Evidence map›Paper›PMID 38049839›Full record

Observational studyEuropean journal of medical research2023

Functional independence, frailty and perceived quality of life in patients who developed delirium during ICU stay: a prospective cohort study.

Beatriz Lobo-Valbuena, Rosario Molina, Raúl Castañeda-Vozmediano, Leire Lopez de la Oliva Calvo, Ana Abella, María-Mercedes Garcia-Arias, Irene Salinas Gabiña, Federico Gordo

Open access · goldAbstract readObservational Study
In one paragraph

Observational study in European journal of medical research, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 3 pooled it
3.4field-weighted citation impact, top 6% 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

13 citing papers in PubMed, 3 syntheses or guidelines pooled it, 16 citations in OpenAlex.

  1. [Frailty in intensive care medicine].Medizinische Klinik, Intensivmedizin und Notfallmedizin · 2026
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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 at 2 institutions in 1 country.

Beatriz Lobo-ValbuenaIntensivist - Intensive Care Unit, Hospital Universitario del Henares, Coslada, Madrid, Spain. b.lobo.valbuena@gmail.com.ORCID http://orcid.org/0000-0002-6534-8396
Rosario MolinaIntensivist - Intensive Care Unit, Hospital Universitario del Henares, Coslada, Madrid, Spain.
Raúl Castañeda-VozmedianoResearch Support Unit, Faculty of Medicine, Universidad Francisco de Vitoria, Pozuelo de Alarcón, Madrid, Spain.ORCID http://orcid.org/0000-0003-3681-9782
Leire Lopez de la Oliva CalvoIntensivist - Intensive Care Unit, Hospital Universitario del Henares, Coslada, Madrid, Spain.
Ana AbellaIntensivist - Intensive Care Unit, Hospital Universitario del Henares, Coslada, Madrid, Spain.
María-Mercedes Garcia-AriasIntensivist - Intensive Care Unit, Hospital Universitario del Henares, Coslada, Madrid, Spain.
Irene Salinas GabiñaIntensivist - Intensive Care Unit, Hospital Universitario del Henares, Coslada, Madrid, Spain.
Federico GordoIntensivist - Intensive Care Unit, Hospital Universitario del Henares, Coslada, Madrid, Spain.
Universidad Francisco de Vitoria · ESHospital Universitario del Henares · ES

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundSurvivors of critical illness are frequently left with a long-lasting disability. We hypothesised that patients who developed delirium during ICU stay, compared with patients who did not, would have worse health-related quality of life following a critical illness.

methodsProspective longitudinal observational and analytical study assessing functional independence, frailty and perceived quality of life measured with the Barthel Index, the Clinical Frailty Scale, and the SF-36, comparing patients who developed delirium during ICU stay and patients who did not. The questionnaires were used at different times during the follow-up (upon ICU admission, at ICU discharge, at hospital discharge and 2 years after hospital discharge).

resultsIn a cohort of 1462 patients, we matched 93 patients who developed delirium (delirium group) with 93 patients who did not develop delirium (no-delirium group). Of 156 completed questionnaires (84.7%), we observed that (a) in each of the two groups of patients, the scores related to functional independence (Barthel Index) and frailty (Clinical Frailty Scale) tended to improve over time (p < 0.001), being consistently less favourable in the delirium group compared to the no-delirium group (p < 0.001); (b) the patients who developed delirium also presented lower scores on the SF-36 scale, these differences being statistically significant, and therefore evidencing a worse quality of life, with impact on both the psychological and social spheres (p < 0.001).

conclusionsPatients who developed delirium had significantly lower scores 2 years after hospital discharge on the three used questionnaires, displaying a clear negative impact on the physical, psychological, and social dimensions. The study's results reinforce the need to support and strengthen the care of ICU survivors.

Indexed as

DeliriumFrailtyCritical IllnessFunctional StatusHumansIntensive Care UnitsLongitudinal StudiesProspective StudiesQuality of LifeActivities of daily livingCritical careDeliriumHealth-related quality of lifePost-intensive care syndrome

Identifiers

PMID38049839
PMCPMC10696684
OpenAlexW4389298015

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.