Evidence map›Paper›PMID 35179564›Full record

ArticleJAMA2022

Association of COVID-19 Acute Respiratory Distress Syndrome With Symptoms of Posttraumatic Stress Disorder in Family Members After ICU Discharge.

Elie Azoulay, Matthieu Resche-Rigon, Bruno Megarbane, Danielle Reuter, Vincent Labbé, Alain Cariou, Guillaume Géri, Guillaume Van der Meersch, Achille Kouatchet, Olivier Guisset and 18 more

2 registry-linked trialsOpen access · bronzeAbstract read
In one paragraph

Article in JAMA, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 45 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
45citing papers in PubMed, 1 pooled it
14.4field-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.

NCT04341519 unknown statusnot on this map

"Psychological Burden in ICU Survivors of Severe COVID-19 Pneumonia, Their Relatives and Their Healthcare Providers" "Impact Psychologique de l'épidémie COVID-19 Chez Les Patients, Familles et Soignants de Reanimation" "BURDENCOV"

TypeobservationalSponsorAssistance Publique - Hôpitaux de ParisRan2020 to 2021Enrolled1,464ConditionsCorona Virus Infection, Post-traumatic Stress DisorderArmsPTSD, Burnout
NCT05348720 unknown statusnot on this map

Impact of a COVID-19 Related ICU Stay on Mental Health for Patients and Their Relatives. An Exploratory 18-month Follow-up Study for COVID-19 ICU Survivors and Their Relatives.

TypeobservationalSponsorGeneral Hospital GroeningeRan2020 to 2023Enrolled120ConditionsPost Intensive Care Syndrome, PICS, COVID-19, Critically Ill
3 · Its place in the literature

Who cites it

45 citing papers in PubMed, 1 synthesis or guideline pooled it, 102 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Trial
  4. Article
  5. Article
  6. Development and Psychometric Validation of the Intensive Care Unit Caregiver Distress Scale.Indian journal of critical care medicine : peer-reviewed, official publication of Indian Society of Critical Care Medicine · 2026
    Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Observational
  12. Article
  13. Post-Intensive Care Syndrome Family.Critical care clinics · 2025
    Review
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  16. Article
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

28 authors at 20 institutions in 1 country.

Elie AzoulayFamirea Study Group, Medical Intensive Care Unit, APHP, Saint Louis University Hospital, Paris, France.
Matthieu Resche-RigonClinical Research Unit, APHP, Saint Louis University Hospital, Paris, France.
Bruno MegarbaneMedical Intensive Care Unit, APHP, Lariboisière University Hospital, Paris, France.
Danielle ReuterMedical-Surgical Intensive Care Unit, CH Sud Francilien, Corbeil, France.
Vincent LabbéMedical-Surgical Intensive Care Unit, APHP, Tenon University Hospital, Paris, France.
Alain CariouMedical Intensive Care Unit, Cochin University Hospital, APHP, Centre - Université de Paris, Paris, France.
Guillaume GériMedical-Surgical Intensive Care Unit, APHP, Ambroise Paré University Hospital, Boulogne, France.
Guillaume Van der MeerschMedical-Surgical Intensive Care Unit, APHP, Avicenne University Hospital, Bobigny, France.
Achille KouatchetMedical Intensive Care Unit, Angers Teaching Hospital, Angers, France.
Olivier GuissetMedical Intensive Care Unit, Saint-André Hospital, Bordeaux, France.
Fabrice BruneelIntensive Care Unit, André Mignot Hospital, Le Chesnay, France.
Jean ReignierMedical Intensive Care Unit, University Hospital Centre, Nantes, France.
Virginie SouppartFamirea Study Group, Medical Intensive Care Unit, APHP, Saint Louis University Hospital, Paris, France.
François BarbierMedical Intensive Care Unit, La Source Hospital, CHR Orléans, Orléans, France.
Laurent ArgaudMedical Intensive Care Department, Edouard Herriot Hospital, Hospices Civils de Lyon, Lyon, France.
Jean-Pierre QuenotMedical Intensive Care Department, University Hospital, Dijon, France.
Laurent PapazianRespiratory and Infectious Diseases Intensive Care Unit, APHM Hôpital Nord, Marseille, France.
Bertrand GuidetMedical Intensive Care Unit, APHP, Saint-Antoine University Hospital, Paris, France.
Guillaume ThiéryMedical Intensive Care Unit, Saint-Etienne, University Hospital, Paris, France.
Kada KloucheDepartment of Intensive Care Medicine, Lapeyronie Hospital, Montpellier, France.
Olivier LesieurMedical-Surgical Intensive Care Unit, La Rochelle Hospital, La Rochelle, France.
Alexandre DemouleAP-HP, Groupe Hospitalier Universitaire APHP-Sorbonne Université, Pitié-Salpêtrière site, Service de Pneumologie, Médecine Intensive et Réanimation (Département R3S) and Sorbonne Université, INSERM, UMRS1158 Neurophysiologie Respiratoire Expérimentale et Clinique, F-75005 Paris, France.
Christophe GuittonMedical Intensive Care Unit, Le Mans Hospital, Le Mans, France.
Gilles CapellierMedical Intensive Care Unit, Besançon, University Hospital, Besançon, France.
Bruno MourvillierMedical Intensive Care Unit, Reims University Hospital, Reims, France.
Lucie BiardClinical Research Unit, APHP, Saint Louis University Hospital, Paris, France.
Frédéric PochardPsychiatry Department, Lariboisière Fernand-Widal University Hospital, Paris, France.
Nancy Kentish-BarnesFamirea Study Group, Medical Intensive Care Unit, APHP, Saint Louis University Hospital, Paris, France.
Assistance Publique – Hôpitaux de Paris · FRCentre Hospitalier de La Rochelle · FRCentre Hospitalier du Mans · FRCentre hospitalier régional d'Orléans · FRCentre Hospitalier Sud Francilien · FRCentre Hospitalier Universitaire de Besançon · FRCentre Hospitalier Universitaire de Nantes · FRCentre Hospitalier Universitaire de Saint-Étienne · FRHôpital Ambroise-Paré · FRHôpital André Mignot · FRHôpital Cochin · FRHôpital Fernand-Widal · FRHôpital Lapeyronie · FRHôpital Lariboisière · FRHôpital Nord · FRHôpital Saint-André · FRHospices Civils de Lyon · FRMaison des Sciences de l’Homme de Dijon · FRNeurophysiologie respiratoire expérimentale et cliniqueSorbonne Université · FR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

