Evidence map›Paper›PMID 32426730›Full record

ArticleCritical care explorations2020

Key Components of ICU Recovery Programs: What Did Patients Report Provided Benefit?

Joanne McPeake, Leanne M Boehm, Elizabeth Hibbert, Rita N Bakhru, Anthony J Bastin, Brad W Butcher, Tammy L Eaton, Wendy Harris, Aluko A Hope, James Jackson and 16 more

Open access · goldAbstract read
In one paragraph

Article in Critical care explorations, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 41 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
41citing papers in PubMed, 1 pooled it
7.7field-weighted citation impact, top 2% 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

41 citing papers in PubMed, 1 synthesis or guideline pooled it, 94 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Trial
  4. Trial
  5. Beyond Survival: Lessons From a Research Journey in Critical Care Recovery Science.American journal of critical care : an official publication, American Association of Critical-Care Nurses · 2026
    Article
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  9. Article
  10. Review
  11. Article
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  18. Article
  19. Changes in Restricting Symptoms after Critical Illness among Community-Living Older Adults.American journal of respiratory and critical care medicine · 2023
    Article
  20. Barriers to and Facilitators of Family Caregiving of Patients With COVID-19 Early in the Pandemic.American journal of critical care : an official publication, American Association of Critical-Care Nurses · 2023
    Article
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

26 authors at 14 institutions in 3 countries.

Joanne McPeakeGlasgow Royal Infirmary, NHS Greater Glasgow and Clyde, Scotland, United Kingdom.
Leanne M BoehmSchool of Nursing, Vanderbilt University, Nashville, TN.
Elizabeth HibbertDepartment of Physiotherapy, Western Health, Melbourne, VIC, Australia.
Rita N BakhruWake Forest University School of Medicine, Department of Internal Medicine, Section of Pulmonary, Critical Care, Allergy and Immunology, Winston-Salem, NC.
Anthony J BastinDepartment of Peri-operative Medicine, St Bartholomew's Hospital, Barts Health NHS Trust, London, United Kingdom.
Brad W ButcherDepartment of Critical Care Medicine, University of Pittsburgh Medical Center, Pittsburgh, PA.
Tammy L EatonDepartment of Critical Care Medicine, University of Pittsburgh Medical Center, Pittsburgh, PA.
Wendy HarrisUniversity College London Hospitals NHS Foundation Trust, London, United Kingdom.
Aluko A HopeDivision of Critical Care Medicine, Albert Einstein College of Medicine of Yeshiva University, New York, NY.
James JacksonVanderbilt University Medical Center, Nashville, TN.
Annie JohnsonPulmonary and Critical Care Medicine, Mayo Clinic, Rochester, MN.
Janet A KloosUniversity Hospitals Cleveland Medical Center, Cleveland, OH.
Karen A KorzickGeisinger Medical Center, Pulmonary and Critical Care Medicine, Danville, PA.
Pamela MacTavishGlasgow Royal Infirmary, NHS Greater Glasgow and Clyde, Scotland, United Kingdom.
Joel MeyerGuy's & St Thomas' NHS Foundation Trust, London, United Kingdom.
Ashley Montgomery-YatesDivision of Pulmonary, Critical Care and Sleep Medicine, University of Kentucky, Lexington, KY.
Tara QuasimGlasgow Royal Infirmary, NHS Greater Glasgow and Clyde, Scotland, United Kingdom.
Andrew SlackGuy's & St Thomas' NHS Foundation Trust, London, United Kingdom.
Dorothy WadeUniversity College London Hospitals NHS Foundation Trust, London, United Kingdom.
Mary StillEmory University Hospital (Emory Healthcare), Atlanta, GA.
Giora NetzerDivision of Pulmonary and Critical Care Medicine, University of Maryland School of Medicine, Baltimore, MD.
Ramona O HopkinsDepartment of Medicine, Pulmonary and Critical Care Division, Intermountain Medical Center, Murray, UT.
Mark E MikkelsenDivision of Pulmonary, Allergy, and Critical Care Medicine, Hospital of the University of Pennsylvania, Philadelphia, PA.
Theodore J IwashynaDepartment of Medicine, Division of Pulmonary & Critical Care, University of Michigan, Ann Arbor, MI.
Kimberley J HainesDepartment of Physiotherapy, Western Health, Sunshine Hospital, St Albans, VIC, Australia.
Carla M SevinDepartment of Medicine, Division of Allergy, Pulmonary, and Critical Care Medicine, Vanderbilt University Medical Center, Nashville, TN.
University College London · GBWestern Health · AUUniversity of Glasgow · GBUniversity of Pittsburgh Medical Center · USVanderbilt University · USAustralian and New Zealand Intensive Care Society · AUBrigham Young University · USHospital of the University of Pennsylvania · USMayo Clinic in Florida · USUniversity Hospitals of Cleveland · USUniversity of Kentucky · USUniversity of Maryland, Baltimore · USVA Ann Arbor Healthcare System · USVanderbilt University Medical Center · US

Funding

Training to Advance Care Through Implementation Science in Cardiac And Lung Illnesses (TACTICAL)K12HL138039 · NHLBI · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI BARNES, GEOFFREY DOUGLAS, PRESCOTT, HALLIE CHRISTINE · 2017 to 2021
$3.1M
Vanderbilt Scholars in T4 Translational Research (V-STTaR) ProgramK12HL137943 · NHLBI · VANDERBILT UNIVERSITY MEDICAL CENTER · PI KRIPALANI, SUNIL, ROUMIE, CHRISTIANNE L. · 2017 to 2021
$2.9M
NHLBI NIH HHS K12 HL137943NHLBI NIH HHS K12 HL138039
6 · The paper itself

Abstract

To understand from the perspective of patients who did, and did not attend ICU recovery programs, what were the most important components of successful programs and how should they be organized.

designInternational, qualitative study.

settingFourteen hospitals in the United States, United Kingdom, and Australia. PATIENTS: We conducted 66 semi-structured interviews with a diverse group of patients, 52 of whom had used an ICU recovery program and 14 whom had not.

interventionsNone. MEASUREMENTS AND MAIN

resultsUsing content analysis, prevalent themes were documented to understand what improved their outcomes. Contrasting quotes from patients who had not received certain aspects of care were used to identify perceived differential effectiveness. Successful ICU recovery programs had five key components: 1) Continuity of care; 2) Improving symptom status; 3) Normalization and expectation management; 4) Internal and external validation of progress; and 5) Reducing feelings of guilt and helplessness. The delivery of care which achieved these goals was facilitated by early involvement (even before hospital discharge), direct involvement of ICU staff, and a focus on integration across traditional disease, symptom, and social welfare needs.

conclusionsIn this multicenter study, conducted across three continents, patients identified specific and reproducible modes of benefit derived from ICU recovery programs, which could be the target of future intervention refinement.

Indexed as

intensive care unit follow-up clinicspeer supportpost-intensive care syndrome

Identifiers

PMID32426730
PMCPMC7188426
OpenAlexW3015227974

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.