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Symptoms of Posttraumatic Stress after Intensive Care Delirium.
Svenningsen, Helle; Egerod, Ingrid; Christensen, Doris; Tønnesen, Else Kirstine; Frydenberg, Morten; Videbech, Poul.
Afiliación
  • Svenningsen H; Department of Nursing, Faculty of Health Sciences, VIA University College, Hedeager 2, 8200 Aarhus N, Denmark.
  • Egerod I; Copenhagen University Hospital Rigshospitalet, Trauma Center 3193, Blegdamsvej 9, 2100 Copenhagen Ø, Denmark.
  • Christensen D; Department of Anaesthesia, Hillerød Hospital, Dyrehavevej 29, 3400 Hillerød, Denmark.
  • Tønnesen EK; Department of Anaesthesia and Intensive Care Medicine, Aarhus University Hospital, Building 21, 1, Nørrebrogade 44, 8000 Aarhus C, Denmark.
  • Frydenberg M; Department of Biostatistics, Institute of Public Health, Aarhus University, Building 1261, Room 221, Bartholins Allé 2, 8000 Aarhus, Denmark.
  • Videbech P; Department Q, Aarhus University Hospital, Risskov Skovagervej 2, 8240 Risskov, Denmark.
Biomed Res Int ; 2015: 876947, 2015.
Article en En | MEDLINE | ID: mdl-26557708
ABSTRACT

INTRODUCTION:

Long-term psychological consequences of critical illness are receiving more attention in recent years. The aim of our study was to assess the correlation of ICU-delirium and symptoms of posttraumatic stress disorder (PTSD) anxiety and depression after ICU-discharge in a Danish cohort.

METHODS:

A prospective observational cohort study assessing the incidence of delirium in the ICU. Psychometrics were screened by validated tools in structured telephone interviews after 2 months (n = 297) and 6 months (n = 248) after ICU-discharge.

RESULTS:

Delirium was detected in 54% of patients in the ICU and symptoms of PTSD in 8% (2 months) and 6% (6 months) after ICU-discharge. Recall of ICU stay was present in 93%. Associations between ICU-delirium and post-discharge PTSD-symptoms were weak and insignificant. Memories of delusions were significantly associated with anxiety after two months. Remaining associations between types of ICU-memories and prevalence of post-discharge symptoms of PTSD, anxiety, and depression were insignificant after adjusting for age. Incidence of ICU-delirium was unaffected by preadmission use of psychotropic drugs. Prevalence of PTSD-symptoms was unaffected by use of antipsychotics and sedation in the ICU.

CONCLUSION:

ICU-delirium did not increase the risk of PTSD-symptoms at 2 and 6 months after ICU discharge.
Asunto(s)

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Trastornos por Estrés Postraumático / Cuidados Críticos / Delirio Tipo de estudio: Diagnostic_studies / Observational_studies / Qualitative_research / Risk_factors_studies Aspecto: Patient_preference Límite: Adult / Aged / Female / Humans / Male / Middle aged Idioma: En Revista: Biomed Res Int Año: 2015 Tipo del documento: Article País de afiliación: Dinamarca

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Trastornos por Estrés Postraumático / Cuidados Críticos / Delirio Tipo de estudio: Diagnostic_studies / Observational_studies / Qualitative_research / Risk_factors_studies Aspecto: Patient_preference Límite: Adult / Aged / Female / Humans / Male / Middle aged Idioma: En Revista: Biomed Res Int Año: 2015 Tipo del documento: Article País de afiliación: Dinamarca
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