ICU sedation, delirium & recovery

Association between ABCDE bundle compliance and long-term outcomes: a secondary longitudinal analysis

Intensive Care MedPublished Secondary analysis of the MIND-USA randomised trial

Authors' conclusion

In this multi-site cohort with high-fidelity bundle compliance, greater bundle compliance was associated with less disability in instrumental activities of daily living and better health-related quality of life at 12 months, though associations were inconsistent and absent across other domains.

Study context

Population
Adults with respiratory failure and/or shock in ICU, 16 US medical centres, 2011–2017251 assessed at 12 months
Participants
566 adults
Comparison
Greater vs lesser proportional ABCDE bundle compliance
Primary endpoint
Cognition, disability, mental health, quality of life and survival
Follow-up
3 and 12 months after hospital discharge
Methodological detailslongitudinal, multicentre
  • Longitudinal
  • Multicentre

Primary result

As reported in the abstract

Association of greater bundle compliance with long-term outcomes (adjusted) · 12 months

Functional Activity Questionnaire score (lower = better), β (CI - 19.6, - 1.7), p = 0.04

- 9.6

EuroQol-5D score, β (CI 0.1, 0.9), p = 0.01

0.5

Original publication

Association between ABCDE bundle compliance and long-term outcomes: a secondary longitudinal analysis. Intensive Care Med. Published 25 February 2026. doi:10.1007/s00134-026-08346-0

Composed by AI from the published abstract and checked against it. How Briefs are made →

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