Evidence map›Paper›PMID 35425905›Full record

ArticleCritical care explorations2022

The Prevalence of Spiritual and Social Support Needs and Their Association With Postintensive Care Syndrome Symptoms Among Critical Illness Survivors Seen in a Post-ICU Follow-Up Clinic.

Tammy L Eaton, Leslie P Scheunemann, Brad W Butcher, Heidi S Donovan, Sheila Alexander, Theodore J Iwashyna

Open access · goldAbstract read
In one paragraph

Article in Critical care explorations, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed
2.8field-weighted citation impact, top 10% 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

14 citing papers in PubMed, 19 citations in OpenAlex.

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  10. Changes in Restricting Symptoms after Critical Illness among Community-Living Older Adults.American journal of respiratory and critical care medicine · 2023
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  11. It Is Feasible to Relieve Distressing Symptoms after the ICU.American journal of respiratory and critical care medicine · 2023
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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

6 authors at 3 institutions in 1 country.

Tammy L EatonDepartment of Acute and Tertiary Care, School of Nursing, University of Pittsburgh, Pittsburgh, PA.
Leslie P ScheunemannDivision of Geriatric Medicine and Gerontology, Department of Medicine, University of Pittsburgh, Pittsburgh, PA.
Brad W ButcherDepartment of Acute and Tertiary Care, School of Nursing, University of Pittsburgh, Pittsburgh, PA.
Heidi S DonovanDepartment of Health & Community Systems, School of Nursing, University of Pittsburgh, Pittsburgh, PA.
Sheila AlexanderDepartment of Acute and Tertiary Care, School of Nursing, University of Pittsburgh, Pittsburgh, PA.
Theodore J IwashynaDepartment of Medicine, Division of Pulmonary & Critical Care, University of Michigan, Ann Arbor, MI.
University of Pittsburgh · USUniversity of Michigan–Ann Arbor · USUniversity of Pittsburgh Medical Center · US

Funding

Tele-Recovery: Engaging Stakeholders to Adapt and Pilot Test a Scalable Transitional Rehabilitation Intervention for Older, Rural ICU SurvivorsK08HS027210 · AHRQ · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI SCHEUNEMANN, LESLIE PAGE · 2019 to 2023
$742k
AHRQ HHS K08 HS027210
6 · The paper itself

Abstract

objectivesSpiritual and social support may be key facilitators for critical illness recovery and are identified as high priority for research. Understanding the prevalence of spiritual and social support needs in critical illness survivors may guide development of targeted interventions for support, which, in turn, may improve critical illness survivor quality of life. To characterize unmet spiritual and social support needs in critical illness survivors approximately 1 month after hospital discharge and examine the association of these needs with postintensive care syndrome (PICS)-related symptom burden.

designRetrospective, cross-sectional study.

settingUniversity-affiliated hospital in Pittsburgh, PA. PATIENTS: One hundred ninety-six consecutive adult critical illness survivors seen during an initial post-ICU clinic visit from June 2018 to March 2020.

interventionsNone. MEASUREMENTS AND MAIN

resultsPatient-reported clinical outcome measures assessing spiritual and social support needs and PICS-related symptoms were extracted from the electronic health record. Patients had a median age of 61 (interquartile range [IQR], 51-68.5), and majority were male (55.1%) with a moderate comorbidity burden (Charlson comorbidity index median score, 3; IQR, 2-5). Social support and spiritual needs were prevalent. Of the 196 patients, over 50% reported unpreparedness/fearful for the future, half of patients reported not feeling in control of their care, and over one-third reported needing more support than their family, friends, or insurance can provide. Nearly 13% of respondents reported feeling abandoned or punished by God/not supported by their church/faith. Many patients reported overlapping PICS-related symptom domains (physical, psychologic, and cognitive). Univariate and multivariate analyses revealed associations between reported PICS-related symptoms and the presence of spiritual and social needs.

conclusionsPatients surviving critical illness experience significant social support and spiritual needs independent of commonly identified manifestations of PICS. These findings support the need for formal assessment and tailored interventions for social support and spiritual needs in critical illness survivors.

Indexed as

critical illness recoveryICU survivorpostintensive care syndromesocial support needsspiritual needssymptoms

Identifiers

PMID35425905
PMCPMC9000047
OpenAlexW4223979536

What OpenQuestion holds

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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.