VIEW SELECTED MEDIA

Name of Media:

Author(s):

Publisher or Source:

Type of Media:

COVID-19 Related

Description:

If Media is a PDF or Document, Such as an Article or Chart, Click Icon:

If Media is a Video, Click Icon:

Incidence and Risk Factors for Intensive Care Unit–related Post-traumatic Stress Disorder in Veterans and Civilians

Mayur B. Patel, James C. Jackson, Alessandro Morandi, Timothy D. Girard, Christopher G. Hughes,Jennifer L. Thompson, Amy L. Kiehl, MarkR.Elstad, Mitzi L. Wasserstein, Richard B. Goodman,Jean C. Beckham, Rameela Chandrasekhar, RobertS.Dittus, E. Wesley Ely, and Pratik P. Pandharipande

American Journal of Respiratory and Critical Care Medicine

Medical Research

Media Originally for:

Critical Care Physicians

No

Rationale:The incidence and risk factors of post-traumatic stress disorder (PTSD) related to the intensive care unit (ICU) experience have not been reported in a mixed veteran and civilian cohort.
Objectives:To describe the incidence and risk factors for ICU-related PTSD in veterans and civilians.
Methods:This is a prospective, observational, multicenter cohort enrolling adult survivors of critical illness after respiratory failure and/or shock from three Veterans Affairs and one civilian hospital. After classifying those with/without preexisting PTSD (i.e., PTSD before hospitalization), we then assessed all subjects for ICU-related PTSD at 3 and 12 months post hospitalization.
Measurements and Main Results:Of 255 survivors, 181 and160 subjects were assessed for ICU-related PTSD at 3- and 12-monthfollow-up, respectively. A high probability of ICU-related PTSD was found in up to 10% of patients at either follow-up time point, whether assessed by PTSD Checklist Event-Specific Version (score>50) or item mapping using the Diagnostic and Statistical Manual of Mental Disorders-IV(DSM-IV). In the multivariable regression, pre-existingPTSD was independently associated with ICU-related PTSD at both3and12months(P,0.001), as was preexisting depression(P,0.03), but veteran status was not a consistent independent risk factor for ICU-related PTSD (3-monthP= 0.01, 12-monthP= 0.48).
Conclusions:This study found around 1 in 10 ICU survivors experienced ICU-related PTSD (i.e., PTSD anchored to their critical illness) in the year after hospitalization. Preexisting PTSD and depression were strongly associated with ICU-related PTSD.

PostICU, Inc's library staff reviewed this copyrighted material contained in the library and reasonably believes that its inclusion in our library complies with the "Fair Use Doctrine" because: (1) our library's is for nonprofit and educational purposes; (2) the nature of the copyrighted work is related to our mission; (3) the amount and substantiality of the portion used in relation to the copyrighted work as a whole is fair and reasonable; and (4) the potential market for or value of the copyrighted work will if impacted, should be enhanced, by its presence in our library.

© 2020 by PostICU, Inc.., a 501(c)3 Corporation All rights reserved. Terms of Service (General), Cookies PolicyTerms of Service for Mobile AppDisclaimers & Disclosures and Privacy Policy.