Cargando…

Prediction Models for Physical, Cognitive, and Mental Health Impairments After Critical Illness: A Systematic Review and Critical Appraisal

OBJECTIVES: Improved ability to predict impairments after critical illness could guide clinical decision-making, inform trial enrollment, and facilitate comprehensive patient recovery. A systematic review of the literature was conducted to investigate whether physical, cognitive, and mental health i...

Descripción completa

Detalles Bibliográficos
Autores principales: Haines, Kimberley J., Hibbert, Elizabeth, McPeake, Joanne, Anderson, Brian J., Bienvenu, Oscar Joseph, Andrews, Adair, Brummel, Nathan E., Ferrante, Lauren E., Hopkins, Ramona O., Hough, Catherine L., Jackson, James, Mikkelsen, Mark E., Leggett, Nina, Montgomery-Yates, Ashley, Needham, Dale M., Sevin, Carla M., Skidmore, Becky, Still, Mary, van Smeden, Maarten, Collins, Gary S., Harhay, Michael O.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Lippincott Williams & Wilkins 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7673641/
https://www.ncbi.nlm.nih.gov/pubmed/33060502
http://dx.doi.org/10.1097/CCM.0000000000004659
_version_ 1783611361501118464
author Haines, Kimberley J.
Hibbert, Elizabeth
McPeake, Joanne
Anderson, Brian J.
Bienvenu, Oscar Joseph
Andrews, Adair
Brummel, Nathan E.
Ferrante, Lauren E.
Hopkins, Ramona O.
Hough, Catherine L.
Jackson, James
Mikkelsen, Mark E.
Leggett, Nina
Montgomery-Yates, Ashley
Needham, Dale M.
Sevin, Carla M.
Skidmore, Becky
Still, Mary
van Smeden, Maarten
Collins, Gary S.
Harhay, Michael O.
author_facet Haines, Kimberley J.
Hibbert, Elizabeth
McPeake, Joanne
Anderson, Brian J.
Bienvenu, Oscar Joseph
Andrews, Adair
Brummel, Nathan E.
Ferrante, Lauren E.
Hopkins, Ramona O.
Hough, Catherine L.
Jackson, James
Mikkelsen, Mark E.
Leggett, Nina
Montgomery-Yates, Ashley
Needham, Dale M.
Sevin, Carla M.
Skidmore, Becky
Still, Mary
van Smeden, Maarten
Collins, Gary S.
Harhay, Michael O.
author_sort Haines, Kimberley J.
collection PubMed
description OBJECTIVES: Improved ability to predict impairments after critical illness could guide clinical decision-making, inform trial enrollment, and facilitate comprehensive patient recovery. A systematic review of the literature was conducted to investigate whether physical, cognitive, and mental health impairments could be predicted in adult survivors of critical illness. DATA SOURCES: A systematic search of PubMed and the Cochrane Library (Prospective Register of Systematic Reviews ID: CRD42018117255) was undertaken on December 8, 2018, and the final searches updated on January 20, 2019. STUDY SELECTION: Four independent reviewers assessed titles and abstracts against study eligibility criteria. Studies were eligible if a prediction model was developed, validated, or updated for impairments after critical illness in adult patients. Discrepancies were resolved by consensus or an independent adjudicator. DATA EXTRACTION: Data on study characteristics, timing of outcome measurement, candidate predictors, and analytic strategies used were extracted. Risk of bias was assessed using the Prediction model Risk Of Bias Assessment Tool. DATA SYNTHESIS: Of 8,549 screened studies, three studies met inclusion. All three studies focused on the development of a prediction model to predict (1) a mental health composite outcome at 3 months post discharge, (2) return-to-pre-ICU functioning and residence at 6 months post discharge, and (3) physical function 2 months post discharge. Only one model had been externally validated. All studies had a high risk of bias, primarily due to the sample size, and statistical methods used to develop and select the predictors for the prediction published model. CONCLUSIONS: We only found three studies that developed a prediction model of any post-ICU impairment. There are several opportunities for improvement for future prediction model development, including the use of standardized outcomes and time horizons, and improved study design and statistical methodology.
