# “Lost in Transition”: Informational Needs of Sepsis Survivors and Their Relatives Across the Care Trajectory—A Qualitative Study

**Authors:** Frank Vahl, Susanne Ullmann, Lea Draeger, Lena Kannengießer, Mathias W. Pletz, Claudia T. Matthaeus-Kraemer, Carolin Fleischmann-Struzek

PMC · DOI: 10.3390/jcm15010091 · Journal of Clinical Medicine · 2025-12-23

## TL;DR

Sepsis survivors and their relatives face information gaps across the care journey, needing better communication and resources to manage recovery and long-term effects.

## Contribution

This study identifies phase-specific informational needs and preferred formats for sepsis survivors and relatives, offering actionable insights for healthcare providers.

## Key findings

- Relatives need timely, clear, and empathetic communication during the ICU phase.
- Survivors and relatives experience an 'information vacuum' after discharge, lacking guidance on long-term effects and rehabilitation.
- Participants desired peer support and repeated conversations with healthcare professionals, alongside trusted online and printed resources.

## Abstract

Background/Objectives: Sepsis survivors frequently experience long-term complications known as Post-Sepsis Syndrome. Many survivors and their relatives express ongoing dissatisfaction with the quality and accessibility of health information. Yet the specific informational needs and preferred formats remain insufficiently defined. To identify the informational needs of sepsis survivors and their relatives across different stages of illness and recovery. Methods: This qualitative study, conducted within the AVENIR project, included semi-structured telephone interviews with 12 survivors and 6 relatives in Germany. Interviews were transcribed verbatim and analyzed using qualitative content analysis according to Mayring. Results: Eighteen interviews highlighted phase-specific gaps in information. Relatives reported urgent needs for timely, comprehensible and empathetic communication during the ICU phase, often while under decision pressure. Survivors described limited capacity to process information during the acute phase and sought orientation only after cognitive and emotional stabilization. After discharge, both groups reported an “information vacuum”, marked by insufficient guidance on long-term physical and psychological consequences, rehabilitation, vaccination, and follow-up care. Many participants received no informational material, or only general or inconsistent information. Desired content emphasized basic sepsis knowledge, explanations of persistent symptoms, practical coping strategies, and navigation of support services. Preferred formats included peer support and repeated, personal conversations with healthcare professionals, complemented by trusted online and printed resources. Conclusions: Sepsis survivors and relatives experience notable, role- and phase-specific information deficits that extend from the ICU into long-term recovery. Timely, reliable, and accessible information may help reduce uncertainty, support coping, and strengthen autonomy for both survivors and relatives.

## Full-text entities

- **Diseases:** Sepsis (MESH:D018805), Post-Sepsis Syndrome (MESH:D018746)

## Full text

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## Figures

5 figures with captions in the complete paper: https://tomesphere.com/paper/PMC12787246/full.md

## References

39 references — full list in the complete paper: https://tomesphere.com/paper/PMC12787246/full.md

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Source: https://tomesphere.com/paper/PMC12787246