importancePersistent physical and mental disorders are frequent in survivors of COVID-19-related acute respiratory distress syndrome (ARDS). However, data on these disorders among family members are scarce.

objectiveTo determine the association between patient hospitalization for COVID-19 ARDS vs ARDS from other causes and the risk of posttraumatic stress disorder (PTSD)-related symptoms in family members. DESIGN, SETTING, AND

participantsProspective cohort study in 23 intensive care units (ICUs) in France (January 2020 to June 2020 with final follow-up ending in October 2020). ARDS survivors and family members (1 family member per patient) were enrolled. EXPOSURES: Family members of patients hospitalized for ARDS due to COVID-19 vs ARDS due to other causes. MAIN OUTCOMES AND MEASURES: The primary outcome was family member symptoms of PTSD at 90 days after ICU discharge, measured by the Impact of Events Scale-Revised (score range, 0 [best] to 88 [worst]; presence of PTSD symptoms defined by score >22). Secondary outcomes were family member symptoms of anxiety and depression at 90 days assessed by the Hospital Anxiety and Depression Scale (score range, 0 [best] to 42 [worst]; presence of anxiety or depression symptoms defined by subscale scores ≥7). Multivariable logistic regression models were used to determine the association between COVID-19 status and outcomes.

resultsAmong 602 family members and 307 patients prospectively enrolled, 517 (86%) family members (median [IQR] age, 51 [40-63] years; 72% women; 48% spouses; 26% bereaved because of the study patient's death; 303 [50%] family members of COVID-19 patients) and 273 (89%) patients (median [IQR] age, 61 [50-69] years; 34% women; 181 [59%] with COVID-19) completed the day-90 assessment. Compared with non-COVID-19 ARDS, family members of patients with COVID-19 ARDS had a significantly higher prevalence of symptoms of PTSD (35% [103/293] vs 19% [40/211]; difference, 16% [95% CI, 8%-24%]; P < .001), symptoms of anxiety (41% [121/294] vs 34% [70/207]; difference, 8% [95% CI, 0%-16%]; P= .05), and symptoms of depression (31% [91/291] vs 18% [37/209]; difference, 13% [95% CI, 6%-21%]; P< .001). In multivariable models adjusting for age, sex, and level of social support, COVID-19 ARDS was significantly associated with increased risk of PTSD-related symptoms in family members (odds ratio, 2.05 [95% CI, 1.30 to 3.23]). CONCLUSIONS AND RELEVANCE: Among family members of patients hospitalized in the ICU with ARDS, COVID-19 disease, as compared with other causes of ARDS, was significantly associated with increased risk of symptoms of PTSD at 90 days after ICU discharge.

trial registrationClinicalTrials.gov Identifier: NCT04341519.

Indexed as

COVID-19Family HealthAdultFemaleHumansIntensive Care UnitsMaleMiddle AgedPatient DischargeProspective StudiesRisk AssessmentStress Disorders, Post-Traumatic

Identifiers

PMID35179564
PMCPMC8924722
OpenAlexW4213243226

What OpenQuestion holds

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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.