Evidence map›Paper›PMID 34000842›Full record

ReviewHERD2021

Intensive Care Unit Built Environments: A Comprehensive Literature Review (2005-2020).

Stephen Verderber, Seth Gray, Shivathmikha Suresh-Kumar, Damian Kercz, Christopher Parshuram

Open access · bronzeAbstract readReview
In one paragraph

Review in HERD, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed, 1 pooled it
7.8field-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

22 citing papers in PubMed, 1 synthesis or guideline pooled it, 61 citations in OpenAlex.

  1. Pooled it
  2. Review
  3. Article
  4. Article
  5. Environmental sustainability evidence in critical care medicine: a scoping review.Canadian journal of anaesthesia = Journal canadien d'anesthesie · 2026
    Article
  6. Article
  7. Review
  8. Article
  9. Review
  10. Article
  11. Article
  12. Review
  13. Article
  14. Article
  15. Review
  16. Review
  17. Article
  18. Article
  19. Review
  20. Places of healing.Canadian family physician Medecin de famille canadien · 2022
    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

5 authors at 2 institutions in 1 country.

Stephen VerderberCentre for Design + Health Innovation, John H. Daniels Faculty of Architecture, Landscape and Design, 7938University of Toronto, Ontario, Canada.ORCID 0000-0001-8359-3144
Seth GrayDepartment of Critical Care Medicine, The Hospital for Sick Children, Toronto, Ontario, Canada.
Shivathmikha Suresh-KumarJohn H. Daniels Faculty of Architecture, Landscape and Design, 7938University of Toronto, Ontario, Canada.
Damian KerczJohn H. Daniels Faculty of Architecture, Landscape and Design, 7938University of Toronto, Ontario, Canada.
Christopher ParshuramInstitute for Health Policy, Management and Evaluation, Dalla Lana School of Public Health, 7938University of Toronto, Ontario, Canada.
University of Toronto · CAHospital for Sick Children · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe intensive care environment in hospitals has been the subject of significant empirical and qualitative research in the 2005-2020 period. Particular attention has been devoted to the role of infection control, family engagement, staff performance, and the built environment ramifications of the recent COVID-19 global pandemic. A comprehensive review of this literature is reported summarizing recent advancements in this rapidly expanding body of knowledge. PURPOSE AND

aimThis comprehensive review conceptually structures the recent medical intensive care literature to provide conceptual clarity and identify current priorities and future evidence-based research and design priorities. METHOD AND

resultEach source reviewed was classified as one of the five types-opinion pieces/essays, cross-sectional empirical investigations, nonrandomized comparative investigations, randomized studies, and policy review essays-and into nine content categories: nature engagement and outdoor views; family accommodations; intensive care unit (ICU), neonatal ICU, and pediatric ICU spatial configuration and amenity; noise considerations; artificial and natural lighting; patient safety and infection control; portable critical care field hospitals and disaster mitigation facilities including COVID-19; ecological sustainability; and recent planning and design trends and prognostications.

conclusionsAmong the findings embodied in the 135 literature sources reviewed, single-bed ICU rooms have increasingly become the norm; family engagement in the ICU experience has increased; acknowledgment of the therapeutic role of staff amenities; exposure to nature, view, and natural daylight has increased; the importance of ecological sustainability; and pandemic concerns have increased significantly in the wake of the coronavirus pandemic. Discussion of the results of this comprehensive review includes topics noticeably overlooked or underinvestigated in the 2005-2020 period and priorities for future research.

Indexed as

Built EnvironmentCOVID-19ChildCritical CareCross-Sectional StudiesHumansInfant, NewbornIntensive Care UnitsIntensive Care Units, PediatricSARS-CoV-2COVID-19 pandemicevidence-based design (EBD)family-centered careinfection controlinpatient hospitalsintensive care units (ICUs)literature reviewpatient-/person-centered carestaff effectiveness

Identifiers

PMID34000842
PMCPMC8597197
OpenAlexW3163503096

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.