Posttraumatic Stress Disorder in General Intensive Care Unit Survivors: A Systematic Review
By Dimitry S. Davydow. General Hospital Psychiatry, 2008
649 citations recorded by the source corpus.
Objective Our objective was to summarize and critically review data on the prevalence of posttraumatic stress disorder (PTSD) in general intensive care unit (ICU) survivors, risk factors for post-ICU PTSD, and the impact of post-ICU PTSD on health-related quality of life (HRQOL). Methods We conducted a systematic literature review using Medline, EMBASE, Cochrane Library, CINAHL, PsycINFO, and a hand-search of thirteen journals. Results Fifteen studies were eligible. The median point prevalence of questionnaire-ascertained “clinically significant” PTSD symptoms was 22% (n = 1,104), and the median point prevalence of clinician-diagnosed PTSD was 19% (n = 93). Consistent predictors of post-ICU PTSD included prior psychopathology, greater ICU benzodiazepine administration, and post-ICU memories of in-ICU frightening and/or psychotic experiences. Female sex and younger age were less consistent predictors, and severity of critical illness was consistently not a predictor. Post-ICU PTSD was associated with substantially lower HRQOL. Conclusions The prevalence of PTSD in ICU survivors is high and negatively impacts survivors’ HRQOL. Future studies should comprehensively address how patient-specific factors (e.g., pre-ICU psychopathology), ICU management factors (e.g., administration of sedatives), and ICU clinical factors (e.g., in-ICU delirium) relate to one another and to post-ICU PTSD. Clinicians caring for the growing population of ICU survivors should be aware of PTSD risk factors and monitor patients’ needs for early intervention.
Subfields: Clinical Psychology, Critical Care and Intensive Care Medicine, Radiological and Ultrasound Technology
View Paper: https://www.semanticscholar.org/paper/d2dc84d5d643abcf34a213917880fe02b9584cae
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In Clinical Psychology
In Critical Care and Intensive Care Medicine
In Radiological and Ultrasound Technology
Citations in the corpus
- Clinical Practice Guidelines for the Management of Pain, Agitation, and Delirium in Adult Patients in the Intensive Care Unit (2013, neutral): “前版の「成人重症患者に対する鎮静・鎮痛薬の使用 に関する臨床ガイドライン」が公表されて以降、ICU 入 室患者の身体的および精神的な快適さに関して、われ われの知識は著しく進歩している(1)。ICU患者の疼痛、 鎮静、不穏およびせん妄を評価するための妥当かつ信 頼性のある臨床評価ツールが開発されたことにより、 臨床医にとっては、より適切な患者管理と、非薬物療 法および薬物療法による介入のアウトカムの評価が可 能になった(2,3)。また、ICU 患者の疼痛、不穏および せん妄(pain, agitation, and delirium:PAD)の治療に 一般的に使用される薬剤の臨床薬理学に関する”
- Posttraumatic Stress Disorder in Critical Illness Survivors: A Metaanalysis* (2015, background): “The burden of PTSD symptoms in critical illness survivors has gained increasing recognition in the past 5 years, with the number of studies published on this topic more than doubling compared with the preceding 5-year interval (7).”
- Long-term complications of critical care (2011, background): “Commonly reported ICUrelated risk factors include poor recall of the ICU stay, traumatic or delusional ICU memories, and ICU sedation (76, 77, 79, 82, 90, 94).”