Evidence map›Paper›PMID 36682611›Full record

ArticleChest2023

Health Expectations and Quality of Life After Acute Respiratory Failure: A Multicenter Prospective Cohort Study.

Alison E Turnbull, Emma M Lee, Victor D Dinglas, Sarah Beesley, Somnath Bose, Valerie Banner-Goodspeed, Ramona O Hopkins, James C Jackson, Mustafa Mir-Kasimov, Carla M Sevin and 3 more

Registry-linked trialOpen access · greenAbstract readMulticenter Study
PubMed Full text at PMC Publisher
In one paragraph

Article 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 trial NCT06401239 (Investigating Dyadic Expectations About ARF Survivorship), which is not on this map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
2.1field-weighted citation impact, top 13% 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.

NCT06401239 recruitingnot on this mapstarted 2024, after this paper: background citation

Investigating Dyadic Expectations About ARF Survivorship (IDEAS)

TypeobservationalSponsorJohns Hopkins UniversityRan2024 to 2027Enrolled235ConditionsAcute Respiratory Failure, Caregiving Stress, Mental Health IssueArmsDyadic expectations about the ARF survivor's perceived health 6 months after hospital discharge, Self-efficacy, Concordant expectations/shared appraisal of ARF survivor's health 6 months after hospital discharge
3 · Its place in the literature

Who cites it

9 citing papers in PubMed, 10 citations in OpenAlex.

  1. Observational
  2. Article
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  9. It Is Feasible to Relieve Distressing Symptoms after the ICU.American journal of respiratory and critical care medicine · 2023
    Article
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

13 authors at 6 institutions in 1 country.

Alison E TurnbullDivision of Pulmonary and Critical Care Medicine, Johns Hopkins University, Baltimore, MD; Department of Epidemiology, Bloomberg School of Public Health, Johns Hopkins University, Baltimore, MD; Outcomes After Critical Illness and Surgery (OACIS) Group, Johns Hopkins University, Baltimore, MD. Electronic address: turnbull@jhmi.edu.
Emma M LeeCenter for Healthcare Delivery Science, Beth Israel Deaconess Medical Center, Boston, MA.
Victor D DinglasDivision of Pulmonary and Critical Care Medicine, Johns Hopkins University, Baltimore, MD; Outcomes After Critical Illness and Surgery (OACIS) Group, Johns Hopkins University, Baltimore, MD.
Sarah BeesleyDivision of Pulmonary and Critical Care Medicine, University of Utah, Salt Lake City, UT; Division of Pulmonary and Critical Care Medicine, Intermountain Medical Center, Salt Lake City, UT; Center for Humanizing Critical Care, Intermountain Medical Center, Salt Lake City, UT.
Somnath BoseCenter for Healthcare Delivery Science, Beth Israel Deaconess Medical Center, Boston, MA.
Valerie Banner-GoodspeedCenter for Healthcare Delivery Science, Beth Israel Deaconess Medical Center, Boston, MA.
Ramona O HopkinsCenter for Humanizing Critical Care, Intermountain Medical Center, Salt Lake City, UT; Department of Psychology and Neuroscience Center, Brigham Young University, Provo, UT.
James C JacksonDivision of Allergy, Pulmonary, and Critical Care Medicine, Vanderbilt University Medical Center, Nashville, TN.
Mustafa Mir-KasimovDivision of Pulmonary and Critical Care Medicine, University of Utah, Salt Lake City, UT; Salt Lake City Veterans Administration, Salt Lake City, UT.
Carla M SevinDivision of Allergy, Pulmonary, and Critical Care Medicine, Vanderbilt University Medical Center, Nashville, TN.
Samuel M BrownDivision of Pulmonary and Critical Care Medicine, University of Utah, Salt Lake City, UT; Division of Pulmonary and Critical Care Medicine, Intermountain Medical Center, Salt Lake City, UT; Center for Humanizing Critical Care, Intermountain Medical Center, Salt Lake City, UT.
Dale M NeedhamDivision of Pulmonary and Critical Care Medicine, Johns Hopkins University, Baltimore, MD; Department of Physical Medicine and Rehabilitation, School of Medicine, Johns Hopkins University, Baltimore, MD; Outcomes After Critical Illness and Surgery (OACIS) Group, Johns Hopkins University, Baltimore, MD.
Addressing Post-Intensive Care Syndrome-01 (APICS-01) Study Team
Beth Israel Deaconess Medical Center · USJohns Hopkins University · USUniversity of Utah · USVanderbilt University Medical Center · USBrigham Young University · USUnited States Department of Veterans Affairs · US

Funding

Understanding Response Shift in Acute Respiratory Distress Syndrome (ARDS) survivorsK01HL141637 · NHLBI · JOHNS HOPKINS UNIVERSITY · PI TURNBULL, ALISON · 2018 to 2022
$853k
NHLBI NIH HHS K01 HL141637
6 · The paper itself

Abstract

backgroundPatients often have high expectations for recovery after critical illness, but the impact of these expectations on subsequent quality of life (QoL) after serious illnesses has not been evaluated empirically. RESEARCH QUESTION: Among adult survivors of acute respiratory failure (ARF), are met vs unmet expectations for health associated with self-reported QoL 6 months after discharge? STUDY DESIGN AND

methodsThis was a prospective longitudinal cohort study enrolling consecutive adult patients with ARF managed in ICUs at five academic medical centers. At hospital discharge, we evaluated participants' expected health 6 months in the future via a visual analog scale (VAS; range, 0-100), with higher scores representing better expected health. At 6-month follow-up, perceived health was assessed using the EQ-5D VAS, and QoL was assessed using the World Health Organization Quality of Life Brief Version (WHOQOL-BREF) instrument. Participants' health expectations were categorized as having been met when perceived health at 6 months was no more than eight points lower than their expectation at study enrollment. The primary analysis compared WHOQOL-BREF domain scores (range, 0-100) at 6 months after discharge in patients with met vs unmet health expectations using the nonparametric Mann-Whitney U test. Secondary analysis modeled WHOQOL-BREF domain scores using multivariate regression, and sensitivity analyses assessed QoL using EQ-5D-5L index values.

resultsIn the primary analysis, QoL was significantly better among participants with met vs unmet health expectations across all domains of the WHOQOL-BREF: physical health (estimated difference in scores: median, 19 [interquartile range (IQR), 12-15]; P < .001), psychological health (median, 12 [IQR, 6-18]; P < .001), social relationships (median, 6 [IQR, 0-13]; P = .02), and environmental health (median, 12 [IQR, 6-13]; P < .001). In multivariate regression, the difference between expected and perceived health remained associated significantly with the physical health domain score.

interpretationFulfillment of health expectations is associated with better QoL after ARF, suggesting a mechanism underpinning successful ICU recovery programs that incorporate normalization and expectation management.

Indexed as

Quality of LifeRespiratory InsufficiencyAdultHumansLongitudinal StudiesMotivationProspective StudiesSurveys and Questionnairescritical care outcomesfunctional statusquality of liferespiratory distress syndromesurvivorship

Identifiers

PMID36682611
PMCPMC10331625
OpenAlexW4317780821

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.