Post-traumatic stress disorder after critical illness requiring general intensive care
Post-traumatic stress disorder after critical illness requiring general intensive care
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DOI：
10.1007/s00134-003-2004-8
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发表时间：
2004-03-01
影响因子：
38.9
通讯作者：
Scott, J
中科院分区：
文献类型：
--
作者：
Cuthbertson, BH;Hull, A;Scott, J
目的：确定一组普通ICU患者中与创伤后应激障碍（PTSD）诊断相关的症状的发生率和严重程度。设计：一项在普通ICU出院后3个月进行的前瞻性队列研究。背景：苏格兰北方一家教学医院的综合ICU。患者和参与者：78名ICU幸存者。干预措施：在ICU出院后3个月联系患者，并要求他们完成Davidson创伤量表的电话评估。测量和结果：中位评分为8分，22%的记录得分至少为27分，14%符合PTSD的完整诊断标准。总体评分与性别、ICU住院时间或APACHE II评分无关，但与年龄呈负相关，与机械通气时间呈正相关。总体评分还与患者报告在ICU之前因心理困扰而访问过GP或心理健康专业人员有关。结论：我们发现在这个综合ICU队列中，ICU出院后3个月与PTSD症状一致的发生率很高。Ibis与年轻患者以及那些去看过他们的家庭医生或心理健康专业人员抱怨心理症状的患者有关。需要进一步研究，加强ICU工作人员与家庭医生和精神卫生医生之间的联系，以更好地识别有风险的个人，并减少这一群体的心理发病率。
Objective: To determine the incidence and severity of symptoms related to the diagnosis of post-traumatic stress disorder (PTSD) in a cohort of general ICU patients. Design: A prospective cohort study 3 months after general ICU discharge. Setting: A general ICU in a teaching hospital in northern Scotland. Patients and participants: Seventy-eight ICU survivors of general ICU. Interventions: Patients were contacted 3 months after ICU discharge and asked to complete a telephone assessment of the Davidson Trauma Scale. Measurements and results: The median score was 8, with 22% recording a score of at least 27 and 14% meeting the full diagnostic criteria for PTSD. The overall score was not correlated with sex, ICU length of stay, or APACHE II score but was inversely correlated with age and directly correlated with length of mechanical ventilation. The overall score was also related to the patient reporting having visited a GP or a mental health professional for psychological distress previous to ICU. Conclusions: We found a high incidence of symptoms consistent with PTSD 3 months after ICU discharge in this general ICU cohort. Ibis was associated with younger patients and those who visited their GP or a mental health professional complaining of psychological symptoms. Further research and a greater liaison between ICU staff and family practitioners and mental health practitioners is required to better identify individuals at risk and reduce psychological morbidity in this group.