Evidence map›Paper›PMID 42016601›Full record

ArticleCHEST critical care2026

Predictors of Patient-Reported Financial Hardship in Patients Hospitalized With Critical Illness and Its Association With Patient Outcomes.

Alison M Uyeda, Peter May, C Clare Pytel, Elizabeth L Nielsen, Ruth A Engelberg, Nita Khandelwal

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Article in CHEST critical care, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

What it found

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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

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

6 authors.

Alison M UyedaFrom the Cambia Palliative Care Center of Excellence at UW Medicine (A. M. U, E. L. N, R. A. E, and N. K.), Division of Pulmonary, Critical Care, and Sleep Medicine (A. M. U, E. L. N, and R. A. E.), Department of Medicine, Harborview Medical Center, the Department of Anesthesiology and Pain Medicine (C. C. P. and N. K.), University of Washington, Seattle, WA; the Cicely Saunders Institute of Palliative Care, Policy and Rehabilitation (P. M.), King's College London, London, England; and the School of Medicine (P. M.), Trinity College, Dublin, Ireland.
Peter MayFrom the Cambia Palliative Care Center of Excellence at UW Medicine (A. M. U, E. L. N, R. A. E, and N. K.), Division of Pulmonary, Critical Care, and Sleep Medicine (A. M. U, E. L. N, and R. A. E.), Department of Medicine, Harborview Medical Center, the Department of Anesthesiology and Pain Medicine (C. C. P. and N. K.), University of Washington, Seattle, WA; the Cicely Saunders Institute of Palliative Care, Policy and Rehabilitation (P. M.), King's College London, London, England; and the School of Medicine (P. M.), Trinity College, Dublin, Ireland.
C Clare PytelFrom the Cambia Palliative Care Center of Excellence at UW Medicine (A. M. U, E. L. N, R. A. E, and N. K.), Division of Pulmonary, Critical Care, and Sleep Medicine (A. M. U, E. L. N, and R. A. E.), Department of Medicine, Harborview Medical Center, the Department of Anesthesiology and Pain Medicine (C. C. P. and N. K.), University of Washington, Seattle, WA; the Cicely Saunders Institute of Palliative Care, Policy and Rehabilitation (P. M.), King's College London, London, England; and the School of Medicine (P. M.), Trinity College, Dublin, Ireland.
Elizabeth L NielsenFrom the Cambia Palliative Care Center of Excellence at UW Medicine (A. M. U, E. L. N, R. A. E, and N. K.), Division of Pulmonary, Critical Care, and Sleep Medicine (A. M. U, E. L. N, and R. A. E.), Department of Medicine, Harborview Medical Center, the Department of Anesthesiology and Pain Medicine (C. C. P. and N. K.), University of Washington, Seattle, WA; the Cicely Saunders Institute of Palliative Care, Policy and Rehabilitation (P. M.), King's College London, London, England; and the School of Medicine (P. M.), Trinity College, Dublin, Ireland.
Ruth A EngelbergFrom the Cambia Palliative Care Center of Excellence at UW Medicine (A. M. U, E. L. N, R. A. E, and N. K.), Division of Pulmonary, Critical Care, and Sleep Medicine (A. M. U, E. L. N, and R. A. E.), Department of Medicine, Harborview Medical Center, the Department of Anesthesiology and Pain Medicine (C. C. P. and N. K.), University of Washington, Seattle, WA; the Cicely Saunders Institute of Palliative Care, Policy and Rehabilitation (P. M.), King's College London, London, England; and the School of Medicine (P. M.), Trinity College, Dublin, Ireland.
Nita KhandelwalFrom the Cambia Palliative Care Center of Excellence at UW Medicine (A. M. U, E. L. N, R. A. E, and N. K.), Division of Pulmonary, Critical Care, and Sleep Medicine (A. M. U, E. L. N, and R. A. E.), Department of Medicine, Harborview Medical Center, the Department of Anesthesiology and Pain Medicine (C. C. P. and N. K.), University of Washington, Seattle, WA; the Cicely Saunders Institute of Palliative Care, Policy and Rehabilitation (P. M.), King's College London, London, England; and the School of Medicine (P. M.), Trinity College, Dublin, Ireland.

Funding

Transform Dissemination and Implementation Science in CTSA ProgramsUL1TR002319 · NCATS · UNIVERSITY OF WASHINGTON · PI John K. Amory · 2017 to 2026
$100.0M
Palliative Care Research Training GrantT32HL125195 · NHLBI · UNIVERSITY OF WASHINGTON · PI KROSS, ERIN KATHRYN, SHARMA, RASHMI K. · 2015 to 2024
$3.2M
Improving patient- and family-centered outcomes and value of care for patients with chronic illness who develop acute respiratory failureK23HL144830 · NHLBI · UNIVERSITY OF WASHINGTON · PI KHANDELWAL, NITA · 2019 to 2022
$715k
NCATS NIH HHS UL1 TR002319NHLBI NIH HHS K23 HL144830NHLBI NIH HHS T32 HL125195
6 · The paper itself

Abstract

backgroundA high burden of financial hardship has been demonstrated in critically ill patients. Understanding the sociodemographic and clinical risk factors for financial hardship and its association with patient outcomes can help to guide future interventions to mitigate financial hardship in this patient population. RESEARCH QUESTION: What are the sociodemographic and clinical risk factors for financial hardship in critically ill patients and its association with patient-reported outcomes? STUDY DESIGN AND

methodsThis prospective cohort study enrolled adults with chronic, life-limiting illness, acute severe illness, or both hospitalized in the ICU. Twenty-six sociodemographic and clinical variables were measured using electronic health record or patient questionnaire data collected at either 1 or 3 months after ICU admission. Risk factors for patient-reported financial hardship were evaluated using linear regression. The association between financial hardship and 4 patient-reported outcomes was tested with probit and linear regression.

resultsWe enrolled 171 patients with a median age of 58 years (interquartile range, 45, 70 years), including 64 female (37%) patients and 44 patients (26%) from racial or ethnic minority groups. Illness-related change in work status (β = 3.5;

interpretationThis study demonstrated an association between patient-reported financial hardship and negative patient-reported outcomes in critically ill patients. Our findings also highlight important risk factors for financial hardship and suggest that sociodemographic factors, including education level, illness-related change in work status, and poorer self-reported health status, could contribute more than clinical factors. Our findings provide a foundation for future development of screening tools and interventions to mitigate financial hardship in critically ill patients.

Indexed as

critical illnessfinancial hardshippatient-centered outcomessocial support

Identifiers

PMID42016601
PMCPMC13095150

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.