 13 November 2011.

Indexed as

AgedCohort StudiesCritical IllnessFemaleHumansIntensive Care UnitsMaleMiddle AgedQuality of LifeSexual PartnersStress Disorders, Post-TraumaticSurveys and QuestionnairesSurvivorsActor-Partner-Interdependence Model (APIM)Chronic critical illnessHealth-related quality of life (QoL)Intensive care unit (ICU)PartnersPost-Intensive Care Syndrome-Family (PICS-F)Post-traumatic stress symptomsSepsis

Identifiers

PMID30736830
PMCPMC6368748
OpenAlexW2922034464

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.