Evidence map›Paper›PMID 37841292›Full record

ArticleJournal of the Intensive Care Society2023

The prevalence of mental frailty in ICU survivors and informal caregiver strain: A 1-year retrospective study of the Frisian aftercare cohort.

Lise F E Beumeler, Carina Bethlehem, Thialda T Hoogstins-Vlagsma, Tim van Zutphen, Hanneke Buter, Gerjan J Navis, E Christiaan Boerma

Abstract read
In one paragraph

Article in Journal of the Intensive Care Society, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. Review
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

7 authors.

Lise F E BeumelerCampus Fryslân, University of Groningen, Leeuwarden, The Netherlands.ORCID https://orcid.org/0000-0002-6513-3635
Carina BethlehemDepartment of Intensive Care, Medical Centre Leeuwarden, Leeuwarden, The Netherlands.ORCID https://orcid.org/0000-0001-7495-1659
Thialda T Hoogstins-VlagsmaDepartment of Medical Psychology, Medical Centre Leeuwarden, Leeuwarden, The Netherlands.
Tim van ZutphenCampus Fryslân, University of Groningen, Leeuwarden, The Netherlands.
Hanneke ButerDepartment of Intensive Care, Medical Centre Leeuwarden, Leeuwarden, The Netherlands.
Gerjan J NavisFaculty of Medical Sciences, University Medical Centre Groningen, The Netherlands.
E Christiaan BoermaDepartment of Intensive Care, Medical Centre Leeuwarden, Leeuwarden, The Netherlands.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Intensive care unit (ICU) survivors often suffer from long-term mental problems and a reduced health-related quality of life (HRQoL). Symptoms of depression, anxiety, and post-traumatic stress disorder may render patients mentally frail post-ICU, resulting in impaired recovery and an increased informal caregiver burden. The aim of this study was to investigate the prevalence of mental frailty up to 12 months after ICU admission and pinpoint markers for early risk-assessment in clinical practice. Methods: A retrospective cohort study (2012-2018) in which clinical and post-ICU data of long-stay (⩾48 h) ICU-patients was used. Mental frailty was identified as clinically relevant symptoms of depression, anxiety, or post-traumatic distress disorder at 12 months after discharge. Results: The prevalence of mental frailty at 12 months post-ICU among the total group of 239 patients was 38%. Mental frailty was defined as clinically relevant symptoms of depression, anxiety, and/or trauma. To achieve this, previously validated cut off values were used for the HADS (HADS-Anxiety ⩾ 8; HADS-Depression ⩾ 8) and TSQ (⩾6), and CSI (⩾7). Conclusion: A significant proportion of ICU-survivors can be identified as mentally frail, which is associated with impaired HRQoL at baseline and post-ICU, and high caregiver strain. These findings emphasize the need for integrative aftercare programs for both the patient and their informal caregivers.

Indexed as

Critical illnessfrailtymental healthquality of life

Identifiers

PMID37841292
PMCPMC10572478

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Registered trials

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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.