Evidence map›Paper›PMID 37531701›Full record

ArticleInternational journal of nursing studies2023

Driving decisions after critical illness: Qualitative analysis of patient-provider reviews during ICU recovery clinic assessments.

Valerie Danesh, Anthony D McDonald, Joanne McPeake, Tammy L Eaton, Kelly Potter, Han Su, James C Jackson, Leanne M Boehm

Registry-linked trialAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in International journal of nursing studies, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03926533 (Telehealth-Enhanced Patient-Oriented Recovery Trajectory After Intensive Care Pilot Feasibility Study), which is not on this map. Cited by 5 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 3 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
3 · Its place in the literature

Who cites it

5 citing papers in PubMed, 3 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  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. 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

8 authors.

Valerie DaneshCenter for Applied Health Research, Baylor Scott & White Research Institute, Dallas, TX, USA; School of Nursing, University of Texas at Austin, Austin, TX, USA. Electronic address: Valerie.Danesh@BSWHealth.org.
Anthony D McDonaldCollege of Engineering, University of Wisconsin at Madison, Madison, WI, USA. Electronic address: https://twitter.com/hfml_lab.
Joanne McPeakeIntensive Care Unit, NHS Greater Glasgow and Clyde, Glasgow, United Kingdom; The Healthcare Improvement Studies Institute, University of Cambridge, Cambridge, UK. Electronic address: https://twitter.com/Jomcpeake22.
Tammy L EatonNational Clinician Scholars Program (NCSP), VA HSR&D Center for the Study of Healthcare Innovation, Implementation, & Policy, University of Michigan, Ann Arbor, MI, USA; Department of Systems, Populations and Leadership, University of Michigan School of Nursing, Ann Arbor, MI, USA. Electronic address: https://twitter.com/tammyeaton17.
Kelly PotterClinical Research, Investigation, and Systems Modeling of Acute Illness (CRISMA) Center, Department of Critical Care Medicine, University of Pittsburgh, Pittsburgh, PA, USA. Electronic address: https://twitter.com/KP_ICURN.
Han SuSchool of Nursing, Vanderbilt University, Nashville, TN, USA. Electronic address: https://twitter.com/HanSu_hs.
James C JacksonCritical Illness, Brain dysfunction, and Survivorship (CIBS) Center, Vanderbilt University Medical Center, Nashville, TN, USA; VA Tennessee Valley Geriatric Research Education and Clinical Center (GRECC), Nashville, TN, USA; Department of Medicine, Division of Pulmonary and Critical Care Medicine, Vanderbilt University Medical Center, Nashville, TN, USA. Electronic address: https://twitter.com/jcjackson68.
Leanne M BoehmSchool of Nursing, Vanderbilt University, Nashville, TN, USA; Critical Illness, Brain dysfunction, and Survivorship (CIBS) Center, Vanderbilt University Medical Center, Nashville, TN, USA. Electronic address: https://twitter.com/boehmleanne.

Funding

Multidisciplinary Training in Critical Care Outcomes ResearchT32HL007820 · NHLBI · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI Timothy D Girard, Jeremy M Kahn · 1996 to 2026
$6.4M
Telehealth-Enhanced Patient-Oriented Recovery Trajectory After Intensive CareR01AG077644 · NIA · VANDERBILT UNIVERSITY · PI Leanne M Boehm · 2023 to 2026
$3.1M
Early Cognitive Training and Rehabilitation to Prevent Cognitive Decline in Older Hospitalized Adults with DeliriumR01AG065249 · NIA · VANDERBILT UNIVERSITY MEDICAL CENTER · PI HAN, JIN HO, JACKSON, JAMES C. · 2020 to 2024
$2.9M
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
Executive Dysfunction and Functional Impairment in Elderly ICU SurvivorsK23AG031322 · NIA · VANDERBILT UNIVERSITY · PI JACKSON, JAMES C. · 2008 to 2012
$556k
Driving Rehabilitation and Innovation for Evaluating Risk in Post-Intensive Care Unit Survivors (DRIVE-PICS)R21AG080339 · NIA · BAYLOR RESEARCH INSTITUTE · PI DANESH, VALERIE, MCDONALD, ANTHONY D. · 2023 to 2024
$457k
NHLBI NIH HHS K12 HL137943NHLBI NIH HHS T32 HL007820NIA NIH HHS K23 AG031322NIA NIH HHS R01 AG065249NIA NIH HHS R01 AG077644NIA NIH HHS R21 AG080339
6 · The paper itself

Abstract

backgroundDriving a vehicle is a functional task requiring a threshold of physical, behavioral and cognitive skills.

objectiveTo report patient-provider evaluations of driving status and driving safety assessments after critical illness.

designQualitative secondary analysis of driving-related dialog drawn from a two-arm pilot study evaluating telemedicine delivery of Intensive Care Unit Recovery Clinic assessments. Multidisciplinary providers assessed physical, psychological, and cognitive recovery during one-hour telemedicine ICU-RC assessments. Qualitative secondary analysis of patient-provider dialog specific to driving practices after critical illness. SETTING AND PATIENTS: Multidisciplinary Intensive Care Unit Recovery clinic assessment dialog between 17 patients and their providers during 3-week and/or 12-week follow-up assessments at a tertiary academic medical center in the Southeastern United States. MAIN MEASURES AND KEY

resultsThematic content analysis was performed to describe and classify driving safety discussion, driving status and driving practices after critical illness. Driving-related discussions occurred with 15 of 17 participants and were clinician-initiated. When assessed, driving status varied with participants reporting independent decisions to resume driving, delay driving and cease driving after critical illness. Patient-reported driving practices after critical illness included modifications to limit driving to medical appointments, self-assessments of trip durations, and inclusion of care partners as a safety measure for new onset fatigue while driving.

conclusionWe found that patients are largely self-navigating this stage of recovery, making subjective decisions on driving resumption and overall driving status. These results highlight that driving status changes are an often underrecognized yet salient social cost of critical illness.

trial registrationClinicaltrials.gov: NCT03926533.

Indexed as

Critical IllnessIntensive Care UnitsClinical Studies as TopicCritical CareHumansPilot ProjectsCritical illnessDrivingDriving cessationDriving resumptionFunctional outcomesInstrumental activities of daily livingPatient-reported outcomesQualitative

Identifiers

PMID37531701
PMCPMC10528726

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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.