Skip to main content
. 2022 Jun 27;23:533. doi: 10.1186/s13063-022-06454-y

Table 3.

Patient- and family member-related data

Time point of assessment Patient Family member
T0 T1 T2 T3 T4 T0 T1 T2 T3 T4
Demographics
 Age, gender, civil status (T2–T4 change), Education X X X X X
 Type of family member (T0), primary carer (yes/no) X X X X
 Co-habiting with patient (yes/no), frequency of contact X
 Travel time to hospital X
Health status
 Medical diagnosis (MDSi) X X
 Trauma (yes/no); if yes, AISa X
 Mechanical ventilation and circulary support (T0: yes/no, T1: # of days) X X
 SAPS-2b X
 NEMSc, SOFAd X X
 Death (yes/no); if yes, date, cause, placee X X X X X
 Organ donation (yes/no); if yes, organ, surrogate dm) X
 Functional status (Katz ADL/Lawton IADL)e X X X
 Prior/present psychiatric diagnosis (yes/no) X
 Self-perceived health (VAS)  X X X X X
Care utilization
 Cause of admission X
 Type of admission (expected, unexpected), admitted from X
 Surgery (emergency, planned, none) X
 Previous ICU stays (yes/no) X
 Prior need for informal/ formal care (yes/no)f X
 Length of ICU stay X
 Discharge/transfer destination, planned vs. unexpected X
 Need for informal/formal care (yes / no); if yes, change, hours/frequency, more/less than before ICU treatment)e X X X
 Prior/current/new psychological/psychiatric treatment (yes / no) X X X X X
 Use of prescription drugs X X X X X
 Current treatment for a chronic condition (yes/no) X
 Number of family physician visits/hospitalizations (if yes: related to critical illness yes/no/length of stay) X X X X
 Previous ICU experience (as patient, as family of the patient) X
 Family satisfaction with prior care experience (VAS) X
 Family satisfaction with care on hospital wards (VAS) X
Work situation
 Level of employment, income X
 Change in level of employment (yes / no); if yes: related to critical illness yes/no), new income X X X X
 Sick leave/absence from work (if yes: # of (half-)days) X X X X X
 Presenteeism X X X X

aAbbreviated Injury Scale

bSequential Organ Failure Assessment Score

cNine equivalents of nursing manpower use score

dSimplified Acute Physiology Score

ePatient-related information at T2, T3, T4 obtained from family member

fPatient-related information at T0 obtained from family member