Evidence map›Paper›PMID 34036266›Full record

ArticleCritical care explorations2021

ICU Survivors Experience of ICU Diaries: An Ancillary Qualitative Analysis of the ICU Diary Study.

Cécile Flahault, Mathilde Trosdorf, Marie Sonrier, Christel Vioulac, Léonor Fasse, Jean-François Timsit, Sébastien Bailly, Maité Garrouste-Orgeas

Abstract read
In one paragraph

Article in Critical care explorations, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–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

3 citing papers in PubMed.

  1. Article
  2. Review
  3. 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

8 authors.

Cécile FlahaultLPPS-EA4057, Laboratory of Psychopathology and Health Process, Paris Descartes University, Paris, France.
Mathilde TrosdorfLPPS-EA4057, Laboratory of Psychopathology and Health Process, Paris Descartes University, Paris, France.
Marie SonrierLPPS-EA4057, Laboratory of Psychopathology and Health Process, Paris Descartes University, Paris, France.
Christel VioulacLPPS-EA4057, Laboratory of Psychopathology and Health Process, Paris Descartes University, Paris, France.
Léonor FasseLPPS-EA4057, Laboratory of Psychopathology and Health Process, Paris Descartes University, Paris, France.
Jean-François TimsitInfection, Antimicrobials, Modelling, Evolution (IAME), UMR 1137, INSERM and Paris Diderot University, Department of Biostatistics-HUPNVS-AP-HP, UFR de Médecine-Bichat University Hospital, Paris, France.
Sébastien BaillyInfection, Antimicrobials, Modelling, Evolution (IAME), UMR 1137, INSERM and Paris Diderot University, Department of Biostatistics-HUPNVS-AP-HP, UFR de Médecine-Bichat University Hospital, Paris, France.
Maité Garrouste-OrgeasInfection, Antimicrobials, Modelling, Evolution (IAME), UMR 1137, INSERM and Paris Diderot University, Department of Biostatistics-HUPNVS-AP-HP, UFR de Médecine-Bichat University Hospital, Paris, France.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesTo investigate patients' experience of ICU diaries 6 months after ICU discharge among survivors. This study was designed to add insight into a large randomized study, which found no benefit of the ICU diary to post-traumatic stress disorder among critically ill patients having received mechanical ventilation.

designA preplanned qualitative substudy of patients receiving an ICU diary written by ICU caregivers and families. Six months after ICU discharge, survivors were contacted by a psychologist for a telephone interview using a semi-directive guide.

settingThirty-five French ICUs. PATIENTS: All ICU survivors having received an ICU diary.

interventionAn ICU diary written by both ICU staff and families. MEASUREMENTS AND MAIN

resultsAmong the 332 patients randomized in the intervention group (having had an ICU diary filled by both ICU staff and families), 191 (57.7%) were alive at 6 months and 101 of 191 (52.9%) participated in a telephone interview. They were (median [interquartile range]) 64 years old (53-70 yr old); 65 (64.4%) were men, and 79 (78.2%) were medical patients. Duration of ICU stay was 13 days (8-21 d). Three themes were derived from the thematic analysis: 1) reading the diary: between emotion and pain, 2) how the diary helped, and 3) the bittersweet representation of the diary. For half of the patients, the diary is a good memory of difficult times (55/101, 54.5%), others seem to be more ambivalent about it (28/101, 27.8%), and 37 of 101, 36.6% see it as a painful representation of a time to be forgotten.

conclusionsWhen reading their ICU diaries, ICU survivors experienced mixed emotions, related to family messages, medical caregiving, and to the severity of their illness. Patients described diaries as a help or a hindrance to recovery, depending on their wish to remember the period or move on from it.

Indexed as

intensive careintensive care unit diarypost-traumatic stress disorderpsychological interviewqualitative research

Identifiers

PMID34036266
PMCPMC8133114

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.