Evidence map›Paper›PMID 36243061›Full record

Trial reportChest2023

Multidisciplinary ICU Recovery Clinic Visits: A Qualitative Analysis of Patient-Provider Dialogues.

Leanne M Boehm, Valerie Danesh, Tammy L Eaton, Joanne McPeake, Maria A Pena, Kemberlee R Bonnet, Joanna L Stollings, Abigail C Jones, David G Schlundt, Carla M Sevin

2 registry-linked trialsAbstract readClinical Trial
In one paragraph

Trial report in Chest, 2023. 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 13 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 1 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.

NCT03926533 nacompletednot on this map

Telehealth-Enhanced Patient-Oriented Recovery Trajectory After Intensive Care Pilot Feasibility Study

TypeinterventionalSponsorVanderbilt UniversityRan2019 to 2023Enrolled91ConditionsCritical Illness, Acute Respiratory Distress Syndrome, Septic ShockArmsTelehealth
NCT06014931 narecruitingnot on this mapstarted 2024, after this paper: background citation

Telehealth-enhanced Patient-oriented Recovery Trajectory After Intensive Care

TypeinterventionalSponsorVanderbilt UniversityRan2024 to 2028Enrolled202ConditionsPost-intensive Care SyndromeArmsTelemedicine ICU Recovery Clinic Visit
3 · Its place in the literature

Who cites it

13 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Trial
  3. Trial
  4. Beyond Survival: Lessons From a Research Journey in Critical Care Recovery Science.American journal of critical care : an official publication, American Association of Critical-Care Nurses · 2026
    Article
  5. Posttraumatic Growth, Anxiety, Depression, and Posttraumatic Stress Disorder in Intensive Care Unit Survivors.American journal of critical care : an official publication, American Association of Critical-Care Nurses · 2026
    Article
  6. Article
  7. Article
  8. Article
  9. Review
  10. Review
  11. Article
  12. It Is Feasible to Relieve Distressing Symptoms after the ICU.American journal of respiratory and critical care medicine · 2023
    Article
  13. Understanding and Managing Anxiety Sensitivity During Critical Illness and Long-Term Recovery.American journal of critical care : an official publication, American Association of Critical-Care Nurses · 2023
    Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

10 authors.

Leanne M BoehmSchool of Nursing, Vanderbilt University, Nashville, TN; Critical Illness, Brain Dysfunction, Survivorship Center, Nashville, TN. Electronic address: leanne.boehm@vanderbilt.edu.
Valerie DaneshCenter for Applied Health Research, Baylor Scott & White Research Institute, Dallas, TX.
Tammy L EatonNational Clinician Scholars Program, VA HSR&D Center for the Study of Healthcare Innovation, Implementation, and Policy, University of Michigan, Ann Arbor, MI; Department of Systems, Populations and Leadership, University of Michigan School of Nursing, Ann Arbor, MI.
Joanne McPeakeThe Healthcare Improvement Studies Institute, University of Cambridge, Cambridge, England.
Maria A PenaDepartment of Psychology, Vanderbilt University, Vanderbilt University Medical Center, Nashville, TN.
Kemberlee R BonnetDepartment of Psychology, Vanderbilt University, Vanderbilt University Medical Center, Nashville, TN.
Joanna L StollingsCritical Illness, Brain Dysfunction, Survivorship Center, Nashville, TN; Department of Pharmaceutical Services, Vanderbilt University Medical Center, Nashville, TN.
Abigail C JonesSchool of Nursing, Vanderbilt University, Nashville, TN.
David G SchlundtDepartment of Psychology, Vanderbilt University, Vanderbilt University Medical Center, Nashville, TN.
Carla M SevinCritical Illness, Brain Dysfunction, Survivorship Center, Nashville, TN; Division of Allergy, Pulmonary, and Critical Care Medicine, Department of Medicine, Vanderbilt University Medical Center, Nashville, TN.

Funding

The Vanderbilt Institute for Clinical and Translational Research (VICTR)UL1TR000445 · NCATS · VANDERBILT UNIVERSITY MEDICAL CENTER · PI BERNARD, GORDON RAPHAEL · 2012 to 2016
$41.4M
Vanderbilt Scholars in T4 Translational Research (V-STTaR) ProgramK12HL137943 · NHLBI · VANDERBILT UNIVERSITY MEDICAL CENTER · PI KRIPALANI, SUNIL, ROUMIE, CHRISTIANNE L. · 2017 to 2021
$2.9M
NCATS NIH HHS UL1 TR000445NHLBI NIH HHS K12 HL137943
6 · The paper itself

Abstract

backgroundResearch confirms the heterogeneous nature of patient challenges during recovery from the ICU and supports the need for modifying care experiences, but few data are available to guide clinicians seeking to support patients' individual recovery trajectories. RESEARCH QUESTION: What is the content of patient-provider dialogues in a telemedicine multidisciplinary ICU recovery clinic (ICU-RC)? STUDY DESIGN AND

methodsWe conducted a qualitative descriptive study in a telemedicine multidisciplinary ICU-RC at a tertiary academic medical center in the southeastern United States. The sample included 19 patients and 13 caregivers (≥ 18 years of age) attending a telemedicine ICU-RC visit after critical illness resulting from septic shock or ARDS. Patients and caregivers met with an ICU pharmacist, ICU physician, and a psychologist via a secure web-conferencing platform for 33 ICU-RC visits within 12 weeks of hospital discharge. Telemedicine ICU-RC visits were audio-recorded and transcribed verbatim for analysis. A coding system was developed using iterative inductive and deductive approaches.

resultsTwo themes were identified from the patient-provider dialogue: (1) problem identification and (2) problem-solving strategies. We identified five subthemes that capture the types of problems identified: health status, mental health and cognition, medication management, health-care access and navigation, and quality of life. Problem-solving subthemes included facilitating care coordination and transitions, providing education, and giving constructive feedback and guidance.

interpretationPatients surviving a critical illness experience a complexity of problems that may be addressed best by a multidisciplinary ICU-RC. Through analysis of our telemedicine ICU-RC dialogues, we were able to identify problems and solutions to address challenges during a critical transitional phase of ICU recovery. TRIAL REGISTRY: ClinicalTrials.gov; No.: NCT03926533; URL: www. CLINICALTRIALS: gov.

Indexed as

Critical CareQuality of LifeAmbulatory CareCritical IllnessHumansIntensive Care Unitscritical carefollow-up clinicICUmultidisciplinarypost-ICU clinicpost-intensive care syndromerecovery

Identifiers

PMID36243061
PMCPMC10258431

What OpenQuestion holds

Textmetadata
Read underepoch 390

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.