format Online
Article
Text
id pubmed-7673641
institution National Center for Biotechnology Information
language English
publishDate 2020
publisher Lippincott Williams & Wilkins
record_format MEDLINE/PubMed
spelling pubmed-76736412020-11-23 Prediction Models for Physical, Cognitive, and Mental Health Impairments After Critical Illness: A Systematic Review and Critical Appraisal Haines, Kimberley J. Hibbert, Elizabeth McPeake, Joanne Anderson, Brian J. Bienvenu, Oscar Joseph Andrews, Adair Brummel, Nathan E. Ferrante, Lauren E. Hopkins, Ramona O. Hough, Catherine L. Jackson, James Mikkelsen, Mark E. Leggett, Nina Montgomery-Yates, Ashley Needham, Dale M. Sevin, Carla M. Skidmore, Becky Still, Mary van Smeden, Maarten Collins, Gary S. Harhay, Michael O. Crit Care Med Review Articles OBJECTIVES: Improved ability to predict impairments after critical illness could guide clinical decision-making, inform trial enrollment, and facilitate comprehensive patient recovery. A systematic review of the literature was conducted to investigate whether physical, cognitive, and mental health impairments could be predicted in adult survivors of critical illness. DATA SOURCES: A systematic search of PubMed and the Cochrane Library (Prospective Register of Systematic Reviews ID: CRD42018117255) was undertaken on December 8, 2018, and the final searches updated on January 20, 2019. STUDY SELECTION: Four independent reviewers assessed titles and abstracts against study eligibility criteria. Studies were eligible if a prediction model was developed, validated, or updated for impairments after critical illness in adult patients. Discrepancies were resolved by consensus or an independent adjudicator. DATA EXTRACTION: Data on study characteristics, timing of outcome measurement, candidate predictors, and analytic strategies used were extracted. Risk of bias was assessed using the Prediction model Risk Of Bias Assessment Tool. DATA SYNTHESIS: Of 8,549 screened studies, three studies met inclusion. All three studies focused on the development of a prediction model to predict (1) a mental health composite outcome at 3 months post discharge, (2) return-to-pre-ICU functioning and residence at 6 months post discharge, and (3) physical function 2 months post discharge. Only one model had been externally validated. All studies had a high risk of bias, primarily due to the sample size, and statistical methods used to develop and select the predictors for the prediction published model. CONCLUSIONS: We only found three studies that developed a prediction model of any post-ICU impairment. There are several opportunities for improvement for future prediction model development, including the use of standardized outcomes and time horizons, and improved study design and statistical methodology. Lippincott Williams & Wilkins 2020-10-15 2020-12 /pmc/articles/PMC7673641/ /pubmed/33060502 http://dx.doi.org/10.1097/CCM.0000000000004659 Text en Copyright © 2020 The Author(s). Published by Wolters Kluwer Health, Inc. on behalf of the Society of Critical Care Medicine and Wolters Kluwer Health, Inc. This is an open-access article distributed under the terms of the Creative Commons Attribution-Non Commercial-No Derivatives License 4.0 (CCBY-NC-ND) (http://creativecommons.org/licenses/by-nc-nd/4.0/) , where it is permissible to download and share the work provided it is properly cited. The work cannot be changed in any way or used commercially without permission from the journal.
spellingShingle Review Articles
Haines, Kimberley J.
Hibbert, Elizabeth
McPeake, Joanne
Anderson, Brian J.
Bienvenu, Oscar Joseph
Andrews, Adair
Brummel, Nathan E.
Ferrante, Lauren E.
Hopkins, Ramona O.
Hough, Catherine L.
Jackson, James
Mikkelsen, Mark E.
Leggett, Nina
Montgomery-Yates, Ashley
Needham, Dale M.
Sevin, Carla M.
Skidmore, Becky
Still, Mary
van Smeden, Maarten
Collins, Gary S.
Harhay, Michael O.
