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. 2024 Nov;37(6):964-970.
doi: 10.1016/j.aucc.2024.02.002. Epub 2024 Apr 6.

Participant retention in follow-up studies of intensive care unit survivors - A scoping review

Collaborators, Affiliations

Participant retention in follow-up studies of intensive care unit survivors - A scoping review

Daniel L Young et al. Aust Crit Care. 2024 Nov.

Abstract

Objective: To synthesize participant retention data and related reporting in studies evaluating post-hospital outcomes of survivors of critical illness after an intensive care unit (ICU) stay.

Review method used: A synthesis of literature following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses Extension for Scoping Reviews checklist.

Data sources: PubMed, EMBASE, PsycINFO, Cumulative Index of Nursing and Allied Health Literature, and the Cochrane Controlled Trials Registry. Hand searched reference lists and personal files of relevant narrative and systematic review articles.

Review methods: Articles were screened by pairs of independent reviewers. Similarly, data were abstracted by pairs of data collectors, with conflicts resolved by consensus or by a third reviewer.

Results: We included 243 publications, from 225 unique studies of 87,602 participants. Participant retention could not be calculated for any time-points in 13% of studies nor in 22% of all follow-up time-points. Retention ranged from 18-100%. When compared to follow-up before 1-month, retention at each later timepoint was not significantly different. Age and sex were not associated with retention and more recent studies had decreased retention (odds ratio: 0.94 [95% confidence interval: 0.92-0.96; p < 0.001]). Reporting of retention-related study methodology was inconsistent.

Conclusion: Retention rate could not be calculated for 22% of study follow-up time-points, with retention at the remaining time-points generally being high (≥85%), but with high variability (18% - 100%). ICU survivorship research could be improved via: (i) more detailed guidance on reporting participant retention, and (ii) use of existing resources and best practices to facilitate better study design and to improve participant retention to preserve statistical power and reduce selection bias.

Keywords: Acute respiratory failure; Cohort; Follow-up studies; Meta-analysis; Participant retention; Systematic review.

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Conflict of interest statement

Conflict of interest The authors do not have any conflict of interests to declare.

References

    1. Zimmerman JE, Kramer AA, Knaus WA. Changes in hospital mortality for United States intensive care unit admissions from 1988 to 2012. Crit Care Load Engl. 2013;17(2):R81. doi:10.1186/cc12695 - DOI - PMC - PubMed
    1. Vanhorebeek I, Latronico N, Van den Berghe G. ICU-acquired weakness. Intensive Care Med. Published online February 19, 2020. doi:10.1007/s00134-020-05944-4 - DOI - PMC - PubMed
    1. McPeake J, Mikkelsen ME, Quasim T, et al. Return to Employment Following Critical Illness and Its Association with Psychosocial Outcomes: A Systematic Review and Meta-Analysis. Ann Am Thorac Soc. Published online June 11, 2019. doi:10.1513/AnnalsATS.201903-248OC - DOI - PubMed
    1. Fuke R, Hifumi T, Kondo Y, et al. Early rehabilitation to prevent postintensive care syndrome in patients with critical illness: a systematic review and meta-analysis. BMJ Open. 2018;8(5):e019998. doi:10.1136/bmjopen-2017-019998 - DOI - PMC - PubMed
    1. Doiron KA, Hoffmann TC, Beller EM. Early intervention (mobilization or active exercise) for critically ill adults in the intensive care unit. Cochrane Database Syst Rev. 2018;3:CD010754. doi:10.1002/14651858.CD010754.pub2 - DOI - PMC - PubMed

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