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Predictors of post-traumatic stress disorder following critical illness: A mixed methods study
Battle, C. E., James, K., Bromfield, T., & Temblett, P.
National Center for Biotechnology Information
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Critical Care Physicians, General Medical Professionals, Nurses and/or Other Critical Care Medical Professionals
Purpose:Post-traumatic stress disorder has been reported in survivors of critical illness. The aim of this study was to investigate the predictors of post-traumatic stress disorder in survivors of critical illness.Materials and methods:Patients attending the intensive care unit (ICU) follow-up clinic completed the UK-Post-Traumatic Stress Syndrome 14-Questions Inventory and data was collected from their medical records. Predictors investigated included age, gender, Apache II score, ICU length of stay, pre-illness psychopathology; delirium and benzodiazepine administration during ICU stay and delusional memories of the ICU stay following discharge.Results:A total of 198 patients participated, with 54 (27%) patients suffering with post-traumatic stress disorder.On multivariable logistic regression, the significant predictors of post-traumatic stress disorder were younger age,lower Apache II score, pre-illness psychopathology and delirium during the ICU stay.Conclusions:The predictors of post-traumatic stress disorder in this study concur with previous research however a lower Apache II score has not been previously reported.
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