Evidence map›Paper›PMID 31186070›Full record

SynthesisCritical care (London, England)2019

Prevalence of post-traumatic stress disorder symptoms in adult critical care survivors: a systematic review and meta-analysis.

Cássia Righy, Regis Goulart Rosa, Rodrigo Teixeira Amancio da Silva, Renata Kochhann, Celina Borges Migliavaca, Caroline Cabral Robinson, Stefania Pigatto Teche, Cassiano Teixeira, Fernando Augusto Bozza, Maicon Falavigna

Open access · goldAbstract readMeta-AnalysisSystematic Review
PubMed Full text at PMC Publisher
In one paragraph

Synthesis in Critical care (London, England), 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 135 papers, 15 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
135citing papers in PubMed, 15 pooled it
23.0field-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.

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

135 citing papers in PubMed, 15 syntheses or guidelines pooled it, 294 citations in OpenAlex.

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  3. [S3 guideline on sepsis-prevention, diagnosis, therapy, and follow-up care-update 2025].Medizinische Klinik, Intensivmedizin und Notfallmedizin · 2025
    Guideline
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  6. Global prevalence of post-COVID-19 condition: a systematic review and meta-analysis of prospective evidence.Health promotion and chronic disease prevention in Canada : research, policy and practice · 2025
    Pooled it
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  8. Burden of mood symptoms and disorders in implantable cardioverter defibrillator patients: a systematic review and meta-analysis of 39 954 patients.Europace : European pacing, arrhythmias, and cardiac electrophysiology : journal of the working groups on cardiac pacing, arrhythmias, and cardiac cellular electrophysiology of the European Society of Cardiology · 2023
    Pooled it
  9. What is known about the prevalence of household food insecurity in Canada during the COVID-19 pandemic: a systematic review.Health promotion and chronic disease prevention in Canada : research, policy and practice · 2022
    Pooled it
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  13. Prevalence of post-traumatic stress symptoms among people influenced by coronavirus disease 2019 outbreak: A meta-analysis.European psychiatry : the journal of the Association of European Psychiatrists · 2021
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75 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

10 authors at 6 institutions in 2 countries.

Cássia RighyInstituto Nacional de Infectologia Evandro Chagas, Fundação Oswaldo Cruz, Av. Brasil, 4365, Manguinhos, Rio de Janeiro, RJ, 21040-360, Brazil.
Regis Goulart RosaIntensive Care Unit, Hospital Moinhos de Vento (HMV), Rua Ramiro Barcelos, 910, 3° andar, Porto Alegre, RS, 90035-001, Brazil. regis.rosa@hmv.org.br.ORCID 0000-0001-7881-9866
Rodrigo Teixeira Amancio da SilvaInstituto Nacional de Infectologia Evandro Chagas, Fundação Oswaldo Cruz, Av. Brasil, 4365, Manguinhos, Rio de Janeiro, RJ, 21040-360, Brazil.
Renata KochhannResearch Projects Office, HMV, Porto Rua Ramiro Barcelos, 910, 3° andar, Porto Alegre, RS, 90035-001, Brazil.
Celina Borges MigliavacaResearch Projects Office, HMV, Porto Rua Ramiro Barcelos, 910, 3° andar, Porto Alegre, RS, 90035-001, Brazil.
Caroline Cabral RobinsonResearch Projects Office, HMV, Porto Rua Ramiro Barcelos, 910, 3° andar, Porto Alegre, RS, 90035-001, Brazil.
Stefania Pigatto TechePost-Graduate Program in Psychiatry and Behavioral Sciences, Universidade Federal do Rio Grande do Sul, Porto Alegre, Brazil.
Cassiano TeixeiraIntensive Care Unit, Hospital Moinhos de Vento (HMV), Rua Ramiro Barcelos, 910, 3° andar, Porto Alegre, RS, 90035-001, Brazil.
Fernando Augusto BozzaInstituto Nacional de Infectologia Evandro Chagas, Fundação Oswaldo Cruz, Av. Brasil, 4365, Manguinhos, Rio de Janeiro, RJ, 21040-360, Brazil.
Maicon FalavignaResearch Projects Office, HMV, Porto Rua Ramiro Barcelos, 910, 3° andar, Porto Alegre, RS, 90035-001, Brazil.
Universidade Federal do Rio Grande do Sul · BRD’Or Institute for Research and Education · BRHospital Federal dos Servidores do Estado · BRHospital Moinhos de Vento · BRInstituto Evandro Chagas · BRUniversidade do Porto · PT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAs more patients are surviving intensive care, mental health concerns in survivors have become a research priority. Among these, post-traumatic stress disorder (PTSD) can have an important impact on the quality of life of critical care survivors. However, data on its burden are conflicting. Therefore, this systematic review and meta-analysis aimed to evaluate the prevalence of PTSD symptoms in adult critical care patients after intensive care unit (ICU) discharge.

methodsWe searched MEDLINE, EMBASE, LILACS, Web of Science, PsycNET, and Scopus databases from inception to September 2018. We included observational studies assessing the prevalence of PTSD symptoms in adult critical care survivors. Two reviewers independently screened studies and extracted data. Studies were meta-analyzed using a random-effects model to estimate PTSD symptom prevalence at different time points, also estimating confidence and prediction intervals. Subgroup and meta-regression analyses were performed to explore heterogeneity. Risk of bias was assessed using the Joanna Briggs Institute tool and the GRADE approach.

resultsOf 13,267 studies retrieved, 48 were included in this review. Overall prevalence of PTSD symptoms was 19.83% (95% confidence interval [CI], 16.72-23.13; I

conclusionPTSD symptoms may affect 1 in every 5 adult critical care survivors, with a high expected prevalence 12 months after discharge. ICU survivors should be screened for PTSD symptoms and cared for accordingly, given the potential negative impact of PTSD on quality of life. In addition, action should be taken to further explore the causal relationship between ICU stay and PTSD, as well as to propose early measures to prevent PTSD in this population.

trial registrationPROSPERO, CRD42017075124 , Registered 6 December 2017.

Indexed as

PrevalenceAdultCritical IllnessHumansQuality of LifeStress Disorders, Post-TraumaticSurvivorsCritical careIntensive care unitsMeta-analysisPost-traumatic stress disorderPrevalenceSystematic review

Identifiers

PMID31186070
PMCPMC6560853
OpenAlexW2953174290

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.