Participant retention in trauma intensive care unit (ICU) follow-up studies: a post-hoc analysis of a previous scoping review

Background The study aimed to synthesize participant retention-related data for longitudinal follow-up studies of survivors from trauma intensive care units (ICUs).Methods Within a published scoping review evaluating ICU patient outcomes after hospital discharge, two screeners independently searched...

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Main Authors: Dale M Needham, Elizabeth Colantuoni, Victor D Dinglas, Himanshu Rawal, Daniel L Young, Roozbeh Nikooie, Awsse H Al Ani, Lisa Aronson Friedman, Sumana Vasishta
Format: Article
Language:English
Published: BMJ Publishing Group 2020-12-01
Series:Trauma Surgery & Acute Care Open
Online Access:https://tsaco.bmj.com/content/5/1/e000584.full
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author Dale M Needham
Elizabeth Colantuoni
Victor D Dinglas
Himanshu Rawal
Daniel L Young
Roozbeh Nikooie
Awsse H Al Ani
Lisa Aronson Friedman
Sumana Vasishta
author_facet Dale M Needham
Elizabeth Colantuoni
Victor D Dinglas
Himanshu Rawal
Daniel L Young
Roozbeh Nikooie
Awsse H Al Ani
Lisa Aronson Friedman
Sumana Vasishta
author_sort Dale M Needham
collection DOAJ
description Background The study aimed to synthesize participant retention-related data for longitudinal follow-up studies of survivors from trauma intensive care units (ICUs).Methods Within a published scoping review evaluating ICU patient outcomes after hospital discharge, two screeners independently searched for trauma ICU survivorship studies.Results There were 11 trauma ICU follow-up studies, all of which were cohort studies. Twelve months (range: 1–60 months) was the most frequent follow-up time point for assessment (63% of studies). Retention rates ranged from 54% to 94% across time points and could not be calculated for two studies (18%). Pooled retention rates at 3, 6, and 12 months were 75%, 81%, and 81%, respectively. Mean patient age (OR 0.85 per 1-year increase, 95% CI 0.73 to 0.99, p=0.036), percent of men (OR 1.07, 95% CI 1.04 to 1.10, p=0.002), and publication year (OR 0.89 per 1-year increase, 95% CI 0.82 to 0.95, p=0.007) were associated with retention rates. Early (3-month) versus later (6-month, 12-month) follow-up time point was not associated with retention rates.Discussion Pooled retention rates were >75%, at 3-month, 6-month, and 12-month time points, with wide variability across studies and time points. There was little consistency with reporting participant retention methodology and related data. More detailed reporting guidelines, with better author adherence, will help improve reporting of participant retention data. Utilization of existing research resources may help improve participant retention.Level of evidence Level III: meta-analyses (post-hoc analyses) of a prior scoping review.
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spelling doaj-art-e12ea9f35bad4ea891ce6dafa15ee6b82025-08-20T02:49:48ZengBMJ Publishing GroupTrauma Surgery & Acute Care Open2397-57762020-12-015110.1136/tsaco-2020-000584Participant retention in trauma intensive care unit (ICU) follow-up studies: a post-hoc analysis of a previous scoping reviewDale M Needham0Elizabeth Colantuoni1Victor D Dinglas2Himanshu Rawal3Daniel L Young4Roozbeh Nikooie5Awsse H Al Ani6Lisa Aronson Friedman7Sumana Vasishta8Department of Physical Medicine and Rehabilitation, Johns Hopkins Medicine School of Medicine, Baltimore, Maryland, USA7 Department of Biostatistics, Johns Hopkins University—Bloomberg School of Public Health, Baltimore, Maryland, USAPCCM, Johns Hopkins University School of Medicine, Baltimore, Maryland, USAPulmonary Disease and Critical Care Medicine, Wake Forest School of Medicine, Winston-Salem, North Carolina, USADepartment of Physical Therapy, University of Nevada Las Vegas, Las Vegas, Nevada, USADepartment of Internal Medicine, Yale-New Haven Hospital, New Haven, Connecticut, USAMedStar Union Memorial Hospital, Baltimore, Maryland, USAOutcomes After Critical Illness and Surgery Group, Johns Hopkins University, Baltimore, Maryland, USAInstitute of Nephro Urology Mysuru Branch, Krishna Rajendra Hospital Campus, Mysuru, IndiaBackground The study aimed to synthesize participant retention-related data for longitudinal follow-up studies of survivors from trauma intensive care units (ICUs).Methods Within a published scoping review evaluating ICU patient outcomes after hospital discharge, two screeners independently searched for trauma ICU survivorship studies.Results There were 11 trauma ICU follow-up studies, all of which were cohort studies. Twelve months (range: 1–60 months) was the most frequent follow-up time point for assessment (63% of studies). Retention rates ranged from 54% to 94% across time points and could not be calculated for two studies (18%). Pooled retention rates at 3, 6, and 12 months were 75%, 81%, and 81%, respectively. Mean patient age (OR 0.85 per 1-year increase, 95% CI 0.73 to 0.99, p=0.036), percent of men (OR 1.07, 95% CI 1.04 to 1.10, p=0.002), and publication year (OR 0.89 per 1-year increase, 95% CI 0.82 to 0.95, p=0.007) were associated with retention rates. Early (3-month) versus later (6-month, 12-month) follow-up time point was not associated with retention rates.Discussion Pooled retention rates were >75%, at 3-month, 6-month, and 12-month time points, with wide variability across studies and time points. There was little consistency with reporting participant retention methodology and related data. More detailed reporting guidelines, with better author adherence, will help improve reporting of participant retention data. Utilization of existing research resources may help improve participant retention.Level of evidence Level III: meta-analyses (post-hoc analyses) of a prior scoping review.https://tsaco.bmj.com/content/5/1/e000584.full
spellingShingle Dale M Needham
Elizabeth Colantuoni
Victor D Dinglas
Himanshu Rawal
Daniel L Young
Roozbeh Nikooie
Awsse H Al Ani
Lisa Aronson Friedman
Sumana Vasishta
Participant retention in trauma intensive care unit (ICU) follow-up studies: a post-hoc analysis of a previous scoping review
Trauma Surgery & Acute Care Open
title Participant retention in trauma intensive care unit (ICU) follow-up studies: a post-hoc analysis of a previous scoping review
title_full Participant retention in trauma intensive care unit (ICU) follow-up studies: a post-hoc analysis of a previous scoping review
title_fullStr Participant retention in trauma intensive care unit (ICU) follow-up studies: a post-hoc analysis of a previous scoping review
title_full_unstemmed Participant retention in trauma intensive care unit (ICU) follow-up studies: a post-hoc analysis of a previous scoping review
title_short Participant retention in trauma intensive care unit (ICU) follow-up studies: a post-hoc analysis of a previous scoping review
title_sort participant retention in trauma intensive care unit icu follow up studies a post hoc analysis of a previous scoping review
url https://tsaco.bmj.com/content/5/1/e000584.full
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