ArticleBMJ open2022
Modification of social determinants of health by critical illness and consequences of that modification for recovery: an international qualitative study.
Article in BMJ open, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 2 of them syntheses that pooled it.
What it found
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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.
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Who cites it
16 citing papers in PubMed, 2 syntheses or guidelines pooled it, 23 citations in OpenAlex.
- Driving behavior and driving outcomes after acute and critical illness: A systematic review.International journal of nursing studies · 2025Pooled it
- Rehabilitation and Social Determinants of Health in Critical Illness Recovery Literature: A Systematic Review.Critical care explorations · 2024Pooled it
- Eye movement desensitisation and reprocessing for post-traumatic stress in survivors of critical illness (EMERALD): a mixed-methods, randomised, single-blind, parallel group-controlled, feasibility trial.EClinicalMedicine · 2026Article
- A Research Agenda to Mitigate Racial and Ethnic Disparities in U.S. Critical Care Medicine: An Official American Thoracic Society Research Statement.American journal of respiratory and critical care medicine · 2025Article
- What If the Power of the Family Is Missing?Nursing in critical care · 2025Article
- What measures have been used to explore the outcomes of family members of critically ill patients: a scoping review.Intensive care medicine · 2025Article
- Exploring the Landscape of Social and Economic Factors in Critical Illness Survivorship: A Scoping Review.Critical care explorations · 2025Article
- Role of Social Determinants of Health in COVID-19 Recovery: A Qualitative Study.JAMA network open · 2025Article
- [Post-Intensive Care Syndrome: functional impairments of critical illness survivors].Die Anaesthesiologie · 2025Review
- Article
- Looking to "Level the Field": A Qualitative Study of How Clinicians Operationalize Social Determinants in Critical Care.Annals of the American Thoracic Society · 2024Article
- Reported impact and protective factors of the care partner role during persistent critical illness: a content analysis.BMC nursing · 2024Article
- An Equity, Diversity, and Inclusion glossary for sociodemographic determinants of health within critical care medicine.Canadian journal of anaesthesia = Journal canadien d'anesthesie · 2024Review
- Article
- Palliative Care in Survivors of Critical Illness: A Qualitative Study of Post-Intensive Care Unit Program Clinicians.Journal of palliative medicine · 2023Article
- Promoting Functional Recovery in Critically Ill Children.Pediatric clinics of North America · 2023Review
Corrections and comments
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Authors and funding
27 authors at 20 institutions in 3 countries.
Funding
Abstract
objectivesSocial determinants of health (SDoH) contribute to health outcomes. We identified SDoH that were modified by critical illness, and the effect of such modifications on recovery from critical illness.
designIn-depth semistructured interviews following hospital discharge. Interview transcripts were mapped against a pre-existing social policy framework: money and work; skills and education; housing, transport and neighbourhoods; and family, friends and social connections.
setting14 hospital sites in the USA, UK and Australia.
participantsPatients and caregivers, who had been admitted to critical care from three continents.
results86 interviews were analysed (66 patients and 20 caregivers). SDoH, both financial and non-financial in nature, could be negatively influenced by exposure to critical illness, with a direct impact on health-related outcomes at an individual level. Financial modifications included changes to employment status due to critical illness-related disability, alongside changes to income and insurance status. Negative health impacts included the inability to access essential healthcare and an increase in mental health problems.
conclusionsCritical illness appears to modify SDoH for survivors and their family members, potentially impacting recovery and health. Our findings suggest that increased attention to issues such as one's social network, economic security and access to healthcare is required following discharge from critical care.
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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.