Evidence map›Paper›PMID 42554982›Full record

Trial reportCritical care explorations2026

A Co-Designed Post-ICU Follow-Up Pathway Is Feasible and May Be Associated With Improved Psychosocial Recovery for Patients and Their Caregivers: Outcomes From the IMPACT-ICU Single-Center Randomized Controlled Trial.

Natasha A Jawa, Michaela Hanley, Akasham Rajagopaul, Robin Westphal, Michelle Tryon, Rebecca Wakelin, Christine Caron, David M Maslove, Stephanie Sibley, John Muscedere and 5 more

Abstract readRandomized Controlled TrialPragmatic Clinical Trial
PubMed Full text at PMC Publisher
In one paragraph

Trial report in Critical care explorations, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

15 authors.

Natasha A JawaFaculty of Health Sciences, Centre for Neuroscience Studies, Queen's University, Kingston, ON, Canada.ORCID 0000-0001-7600-7178
Michaela HanleyDepartment of Critical Care Medicine, Queen's University, Kingston, ON, Canada.
Akasham RajagopaulSchool of Medicine, Queen's Health Sciences, Queen's University, Kingston, ON, Canada.
Robin WestphalDepartment of Critical Care Medicine, Queen's University, Kingston, ON, Canada.
Michelle TryonDepartment of Critical Care Medicine, Queen's University, Kingston, ON, Canada.
Rebecca WakelinDepartment of Critical Care Medicine, Queen's University, Kingston, ON, Canada.
Christine CaronSepsis Canada, Hamilton, ON, Canada.
David M MasloveDepartment of Critical Care Medicine, Queen's University, Kingston, ON, Canada.
Stephanie SibleyDepartment of Critical Care Medicine, Queen's University, Kingston, ON, Canada.
John MuscedereDepartment of Critical Care Medicine, Queen's University, Kingston, ON, Canada.
Sunita MathurFaculty of Health Sciences, School of Rehabilitation Therapy, Queen's University, Kingston, ON, Canada.
Afolasade FakoladeFaculty of Health Sciences, School of Rehabilitation Therapy, Queen's University, Kingston, ON, Canada.
Michelle E KhoFaculty of Health Sciences, School of Rehabilitation Sciences, McMaster University, Hamilton, ON, Canada.
J Gordon BoydFaculty of Health Sciences, Centre for Neuroscience Studies, Queen's University, Kingston, ON, Canada.
Canadian Critical Care Trials Group

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesPost-intensive care syndrome (PICS) and PICS-family (PICS-F) lead to lasting physical, cognitive, and psychologic challenges among survivors of critical illness and their caregivers. It is unclear how best to support these individuals. We aimed to evaluate the feasibility of a co-designed, multicomponent post-ICU follow-up intervention and to explore its association with symptoms of PICS and PICS-F.

designThis was a pragmatic, mixed-methods randomized controlled trial.

settingThis study was conducted at an academic ICU in Canada. PATIENTS: We enrolled 20 patient-caregiver dyads (n = 40 participants). Patients were eligible if they were 18 years old or older, expected to survive greater than or equal to 6 months after discharge from ICU, and were at high-risk for PICS. Caregiver participants were adult caregivers of enrolled patients.

interventionsDyads were randomized 1:1 to receive usual care or an intervention bundle co-designed with patients and caregivers, consisting of an ICU diary, informational materials, and two multidisciplinary follow-up clinic visits at 1 and 3 months after ICU discharge. MEASUREMENTS AND MAIN

resultsTrial outcomes included feasibility metrics, qualitative interviews, process evaluation, and clinical measures at 6 months. Qualitative data were analyzed using reflexive thematic analysis. Quantitative outcomes included PICS symptomatology, quality of life, caregiver burden, healthcare utilization, and functional status. The consent rate was 87.5%, with a mean enrollment of 5.25 participants/month. Twenty dyads were randomized; one ICU participant in each group died before their 6-month follow-up. Seven of nine dyads in the intervention and all nine in the control completed 6-month follow-up. Intervention group survivors had lower depressive symptom scores compared with controls. Intervention group caregivers reported higher emotional well-being and social functioning scores and lower anxiety, depression, and caregiver burden. Qualitative findings demonstrated greater emotional support, preparedness, and continuity of care in the intervention group.

conclusionsOur post-ICU care bundle was feasible and may be associated with improved psychosocial outcomes.

Indexed as

AftercareCaregiversCritical IllnessSurvivorsAdultAgedCanadaFeasibility StudiesFemaleFollow-Up StudiesHumansIntensive Care UnitsMaleMiddle AgedQuality of Lifecritical illnessfollow-up carefunctional outcomesneurocognitive impairmentpost-intensive care syndrome

Identifiers

PMID42554982
PMCPMC13446967

What Socratic holds

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LicenceCC BY-NC
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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 Socratic graph.