Evidence map›Paper›PMID 34607869›Full record

ArticleBMJ open2021

Recovery, rehabilitation and follow-up services following critical illness: an updated UK national cross-sectional survey and progress report.

Bronwen Connolly, Rhian Milton-Cole, Claire Adams, Ceri Battle, Joanne McPeake, Tara Quasim, Jon Silversides, Andrew Slack, Carl Waldmann, Elizabeth Wilson and 2 more

Open access · goldAbstract read
In one paragraph

Article in BMJ open, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 48 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
48citing papers in PubMed, 1 pooled it
8.4field-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

48 citing papers in PubMed, 1 synthesis or guideline pooled it, 95 citations in OpenAlex.

  1. Pooled it
  2. Review
  3. Review
  4. Article
  5. Nutritional Recovery After Critical Illness: A Qualitative Study of ICU Survivors' Experiences After Hospital Discharge.Journal of human nutrition and dietetics : the official journal of the British Dietetic Association · 2026
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  6. Article
  7. Review
  8. Article
  9. Review
  10. Review
  11. Article
  12. Article
  13. Article
  14. Review
  15. Post-Intensive Care Syndrome: From Diagnosis To Treatment.Deutsches Arzteblatt international · 2026
    Review
  16. Article
  17. Article
  18. Review
  19. Article
  20. 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

12 authors at 8 institutions in 2 countries.

Bronwen ConnollyWellcome-Wolfson Institute for Experimental Medicine, Queen's University Belfast, Belfast, UK B.Connolly@qub.ac.uk.ORCID http://orcid.org/0000-0002-5676-5497
Rhian Milton-ColeLane Fox Clinical Respiratory Physiology Research Centre, Guy's and St Thomas' NHS Foundation Trust, London, UK.
Claire AdamsDepartment of Anaesthesia & Critical Care, Royal Infirmary of Edinburgh, Edinburgh, UK.
Ceri BattleEd Major Critical Care Unit, Morriston Hospital, Swansea, UK.
Joanne McPeakeNHS Greater Glasgow and Clyde, Glasgow, UK.ORCID http://orcid.org/0000-0001-8206-6801
Tara QuasimNHS Greater Glasgow and Clyde, Glasgow, UK.
Jon SilversidesDepartment of Critical Care, Belfast Health and Social Care Trust, Belfast, UK.
Andrew SlackDepartment of Critical Care, Guy's and St.Thomas' NHS Foundation Trust, London, UK.
Carl WaldmannDepartment of Intensive Care and Anaesthetics, Royal Berkshire Hospital, Reading, UK.
Elizabeth WilsonDepartment of Critical Care Medicine, Royal Infirmary of Edinburgh, Edinburgh, UK.
Joel MeyerDepartment of Critical Care, Guy's and St.Thomas' NHS Foundation Trust, London, UK.
Faculty of Intensive Care Medicine Life After Critical Illness Working Group
Guy's and St Thomas' NHS Foundation Trust · GBEdinburgh Royal Infirmary · GBBelfast Health and Social Care Trust · GBMorriston Hospital · GBNHS Greater Glasgow and Clyde · GBQueen's University Belfast · GBRoyal Berkshire Hospital · GBUniversity of Cambridge · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo comprehensively update and survey the current provision of recovery, rehabilitation and follow-up services for adult critical care patients across the UK.

designCross-sectional, self-administered, predominantly closed-question, electronic, online survey.

settingInstitutions providing adult critical care services identified from national databases.

participantsMultiprofessional critical care clinicians delivering services at each site.

resultsResponses from 176 UK hospital sites were included (176/242, 72.7%). Inpatient recovery and follow-up services were present at 127/176 (72.2%) sites, adopting multiple formats of delivery and primarily delivered by nurses (n=115/127, 90.6%). Outpatient services ran at 130 sites (73.9%), predominantly as outpatient clinics. Most services (n=108/130, 83.1%) were co-delivered by two or more healthcare professionals, typically nurse/intensive care unit (ICU) physician (n=29/130, 22.3%) or nurse/ICU physician/physiotherapist (n=19/130, 14.6%) teams. Clinical psychology was most frequently lacking from inpatient or outpatient services. Lack of funding was consistently the primary barrier to service provision, with other barriers including logistical and service prioritisation factors indicating that infrastructure and profile for services remain inadequate. Posthospital discharge physical rehabilitation programmes were relatively few (n=31/176, 17.6%), but peer support services were available in nearly half of responding institutions (n=85/176, 48.3%). The effects of the COVID-19 pandemic resulted in either increasing, decreasing or reformatting service provision. Future plans for long-term service transformation focus on expansion of current, and establishment of new, outpatient services.

conclusionOverall, these data demonstrate a proliferation of recovery, follow-up and rehabilitation services for critically ill adults in the past decade across the UK, although service gaps remain suggesting further work is required for guideline implementation. Findings can be used to enhance survivorship for critically ill adults, inform policymakers and commissioners, and provide comparative data and experiential insights for clinicians designing models of care in international healthcare jurisdictions.

Indexed as

COVID-19Critical IllnessCross-Sectional StudiesFollow-Up StudiesHumansPandemicsResearch ReportSARS-CoV-2United Kingdomadult intensive & critical carerehabilitation medicine

Identifiers

PMID34607869
PMCPMC8491421
OpenAlexW3203522739

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.