Evidence map›Paper›PMID 41076066›Full record

ArticleChest2026

Post-Intensive Care Syndrome Awareness and Communication: Surveys of ICU Providers and Patients.

Mark L Rolfsen, Matthew F Mart, Hannah Kieffer, David Krasinski, Timothy D Girard, Lauren E Ferrante, Robert L Owens, Ana Lucia Fuentes, Nathan Brummel, Carla M Sevin and 11 more

Abstract readMulticenter Study
In one paragraph

Article in Chest, 2026. 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

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

2 citing papers in PubMed.

  1. Article
  2. 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

21 authors.

Mark L RolfsenCritical Illness, Brain Dysfunction, and Survivorship (CIBS) Center, Nashville TN; Division of Allergy, Pulmonary and Critical Care Medicine, Department of Medicine, Vanderbilt University Medical Center, Nashville TN. Electronic address: mark.l.rolfsen@vumc.org.
Matthew F MartCritical Illness, Brain Dysfunction, and Survivorship (CIBS) Center, Nashville TN; Division of Allergy, Pulmonary and Critical Care Medicine, Department of Medicine, Vanderbilt University Medical Center, Nashville TN; Geriatric Research, Education, and Clinical Center, Veterans Affairs Tennessee Valley Health System, Nashville TN.
Hannah KiefferDepartment of Medicine, Vanderbilt University Medical Center, Nashville TN.
David KrasinskiDepartment of Medicine, Vanderbilt University Medical Center, Nashville TN.
Timothy D GirardCritical Illness, Brain Dysfunction, and Survivorship (CIBS) Center, Nashville TN; Center for Research, Investigation, and Systems Modeling of Acute Illness, Department of Critical Care Medicine, University of Pittsburgh School of Medicine, Pittsburgh, PA.
Lauren E FerranteDivision of Pulmonary, Critical Care and Sleep Medicine, Department of Medicine, Yale University School of Medicine, New Haven, CT.
Robert L OwensDivision of Pulmonary, Critical Care and Sleep Medicine, Department of Medicine, University of California San Diego, La Jolla, CA.
Ana Lucia FuentesDivision of Pulmonary, Critical Care and Sleep Medicine, Department of Medicine, University of California San Diego, La Jolla, CA.
Nathan BrummelCritical Illness, Brain Dysfunction, and Survivorship (CIBS) Center, Nashville TN; Division of Pulmonary, Critical Care, and Sleep Medicine, The Ohio State University College of Medicine, Columbus, OH.
Carla M SevinCritical Illness, Brain Dysfunction, and Survivorship (CIBS) Center, Nashville TN; Division of Allergy, Pulmonary and Critical Care Medicine, Department of Medicine, Vanderbilt University Medical Center, Nashville TN.
John P KressDivision of Pulmonary and Critical Care, Department of Medicine, University of Chicago, Chicago, IL.
Jaspal SinghAtrium Health and Levine Cancer Institute, Carolinas Medical Center and Atrium Health, Charlotte, NC.
Sukhvinder NagiDepartment of Anesthesia and Critical Care Medicine, Kaiser Permanente Medical Group, Northern California, San Jose CA.
Kevin ShawDivision of Critical Care Medicine, Department of Medicine, Scripps Memorial Hospital Encinitas, Encinitas, CA.
Edward QianDivision of Allergy, Pulmonary and Critical Care Medicine, Department of Medicine, Vanderbilt University Medical Center, Nashville TN.
James C JacksonCritical Illness, Brain Dysfunction, and Survivorship (CIBS) Center, Nashville TN; Division of Allergy, Pulmonary and Critical Care Medicine, Department of Medicine, Vanderbilt University Medical Center, Nashville TN; Geriatric Research, Education, and Clinical Center, Veterans Affairs Tennessee Valley Health System, Nashville TN.
Christopher G HughesCritical Illness, Brain Dysfunction, and Survivorship (CIBS) Center, Nashville TN; Department of Anesthesiology, Vanderbilt University Medical Center, Nashville TN.
Pratik PandharipandeCritical Illness, Brain Dysfunction, and Survivorship (CIBS) Center, Nashville TN; Department of Anesthesiology, Vanderbilt University Medical Center, Nashville TN.
Mayur PatelCritical Illness, Brain Dysfunction, and Survivorship (CIBS) Center, Nashville TN; Section of Surgical Sciences, Division of Acute Care Surgery, Department of Surgery, Vanderbilt University Medical Center, Nashville TN.
Tom ElasyDivision of General Internal Medicine, Department of Medicine, Vanderbilt University Medical Center, Nashville TN.
E Wesley ElyCritical Illness, Brain Dysfunction, and Survivorship (CIBS) Center, Nashville TN; Division of Allergy, Pulmonary and Critical Care Medicine, Department of Medicine, Vanderbilt University Medical Center, Nashville TN; Geriatric Research, Education, and Clinical Center, Veterans Affairs Tennessee Valley Health System, Nashville TN.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundSurvivors of critical illness often experience new or worsening impairments in various domains of health after discharge, collectively referred to as post-intensive care syndrome (PICS). Although this condition is common, it remains unclear whether providers are communicating routinely about survivorship and PICS to patients and families and whether patients are remembering these conversations. RESEARCH QUESTION: How often do ICU providers discuss the concept of PICS with at-risk patients or families, and how often do patients remember being told about the concept of PICS? STUDY DESIGN AND

methodsWe distributed online surveys to ICU health care providers at 9 US institutions and to patients who survived critical illness in the preceding year at a single site.

resultsWe collected a convenience sample of 382 provider responses and 148 patient responses. The providers were registered nurses (53.7%), physician fellows or attending physicians (33%), and advanced practice providers (13.4%). Patients predominantly had been admitted to surgical (41.1%), cardiovascular (41.1%), and medical (14.4%) ICUs. We found that 73.8% of providers reported having previously heard the term post-intensive care syndrome. In comparison, only 16.6% of patients remembered ever being told the term. When asked how often they would discuss with patients or families the possibility of any new or worsening impairments after critical illness, less than one-third of providers (29.9%) said they do so at least one-half of the time. Only about one-third of patients (35.6%) remembered such conversations.

interpretationOur results show that awareness of PICS is inconsistent among providers and low among patients. Few ICU team members reported routinely talking to patients or families about the common, disabling impairments that often occur after critical illness. Few patients remembered being told about the possibility of PICS. Further investigation is needed to determine how best to improve this communication gap.

Indexed as

AwarenessCommunicationCritical CareCritical IllnessHealth PersonnelIntensive Care UnitsAdultAgedFemaleHumansMaleMiddle AgedSurveys and QuestionnairesUnited Statesacute respiratory failureAlzheimer’s disease-related dementiasdeliriumdisabilitiesICU communicationneurocognitive impairmentpost-intensive care syndrome

Identifiers

PMID41076066
PMCPMC12895331

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.