Evidence map›Paper›PMID 39763165›Full record

ArticleNursing in critical care2025

Hope among patients discharged from an intensive care unit: A prospective cohort study.

Mona Austenå, Tone Rustøen, Milada Cvancarova Hagen, Åse Valsø, Kjetil Sunde, Kirsti Tøien

Abstract read
In one paragraph

Article in Nursing in critical care, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

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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

2 citing papers in PubMed.

  1. Article
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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

6 authors.

Mona AustenåDepartment of Postoperative and Intensive Care Nursing, Division of Emergencies and Critical Care, Oslo University Hospital, Oslo, Norway.ORCID https://orcid.org/0000-0001-8222-0178
Tone RustøenDepartment of Research and Development, Division of Emergencies and Critical Care, Oslo University Hospital, Oslo, Norway.
Milada Cvancarova HagenDepartment of Research and Development, Division of Emergencies and Critical Care, Oslo University Hospital, Oslo, Norway.
Åse ValsøDepartment of Postoperative and Intensive Care Nursing, Division of Emergencies and Critical Care, Oslo University Hospital, Oslo, Norway.
Kjetil SundeDepartment of Anesthesiology, Division of Emergencies and Critical Care, Oslo University Hospital, Oslo, Norway.
Kirsti TøienDepartment of Postoperative and Intensive Care Nursing, Division of Emergencies and Critical Care, Oslo University Hospital, Oslo, Norway.

Funding

Norsk SykepleierforbundOslo university hospital
6 · The paper itself

Abstract

backgroundHope is important during critical illness due to the uncertainty and loss of control in the patient's life. Following intensive care, hope might provide a therapeutic effect and increase coping, leading to improved recovery.

aimTo describe the levels of hope in patients during the first year after ICU treatment, and to explore possible associations between hope and selected demographic, clinical and psychosocial factors. STUDY

designThis is a prospective cohort study and a predefined sub-study of a randomized controlled trial. Adults discharged from five mixed ICUs were included. All patients were screened for post-traumatic stress symptoms at baseline, and data on hope, post-traumatic stress and social support were collected 3, 6 and 12 months later. Linear regression analyses and linear mixed models for repeated measurements with hope as the dependent variable were used.

resultsMedian age was 57 years (range 18-94), 47% were women, median length of ICU stay was 3 days (range 1-83), Simplified Acute Physiology Score II was 24 (range 0-78) and 54% received mechanical ventilation. Not having prior mental health problems (B = 1.93, 95% CI [0.90, 2.98]), lower level of post-traumatic stress symptoms (B = -0.08, 95% CI [-0.11, -0.04]) and more social support (B = 0.37, 95% CI [0.31, 0.43]) were all independently associated with higher levels of hope during the first year after critical illness. The levels of hope were higher in the study cohort than in the general Norwegian population and remained unchanged during follow-up.

conclusionsPatients maintained a stable level of hope throughout follow-up. Absence of prior mental health problems, lower post-traumatic stress symptoms and more social support after ICU discharge were associated with higher hope. RELEVANCE TO CLINICAL PRACTICE: Patients' hope should be strengthened during the ICU stay through psychosocial support and care for patients with previous post-traumatic stress symptoms and mental health problems.

Indexed as

Adaptation, PsychologicalCritical IllnessHopeIntensive Care UnitsPatient DischargeAdolescentAdultAgedAged, 80 and overFemaleHumansLength of StayMaleMiddle AgedProspective StudiesSocial Supportcohort studycritical carehopepatientsocial support

Identifiers

PMID39763165
PMCPMC12210213

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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.