Evidence map›Paper›PMID 34978530›Full record

Trial reportJournal of medical Internet research2022

Intensive Care Unit-Specific Virtual Reality for Critically Ill Patients With COVID-19: Multicenter Randomized Controlled Trial.

Johan H Vlake, Jasper van Bommel, Evert-Jan Wils, Joe Bienvenu, Merel E Hellemons, Tim Im Korevaar, Anna Fc Schut, Joost Am Labout, Lois Lh Schreuder, Marten P van Bavel and 2 more

Registry-linked trialOpen access · goldAbstract readMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in Journal of medical Internet research, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07585500 (Virtual Reality Intervention for Post-Intensive Care Syndrome), which is not on this map. Cited by 40 papers, 7 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
40citing papers in PubMed, 7 pooled it
11.1field-weighted citation impact, top 1% 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.

NCT07585500 narecruitingnot on this mapstarted 2025, after this paper: background citation

Virtual Reality Intervention for Post-Intensive Care Syndrome (PICS): A Protocol for a Pilot Randomized Controlled Trial for Cognitive, Physical and Psychological Outcomes

TypeinterventionalSponsorUniversity of MinhoRan2025 to 2026Enrolled51ConditionsPost-Intensive Care Syndrome (PICS), Critical Illness Recovery, Rehabilitation After Critical Illness, Rehabilitation Exercise of ICU PatientsArmsImmersive VR Multi-Domain Rehabilitation, Tablet-Based Multi-Domain Training
3 · Its place in the literature

Who cites it

40 citing papers in PubMed, 7 syntheses or guidelines pooled it, 78 citations in OpenAlex.

  1. Pooled it
  2. Global prevalence of post-COVID-19 condition: a systematic review and meta-analysis of prospective evidence.Health promotion and chronic disease prevention in Canada : research, policy and practice · 2025
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  6. Rehabilitation and COVID-19: systematic review by Cochrane Rehabilitation.European journal of physical and rehabilitation medicine · 2023
    Pooled it
  7. Non-Pharmacological Therapies for Post-Viral Syndromes, Including Long COVID: A Systematic Review.International journal of environmental research and public health · 2023
    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

12 authors at 5 institutions in 2 countries.

Johan H VlakeDepartment of Intensive Care, Erasmus MC, Rotterdam, Netherlands.ORCID 0000-0002-0532-0252
Jasper van BommelDepartment of Intensive Care, Erasmus MC, Rotterdam, Netherlands.ORCID 0000-0001-8408-0500
Evert-Jan WilsDepartment of Intensive Care, Franciscus Gasthuis & Vlietland, Rotterdam, Netherlands.ORCID 0000-0002-2868-0920
Joe BienvenuDepartment of Psychiatry and Behavioral Sciences, John Hopkins University School of Medicine, Baltimore, MD, United States.ORCID 0000-0002-8466-102X
Merel E HellemonsDepartment of Pulmonology, Erasmus MC, Rotterdam, Netherlands.ORCID 0000-0002-6666-5027
Tim Im KorevaarDepartment of Internal Medicine, Academic Centre for Thyroid Diseases, Erasmus MC, Rotterdam, Netherlands.ORCID 0000-0001-7961-8791
Anna Fc SchutDepartment of Intensive Care, Ikazia hospital, Rotterdam, Netherlands.ORCID 0000-0001-9881-6793
Joost Am LaboutDepartment of Intensive Care, Maasstad hospital, Rotterdam, Netherlands.ORCID 0000-0002-2189-3659
Lois Lh SchreuderDepartment of Intensive Care, Erasmus MC, Rotterdam, Netherlands.ORCID 0000-0001-9612-7708
Marten P van BavelDepartment of Intensive Care, Erasmus MC, Rotterdam, Netherlands.ORCID 0000-0002-0969-3224
Diederik GommersDepartment of Intensive Care, Erasmus MC, Rotterdam, Netherlands.ORCID 0000-0001-6808-7702
Michel E van GenderenDepartment of Intensive Care, Erasmus MC, Rotterdam, Netherlands.ORCID 0000-0001-5668-3435
Erasmus MC · NLIkazia Ziekenhuis · NLJohns Hopkins University · USMaasstad Ziekenhuis · NLSint Franciscus Gasthuis · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAlthough psychological sequelae after intensive care unit (ICU) treatment are considered quite intrusive, robustly effective interventions to treat or prevent these long-term sequelae are lacking. Recently, it was demonstrated that ICU-specific virtual reality (ICU-VR) is a feasible and acceptable intervention with potential mental health benefits. However, its effect on mental health and ICU aftercare in COVID-19 ICU survivors is unknown.

objectiveThis study aimed to explore the effects of ICU-VR on mental health and on patients' perceived quality of, satisfaction with, and rating of ICU aftercare among COVID-19 ICU survivors.

methodsThis was a multicenter randomized controlled trial. Patients were randomized to either the ICU-VR (intervention) or the control group. All patients were invited to an COVID-19 post-ICU follow-up clinic 3 months after hospital discharge, during which patients in the intervention group received ICU-VR. One month and 3 months later (4 and 6 months after hospital discharge), mental health, quality of life, perceived quality, satisfaction with, and rating of ICU aftercare were scored using questionnaires.

resultsEighty-nine patients (median age 58 years; 63 males, 70%) were included. The prevalence and severity of psychological distress were limited throughout follow-up, and no differences in psychological distress or quality of life were observed between the groups. ICU-VR improved satisfaction with (mean score 8.7, SD 1.6 vs 7.6, SD 1.6 [ICU-VR vs control]; t

conclusionsICU-VR is a feasible and acceptable innovative method to improve satisfaction with and rating of ICU aftercare and adds to its perceived quality. We observed a low prevalence of psychological distress after ICU treatment for COVID-19, and ICU-VR did not improve psychological recovery or quality of life. Future research is needed to confirm our results in other critical illness survivors to potentially facilitate ICU-VR's widespread availability and application during follow-up.

trial registrationNetherlands Trial Register NL8835; https://www.trialregister.nl/trial/8835. INTERNATIONAL REGISTERED REPORT IDENTIFIER (IRRID): RR2-10.1186/s13063-021-05271-z.

Indexed as

COVID-19Virtual RealityCritical IllnessHumansIntensive Care UnitsMaleMiddle AgedQuality of LifeSARS-CoV-2COVID-19intensive carepost-intensive care syndromequality of lifeSARS-CoV-2satisfactionvirtual reality

Identifiers

PMID34978530
PMCPMC8812141
OpenAlexW4206427654

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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.