Evidence map›Paper›PMID 38263124›Full record

ArticleCritical care (London, England)2024

Time in ICU and post-intensive care syndrome: how long is long enough?

Dylan Flaws, John F Fraser, Kevin Laupland, Jayshree Lavana, Sue Patterson, Alexis Tabah, Oystein Tronstad, Mahesh Ramanan

Abstract read
In one paragraph

Article in Critical care (London, England), 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 2 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.

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

12 citing papers in PubMed, 2 syntheses or guidelines pooled it.

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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.

Dylan FlawsDepartment of Mental Health, Metro North Mental Health, Caboolture Hospital, Caboolture, QLD, Australia. dylan.flaws@health.qld.gov.au.
John F FraserCritical Care Research Group, Adult Intensive Care Service, The Prince Charles Hospital, Brisbane, QLD, Australia.
Kevin LauplandSchool of Clinical Sciences, Queensland University of Technology, Brisbane, QLD, Australia.
Jayshree LavanaDepartment of Intensive Care, Adult Intensive Care Services, The Prince Charles Hospital, Brisbane, QLD, Australia.
Sue PattersonCritical Care Research Group, Adult Intensive Care Service, The Prince Charles Hospital, Brisbane, QLD, Australia.
Alexis TabahDepartment of Intensive Care, Intensive Care Unit, Redcliffe Hospital, Brisbane, QLD, Australia.
Oystein TronstadCritical Care Research Group, Adult Intensive Care Service, The Prince Charles Hospital, Brisbane, QLD, Australia.
Mahesh RamananDepartment of Intensive Care, Adult Intensive Care Services, The Prince Charles Hospital, Brisbane, QLD, Australia.

Funding

Jamieson Trauma Institute Project GrantMetro North Mental Health CRG-197-2020University of Queensland Clinician Research Fellowship Top-Up
6 · The paper itself

Abstract

backgroundOur understanding of post-ICU recovery is influenced by which patients are selected to study and treat. Many studies currently list an ICU length of stay of at least 24, 48, or 72 h as an inclusion criterion. This may be driven by established evidence that prolonged time in an ICU bed and prolonged ventilation can complicate post-ICU rehabilitation. However, recovery after short ICU stays still needs to be explored.

methodsThis is a secondary analysis from the tracking outcomes post-intensive care (TOPIC) study. One hundred and thirty-two participants were assessed 6-months post-ICU discharge using standardised and validated self-report tools for physical function, cognitive function, anxiety, depression and post-traumatic stress disorder (with clinically significant impairment on any tool being considered a complicated recovery). Routinely collected data relating to the ICU stay were retrospectively accessed, including length of stay and duration of mechanical ventilation. Patients with short ICU stays were intentionally included, with 77 (58%) participants having an ICU length of stay < 72 h.

resultsOf 132 participants, 40 (30%) had at least one identified post-ICU impairment 6 months after leaving ICU, 22 (17%) of whom had an ICU length of stay < 72 h.

conclusionMany patients with an ICU length of stay < 72 h are reporting post-ICU impairment 6 months after leaving ICU. This is a population often excluded from studies and interventions. Future research should further explore post-ICU impairment among shorter stays.

Indexed as

AnxietyCritical IllnessHumansIntensive Care UnitsRetrospective Studies

Identifiers

PMID38263124
PMCPMC10807116

What OpenQuestion holds

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LicenceCC BY
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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.