Evidence map›Paper›PMID 31938546›Full record

ArticleJournal of intensive care2020

Patients suffering from psychological impairments following critical illness are in need of information.

Johan H Vlake, Michel E van Genderen, Anna Schut, Martijn Verkade, Evert-Jan Wils, Diederik Gommers, Jasper van Bommel

Abstract read
In one paragraph

Article in Journal of intensive care, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 30 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
30citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

30 citing papers in PubMed, 1 synthesis or guideline pooled it.

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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

7 authors.

Johan H Vlake1Department of Intensive Care, Erasmus Medical Centre, Room Ne-403, Doctor Molewaterplein 40, 3015 GD Rotterdam, the Netherlands.ORCID 0000-0002-0532-0252
Michel E van Genderen1Department of Intensive Care, Erasmus Medical Centre, Room Ne-403, Doctor Molewaterplein 40, 3015 GD Rotterdam, the Netherlands.
Anna Schut3Department of Intensive Care, Ikazia Hospital, Rotterdam, the Netherlands.
Martijn VerkadeDepartment of Intensive Care, IJselland Hospital, Rotterdam, the Netherlands.
Evert-Jan Wils2Department of Intensive Care, Franciscus Gasthuis & Vlietland Hospital, Rotterdam, the Netherlands.
Diederik Gommers1Department of Intensive Care, Erasmus Medical Centre, Room Ne-403, Doctor Molewaterplein 40, 3015 GD Rotterdam, the Netherlands.
Jasper van Bommel1Department of Intensive Care, Erasmus Medical Centre, Room Ne-403, Doctor Molewaterplein 40, 3015 GD Rotterdam, the Netherlands.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundBecause critical illness survivors frequently experience several long-term psychological impairments altering quality of life after ICU, there is a trend towards increasing follow-up care, mainly via ICU follow-up clinics. Despite these and other initiatives, understanding of patient's post-ICU needs to help them cope with their problems and subsequently improve quality of life is largely lacking. Our aim was therefore to assess the needs, expectations and wishes in ICU survivors to receive information with the purpose to help them better grasp ICU treatment. In addition, we assessed the perceived burden of psychological trauma after ICU treatment and the health-related quality of life (HRQoL) up to 2.5 years after ICU discharge.

methodsIn a multicentre, retrospective cross-sectional cohort study, the needs and preferred intervention methods were assessed using a self-composed inventory in adult mechanically ventilated ICU survivors (

resultsA substantial proportion of all ICU survivors (59%, 95% CI 44% to 74%) suffered from psychological impairments after ICU treatment. Seventy-five percent of these patients expressed a wish to receive information, but only 36% desired to receive this information using a commonly used information brochure. In contrast, 71% of these patients had a wish to receive information using a video film/VR. Furthermore, only 33% of these patients was satisfied with the information provided by their treating hospital. Patients with psychological PICS reported a worse HRQoL as compared to a normative Dutch sample (

conclusionsIn a Dutch cohort of critical illness survivors, a substantial part of ICU survivors suffer from psychological impairments, such as PTSD and depression, which was associated with a worse HRQoL. These patients are in need of information, have no desire using an information brochure, but are willing to receive information using a video film/virtual reality module. These results support the exploration of such an intervention.

Indexed as

Critical IllnessIntensive CarePost-Intensive Care Syndrome (PICS)Posttraumatic stress disordervirtual reality

Identifiers

PMID31938546
PMCPMC6953141

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Registered trials

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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.