Section and working groups

The Health Services Research & Outcome section is led by Dylan De Lange and Michelle Chew.

> Learn more about this section

Research – Trials

A Multicentre International One-Day Prevalence Study on Pressure Injuries in Intensive Care Units.

The objective of this study is to provide an up-to-date, global picture of the extent and patterns of pressure injuries in ICUs.

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Multinational, multicentre study of outcome of Very old ICU Patients. This study will address the ICU care of the very old, defined as patients ≥ 80 years, admitted to the ICU.

The project studied the frequency of ICU admission in the very old patients, the use of common ICU resources including ICU and hospital LOS in Europe.


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This is the 2nd study from the VIP (very old intensive care patient) network within the HSRO section at ESICM: VIP2. It is the recipient of one of the ESICM Clinical Research Awards in 2017.

This study is now open for ICUs to join.

> Read news

The main goal of this multinational study, mainly in Europe, is to describe the burden of care for informal caregivers of octogenarians, with regards to burden of care, post-traumatic stress and anxiety & depression.

> Read more

> Visit website

Competency-based Training in Intensive Care Medicine in Europe – Innovation Transfer. The CoBaTrICE project created an international competency-based programme for ICM.

More information: www.cobatrice.org

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Sentinel Events Evaluation. SEE project is focused on the causes and measures of error prevention.

Results: Patient safety in intensive care: results from the multinational Sentinel Events Evaluation (SEE) study.

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Research – Surveys

We have little insight into the extent to which such scoring systems are actually used in ICUs, and which type of systems are preferred.

This simple survey aimed to compile useful feedback about the use of ICU scoring in European ICUs and beyond.

Results coming soon.

The survey aimed to evaluate and compare the level of implementation of the European Working Time Directive amongst intensive care physicians working in countries across Europe, as well as their working conditions and job satisfaction.

WORKing time of DOCtors in the ICU (WorkDoc) survey.

Results coming soon.

Strategies to improve ICUs in resource-poor settings. The aim of the study is to identify strategies to improve ICUs in resource-poor ICU settings and evaluate whether perceptions differ between ICU staff from the developed and developing world.

Publication: Current challenges in the management of sepsis in ICUs in resource-poor settings and suggestions for the future.

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Survey about non-physician providers (physician assistants and nurse practitioners) on the ICU in Europe

Survey organised by Herman Kreeftenberg, HSRO section

International survey on the Structure and Organisation of the Intensive Care Unit (ISOREA).

This survey has been endorsed by the Société de Réanimation de Langue Française (SRLF), by the Subsaharian Society for Anesthesia and Intensive Care (SARANF) and by ESICM.

The objective is to evaluate the current structure and organisation of ICUs in a very large sample of countries with low, middle and high income, given the scarcity of data in this area.

Complete the survey

Relevant research

Mark J. Peters et al. The intensive care medicine clinical research agenda in paediatrics.
> Read more (Free Access)

Hans Flaatten et al. The status of intensive care medicine research and a future agenda for very old patients in the ICU.
> Read more (Free Access)

Stuart Gallacher et al. An experimental model to measure the ability of headphones with active noise control to reduce patient’s exposure to noise in an intensive care unit.
> Read more

Hans Flaatten et al. The impact of frailty on ICU and 30-day mortality and the level of care in very elderly patients (≥ 80 years).
> Read more

Attila Karakus et al. Trends in short-term and 1-year mortality in very elderly intensive care patients in the Netherlands: a retrospective study from 2008 to 2014.
> Read more

A. Parker Ruhl et al. Healthcare utilisation and costs in ARDS survivors: a 1-year longitudinal national US multicentre study.
> Read more

Giuseppe Naretto and Alessandra Boratti. Storeroom 99: a place for words to support families of ICU patients.
> Read more

Irregular migrants: a critical care or a public health emergency.
> Read more

Critically ill migrants with infection: diagnostic considerations for intensive care physicians in Europe.
> Read more

Article Reviews

Psychiatric symptoms after acute respiratory distress syndrome: a 5-year longitudinal study
> Read this article review

Is it dangerous to be admitted to an ICU during a weekend?
> Read this article review

Impact of Frailty on ICU & mortality in very elderly patients
> Read this article review

How to reduce physical and mental impairment post-ICU? Results from the RAPIT study
> Read this article review

Randomised trial on Condolence Letter for grief symptoms among ICU patients’ relatives
> Read this article review

Challenges in caring for critically ill, non-sedated, mechanically ventilated patients
> Read this article review

Worldwide determinants of time to death in critically ill patients
> Read this article review

The Value of E-Learning for the Prevention of HAIs
> Read this article review

Suggested talks

One-year outcomes after ICU discharge? FROG-ICU trial Results

Alexandre Mebazaa (Paris, France) sits down with icTV to discuss the results of his recent trial examining outcomes of patients following their release from intensive care. These results were presented on Monday during the Clinical Trials session at LIVES 2015

Visit our e-LIVES platform to see more…

RAPIT study

In this icTV interview, Janet Froulund Jensen (Hillerød, Denmark) discusses her novel study on QOL and recovery in post ICU patients.

Read the article in ICM here.

Post-ICU syndrome in patients relatives

In this icTV interview, Nancy Kentish-Barnes (Paris, France) discusses the surprising results from her randomised clinical trial on the effect of a condolence letter on post-intensive care unit syndrome among relatives of patients who died in the ICU.

Results from this study were presented during the HOT TOPICS session on Wednesday October 5th at LIVES 2016 in Milan.

Visit our e-LIVES platform to see more…


Can early pain, agitation, depth of sedation and mobilisation act as predictors of 180-day mortality?

In this icTV interview,  Yahya Shehabi discusses the results of his multinational prospective longitudinal cohort study on this topic.
Results were presented on Monday October 3rd during the President’s session at LIVES 2016 in Milan.

Visit our e-LIVES platform to see more…