Prediction Models for Physical, Cognitive, and Mental Health Impairments After Critical Illness: A Systematic Review and Critical Appraisal
title Prediction Models for Physical, Cognitive, and Mental Health Impairments After Critical Illness: A Systematic Review and Critical Appraisal
title_full Prediction Models for Physical, Cognitive, and Mental Health Impairments After Critical Illness: A Systematic Review and Critical Appraisal
title_fullStr Prediction Models for Physical, Cognitive, and Mental Health Impairments After Critical Illness: A Systematic Review and Critical Appraisal
title_full_unstemmed Prediction Models for Physical, Cognitive, and Mental Health Impairments After Critical Illness: A Systematic Review and Critical Appraisal
title_short Prediction Models for Physical, Cognitive, and Mental Health Impairments After Critical Illness: A Systematic Review and Critical Appraisal
title_sort prediction models for physical, cognitive, and mental health impairments after critical illness: a systematic review and critical appraisal
topic Review Articles
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7673641/
https://www.ncbi.nlm.nih.gov/pubmed/33060502
http://dx.doi.org/10.1097/CCM.0000000000004659
work_keys_str_mv AT haineskimberleyj predictionmodelsforphysicalcognitiveandmentalhealthimpairmentsaftercriticalillnessasystematicreviewandcriticalappraisal
AT hibbertelizabeth predictionmodelsforphysicalcognitiveandmentalhealthimpairmentsaftercriticalillnessasystematicreviewandcriticalappraisal
AT mcpeakejoanne predictionmodelsforphysicalcognitiveandmentalhealthimpairmentsaftercriticalillnessasystematicreviewandcriticalappraisal
AT andersonbrianj predictionmodelsforphysicalcognitiveandmentalhealthimpairmentsaftercriticalillnessasystematicreviewandcriticalappraisal
AT bienvenuoscarjoseph predictionmodelsforphysicalcognitiveandmentalhealthimpairmentsaftercriticalillnessasystematicreviewandcriticalappraisal
AT andrewsadair predictionmodelsforphysicalcognitiveandmentalhealthimpairmentsaftercriticalillnessasystematicreviewandcriticalappraisal
AT brummelnathane predictionmodelsforphysicalcognitiveandmentalhealthimpairmentsaftercriticalillnessasystematicreviewandcriticalappraisal
AT ferrantelaurene predictionmodelsforphysicalcognitiveandmentalhealthimpairmentsaftercriticalillnessasystematicreviewandcriticalappraisal
AT hopkinsramonao predictionmodelsforphysicalcognitiveandmentalhealthimpairmentsaftercriticalillnessasystematicreviewandcriticalappraisal
AT houghcatherinel predictionmodelsforphysicalcognitiveandmentalhealthimpairmentsaftercriticalillnessasystematicreviewandcriticalappraisal
AT jacksonjames predictionmodelsforphysicalcognitiveandmentalhealthimpairmentsaftercriticalillnessasystematicreviewandcriticalappraisal
AT mikkelsenmarke predictionmodelsforphysicalcognitiveandmentalhealthimpairmentsaftercriticalillnessasystematicreviewandcriticalappraisal
AT leggettnina predictionmodelsforphysicalcognitiveandmentalhealthimpairmentsaftercriticalillnessasystematicreviewandcriticalappraisal
AT montgomeryyatesashley predictionmodelsforphysicalcognitiveandmentalhealthimpairmentsaftercriticalillnessasystematicreviewandcriticalappraisal
AT needhamdalem predictionmodelsforphysicalcognitiveandmentalhealthimpairmentsaftercriticalillnessasystematicreviewandcriticalappraisal
AT sevincarlam predictionmodelsforphysicalcognitiveandmentalhealthimpairmentsaftercriticalillnessasystematicreviewandcriticalappraisal
AT skidmorebecky predictionmodelsforphysicalcognitiveandmentalhealthimpairmentsaftercriticalillnessasystematicreviewandcriticalappraisal
AT stillmary predictionmodelsforphysicalcognitiveandmentalhealthimpairmentsaftercriticalillnessasystematicreviewandcriticalappraisal
AT vansmedenmaarten predictionmodelsforphysicalcognitiveandmentalhealthimpairmentsaftercriticalillnessasystematicreviewandcriticalappraisal
AT collinsgarys predictionmodelsforphysicalcognitiveandmentalhealthimpairmentsaftercriticalillnessasystematicreviewandcriticalappraisal
AT harhaymichaelo predictionmodelsforphysicalcognitiveandmentalhealthimpairmentsaftercriticalillnessasystematicreviewandcriticalappraisal