Evidence map›Paper›PMID 37870597›Full record

Trial reportIntensive care medicine2023

Effects of an online information tool on post-traumatic stress disorder in relatives of intensive care unit patients: a multicenter double-blind, randomized, placebo-controlled trial (ICU-Families-Study).

Magdalena Hoffmann, Marie-Madlen Jeitziner, Regina Riedl, Gerhard Mueller, Andreas Peer, Adelbert Bachlechner, Patrik Heindl, Harald Burgsteiner, Joerg C Schefold, Dirk von Lewinski and 4 more

Open access · hybridAbstract readRandomized Controlled TrialMulticenter Study
In one paragraph

Trial report in Intensive care medicine, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 4 pooled it
5.1field-weighted citation impact, top 4% 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.

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

18 citing papers in PubMed, 4 syntheses or guidelines pooled it, 21 citations in OpenAlex.

  1. Pooled it
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  4. Family Support Strategies During Intensive Care Unit: A Systematic Review.Inquiry : a journal of medical care organization, provision and financing
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  18. Indian Society of Critical Care Medicine and Indian Association of Palliative Care Expert Consensus and Position Statements for End-of-life and Palliative Care in the Intensive Care Unit.Indian journal of critical care medicine : peer-reviewed, official publication of Indian Society of Critical Care Medicine · 2024
    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

14 authors at 6 institutions in 2 countries.

Magdalena HoffmannResearch Unit for Safety and Sustainability in Healthcare, c/o Division of Plastic, Aesthetic and Reconstructive Surgery, Department of Surgery, Medical University of Graz, Graz, Austria.ORCID 0000-0003-1668-4294
Marie-Madlen JeitzinerDepartment of Intensive Care Medicine, University Hospital Bern, Inselspital, University of Bern, Bern, Switzerland. Marie-Madlen.Jeitziner@insel.ch.ORCID 0000-0002-0275-4602
Regina RiedlInstitute for Medical Informatics, Statistics and Documentation, Medical University of Graz, Graz, Austria.
Gerhard MuellerDepartment of Nursing Science and Gerontology, Institute of Nursing Science, UMIT TIROL - Private University of Health Sciences and Health Technology, Hall in Tyrol, Austria.ORCID 0000-0001-9077-6344
Andreas PeerDivision of Intensive Care and Emergency Medicine, Department of Internal Medicine, Medical University Innsbruck, Innsbruck, Austria.ORCID 0000-0002-3312-8743
Adelbert BachlechnerDepartment of Intensive Care, Vienna General Hospital, Vienna, Austria.
Patrik HeindlDepartment of Intensive Care, Vienna General Hospital, Vienna, Austria.
Harald BurgsteinerInstitute for Digital Media Education, University College of Teacher Education Styria, Graz, Austria.ORCID 0000-0001-7800-8414
Joerg C SchefoldDepartment of Intensive Care Medicine, University Hospital Bern, Inselspital, University of Bern, Bern, Switzerland.ORCID 0000-0001-9162-5724
Dirk von LewinskiDepartment of Cardiology, Medical University of Graz, Graz, Austria.ORCID 0000-0001-9996-6128
Philipp EllerIntensive Care Unit, Department of Internal Medicine, Medical University of Graz, Graz, Austria.ORCID 0000-0001-5537-3646
Thomas PieberResearch Unit for Safety and Sustainability in Healthcare, c/o Division of Plastic, Aesthetic and Reconstructive Surgery, Department of Surgery, Medical University of Graz, Graz, Austria.ORCID 0000-0003-3554-0405
Gerald SendlhoferResearch Unit for Safety and Sustainability in Healthcare, c/o Division of Plastic, Aesthetic and Reconstructive Surgery, Department of Surgery, Medical University of Graz, Graz, Austria.ORCID 0000-0002-6538-3116
Karin AmreinDivision of Endocrinology and Diabetology, Department of Internal Medicine, Medical University of Graz, Graz, Austria.ORCID 0000-0003-0915-085X
Medical University of Graz · ATUniversity of Bern · CHVienna General Hospital · ATInnsbruck Medical University · ATUMIT - Private Universität für Gesundheitswissenschaften, Medizinische Informatik und Technik · ATUniversity of Teacher Education Styria · AT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeIntensive care unit (ICU) hospitalization is challenging for the family members of the patients. Most family members report some level of anxiety and depression, sometimes even resulting in post-traumatic stress disorder (PTSD). An association has been reported between lack of information and PTSD. This study had three aims: to quantify the psychological burden of family members of critically ill patients, to explore whether a website with specific information could reduce PTSD symptoms, and to ascertain whether a website with information about intensive care would be used.

methodA multicenter double-blind, randomized, placebo-controlled trial was carried out in Austria and Switzerland.

resultsIn total, 89 members of families of critically ill patients (mean age 47.3 ± 12.9 years, female n = 59, 66.3%) were included in the study. 46 relatives were allocated to the intervention website and 43 to the control website. Baseline Impact of Event Scale (IES) score was 27.5 ± 12.7. Overall, 50% showed clinically relevant PTSD symptoms at baseline. Mean IES score for the primary endpoint (~ 30 days after inclusion, T1) was 24 ± 15.8 (intervention 23.9 ± 17.9 vs. control 24.1 ± 13.5, p = 0.892). Hospital Anxiety and Depression Scale (HADS - Deutsch (D)) score at T1 was 12.2 ± 6.1 (min. 3, max. 31) and did not differ between groups. Use of the website differed between the groups (intervention min. 1, max. 14 vs. min. 1, max. 3; total 1386 "clicks" on the website, intervention 1021 vs. control 365). Recruitment was prematurely stopped in February 2020 due to coronavirus disease 2019 (COVID-19).

conclusionFamily members of critically ill patients often have significant PTSD symptoms and online information on critical illness did not result in reduced PTSD symptoms.

Indexed as

Stress Disorders, Post-TraumaticAdultAnxietyCritical CareCritical IllnessDepressionDouble-Blind MethodFemaleHumansIntensive Care UnitsMaleMiddle AgedCommunicationFamiliesFamily-centered careInformationIntensive careOnlinePost-traumatic stress disorder

Identifiers

PMID37870597
PMCPMC10622355
OpenAlexW4387865741

What OpenQuestion holds

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LicenceCC BY-NC
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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.