Evidence map›Paper›PMID 37248989›Full record

ArticleThe European journal of general practice2023

Post-intensive care syndrome in primary care: The development of new diseases and primary care services utilisation - a prospective cohort study.

Dries van Sleeuwen, Sabine de Man, Marieke Zegers, Reinier Akkermans, Michael Ricking, Marco Peters, Mark van den Boogaard, Floris A van de Laar

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Article in The European journal of general practice, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–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

4 citing papers in PubMed.

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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

8 authors.

Dries van SleeuwenDepartment of Primary and Community Care, Radboud University Medical Center, Radboud Institute for Health Science, Nijmegen, the Netherlands.ORCID 0000-0003-0431-3218
Sabine de ManDepartment of Primary and Community Care, Radboud University Medical Center, Radboud Institute for Health Science, Nijmegen, the Netherlands.
Marieke ZegersDepartment of Intensive Care, Radboud University Medical Center, Radboud Institute for Health Science, Nijmegen, the Netherlands.ORCID 0000-0002-7472-6184
Reinier AkkermansRadboud University Medical Center, Radboud Institute for Health Sciences, Scientific Institute for Quality of Care, Nijmegen, the Netherlands.
Michael RickingRadboud University Medical Center, Radboud Institute for Health Sciences, Scientific Institute for Quality of Care, Nijmegen, the Netherlands.
Marco PetersDepartment of Intensive Care, Canisius Wilhelmina Ziekenhuis, Nijmegen, the Netherlands.
Mark van den BoogaardDepartment of Intensive Care, Radboud University Medical Center, Radboud Institute for Health Science, Nijmegen, the Netherlands.ORCID 0000-0003-4233-2903
Floris A van de LaarDepartment of Primary and Community Care, Radboud University Medical Center, Radboud Institute for Health Science, Nijmegen, the Netherlands.ORCID 0000-0001-7373-8864

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPatients experience long-lasting health problems defined as post-intensive care syndrome (PICS) after Intensive Care Unit (ICU) admission. Little is known about PICS in primary care.

objectivesTo investigate whether ICU survivors encounter more new International Classification of Primary Care-2 (ICPC-2) diagnoses and general practitioner (GP) contact compared to patients with similar comorbidity without ICU admission.

methodsProspective multicentre cohort study in three Dutch general practices. Numbers of disease-episodes and GP contacts of ICU survivors ≥ 16 years admitted between 2008 and 2017 were extracted from GPs' information systems. A non-ICU reference cohort was matched 1:1 for age, sex, follow-up period and comorbidity groups from patients' medical history. Negative binominal regression analysis was used to compare both cohorts 0-3, 3-6, 6-12 months, 1-2 and 2-5 years after ICU admission and 1 year prior to admission.

resultsICU survivors (

conclusionPatients admitted to the ICU encounter more new primary care disease-episodes and GP contacts. As patients present their symptoms to their GP first, it is therefore up to the GP to recognise these critical illness-related symptoms.

Indexed as

Critical IllnessFacilities and Services UtilizationCohort StudiesHumansPrimary Health CareProspective Studiescritical illnessGeneral practiceintensive care unitpost-intensive care syndromeprimary care

Identifiers

PMID37248989
PMCPMC10231043

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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.