Neuropsychiatric outcome in subgroups of Intensive Care Unit survivors : Implications for after-care

Autor: Diederik van Dijk, Dale M. Needham, Arjen J. C. Slooter, Monika C. Kerckhoffs, Lotte Kok, Dylan W. de Lange, Olaf L. Cremer, Sandra M.A. Dijkstra-Kersten
Přispěvatelé: Clinical sciences, Neuroprotection & Neuromodulation
Jazyk: angličtina
Rok vydání: 2020
Předmět:
Male
Psychological intervention
Anxiety
Critical Care and Intensive Care Medicine
Hospital Anxiety and Depression Scale
law.invention
Stress Disorders
Post-Traumatic
0302 clinical medicine
Quality of life
law
Surveys and Questionnaires
Survivors
Prospective Studies
Survivors/psychology
Depression (differential diagnoses)
Netherlands
Response rate (survey)
Critical Illness/psychology
Depression
Posttraumatic stress disorder
Middle Aged
Intensive care unit
Patient Discharge
humanities
Hospitalization
Intensive Care Units
young adult
Female
medicine.symptom
mental health
Cohort study
Adult
medicine.medical_specialty
Adolescent
Psychometrics
Anxiety/psychology
Stress Disorders
Post-Traumatic/psychology
03 medical and health sciences
medicine
Journal Article
Humans
Aged
business.industry
030208 emergency & critical care medicine
030228 respiratory system
Emergency medicine
business
aged
80 and over
Critical illness
Depression/psychology
Zdroj: Journal of Critical Care, 55, 171. Elsevier BV
ISSN: 0883-9441
Popis: Purpose Poor neuropsychiatric outcomes are common in survivors of critical illness but it is unclear what patient groups to target for interventions to improve mental health. We compared anxiety, depression, and post-traumatic stress disorder (PTSD) symptoms and health-related quality of life (HrQoL) across different subgroups of Intensive Care Unit (ICU) survivors. Materials and methods A single-center cohort study was conducted in a mixed-ICU in the Netherlands among survivors of an ICU admission ≥48 h (n = 1730). Survivors received a survey one year after discharge, containing the Hospital Anxiety and Depression Scale (HADS), Impact of Event Scale (IES/IES-R), and EQ-5D (response rate of 67%). Neuropsychiatric symptoms and quality of life were evaluated in a priori defined subgroups, by chi-square tests and Mann-Whitney U tests. Results Symptoms of anxiety (HADS anxiety ≥8), depression (HADS depression ≥8), and PTSD (IES ≥35; IES-R ≥ 1.6) were reported by 34%, 33%, and 19% of ICU survivors, with a median HrQoL utility score of 0.81 (IQR:0.65–1.00). These figures were similar for survivors of ARDS, sepsis, severe multiple organ failure (SOFA>11), or ICU stay ≥7 days. Conclusions This underlines the importance of prevention and treatment for neuropsychiatric symptoms in ICU survivors in general, not only in specific patient groups.
Databáze: OpenAIRE
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