Evidence map›Paper›PMID 35928538›Full record

ArticleCritical care explorations2022

Timing of Exposure to ICU Diaries and Its Impact on Mental Health, Memories, and Quality of Life: A Double-Blind Randomized Control Trial.

Swagata Tripathy, Swati Priyadarshini Acharya, Alok Kumar Sahoo, Upendra Hansda, Jayanta Kumar Mitra, Kishen Goel, Suma Rabab Ahmad, Nilamadhab Kar

Abstract 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 7 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 2 pooled it
–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

7 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Trial
  4. Article
  5. Post-ICU Care: Why, What, When and How? ISCCM Position Statement.Indian journal of critical care medicine : peer-reviewed, official publication of Indian Society of Critical Care Medicine · 2024
    Article
  6. [The intensive care diary-a communication tool].Procare : das forbildungsmagazin fur pflegeberufe · 2023
    Article
  7. [The intensive care diary-a communication tool].Medizinische Klinik, Intensivmedizin und Notfallmedizin · 2022
    Review
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.

Swagata TripathyDepartment of Anesthesia & Critical Care, AIIMS Bhubaneswar, Bhubaneswar, India.
Swati Priyadarshini AcharyaDepartment of Anesthesia & Critical Care, AIIMS Bhubaneswar, Bhubaneswar, India.
Alok Kumar SahooDepartment of Anesthesia & Critical Care, AIIMS Bhubaneswar, Bhubaneswar, India.
Upendra HansdaDepartment of Anesthesia & Critical Care, AIIMS Bhubaneswar, Bhubaneswar, India.
Jayanta Kumar MitraDepartment of Anesthesia & Critical Care, AIIMS Bhubaneswar, Bhubaneswar, India.
Kishen GoelPdf Critical Care, Department of Anesthesia & Critical Care, AIIMS Bhubaneswar, Bhubaneswar, India.
Suma Rabab AhmadDepartment of Anesthesia & Critical Care, AIIMS Bhubaneswar, Bhubaneswar, India.
Nilamadhab KarDepartment of Postgraduate Psychiatry, Black Country Healthcare NHS Foundation Trust, Steps to Health, Wolverhampton, United Kingdom.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Optimal time for ICU diary delivery and impact on mental health (MH), anxiety-depression, post-traumatic stress symptoms (PTSS), quality of life (QOL), and memories is unclear. We evaluated the effect of ICU diaries, dispatched at different time points, on outcomes in an Indian cohort.

designDouble-blind randomized controlled trial.

settingA 1,000-bedded teaching hospital in East India. PATIENTS: Mechanically ventilated (>24 hr) adults were recruited, excluding those dead or incapable of meaningful-communication at discharge or follow-up. Eighty-three patients, aged 46.2 ± 17.2 years, Acute Physiology and Chronic Health Evaluation II scores 13.7 ± 4.9 were assessed. Length of ICU stay was 8.2 ± 7.1 days with 3.7 ± 3.2 ventilator days.

interventionOf 820 screened, 164 had diaries created. Including photographs, diaries were comaintained by healthcare workers and family members. Ninety patients were randomized at 1-month follow-up: diary sent to 45 at 1 month (group ID1) and to 45 at 3 months (ID3). MEASUREMENTS AND MAIN

resultsAnxiety-depression, memory, and QOL were assessed telephonically or home visits by a psychologist using the Hospital Anxiety-Depression Scale (HADS) and other tools at ICU discharge, 1-month (prerandomization), and 3 months of discharge. ID3 was reassessed after receiving diaries at 3.5 months. Primary outcome was anxiety-depression; secondary outcomes included PTSS, QOL, and memories. There was 100% follow-up. At 3 months, ID1 patients had a significant (

conclusionsICU diaries improve MH but not QOL when delivered at 1 month and assessed 2 months thereafter. Assessed after 15 days, delayed exposure at 3 months significantly improved QOL and memories in addition to MH.

Indexed as

anxietydepressiondiaryIndiaintensive care unitspsychologic stressquality of lifetraumatic stress disorders

Identifiers

PMID35928538
PMCPMC9345644

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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.