Emotional sequelae among survivors of critical illness: a long-term retrospective study
Emotional sequelae among survivors of critical illness: a long-term retrospective study
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DOI：
10.1097/eja.0b013e32835dcc45
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发表时间：
2013-03-01
影响因子：
3.6
通讯作者：
Kwiatosz-Muc, Magdalena
中科院分区：
文献类型：
--
作者：
Kowalczyk, Michal;Nestorowicz, Andrzej;Kwiatosz-Muc, Magdalena
背景治疗在ICU可以是紧张和创伤的病人，并可能导致各种身体，心理和认知的后遗症.Objectives目的的研究是评估的社会，经济和工作状况的影响，个人方面的长期焦虑和抑郁症的ICU康复者.设计回顾性，横断面，2005年至2009年的5年调查。设置卢布林（波兰）两家医院的普通ICU：教学医院，卢布林医科大学和地区医院。患者ICU住院时间超过24小时的所有成年人均符合条件。2010年12月，向出院的ICU幸存者发送了533份问卷，回收了195份（36.6%）。186例患者入组本研究。主要观察指标：问卷由医院焦虑抑郁量表（HADS）组成;包括定义重症监护前后的社会、经济和工作状况的问题，重症监护前的健康状况，以及有关记忆和再次入住重症监护的问题。34.4%的患者存在焦虑障碍，27.4%的患者存在抑郁障碍。焦虑与抑郁呈显著正相关（r =+0.726，P < 0.001）。更好的物质和住房条件与较低的焦虑和抑郁率相关。入院时急性生理学和慢性健康评估II评分与焦虑（r = +0.187; P = 0.011）和抑郁（r = +0.239; P = 0.001）呈正相关。ICU入院前健康状况与HADS评分呈负相关（焦虑r（s）= -0.193; P = 0.008;抑郁r（s）= -0.227; P = 0.002），健康状况越好，焦虑和抑郁障碍越少。欧洲麻醉学杂志2013; 30：111-118
Context Treatment in an ICU can be stressful and traumatic for patients, and can lead to various physical, psychological and cognitive sequelae.Objectives The aim of the study was to assess the influence of the social, economic and working status of individuals in regard to long-term anxiety and depression among ICU convalescents.Design Retrospective, cross-sectional, 5-year survey between 2005 and 2009.Setting The general ICUs of two hospitals in Lublin (Poland): the Teaching Hospital, Medical University of Lublin and the District Hospital.Patients All adults surviving an ICU stay of more than 24 h were eligible. In December 2010, 533 questionnaires were sent to discharged ICU survivors, and 195 (36.6%) were returned. One hundred and eighty-six patients were enrolled in the study. Patients with brain injuries were excluded.Main outcome measures The questionnaire consisted of the Hospital Anxiety and Depression Scale (HADS); questions defining social, economic and working status before and after intensive care stay, health status before intensive care stay, as well as questions about memories and readmissions to intensive care were included.Results According to HADS, 34.4% patients had an anxiety disorder and 27.4% were depressed. There was a strong positive correlation between anxiety and depression (r = +0.726, P < 0.001). Better material and housing conditions correlated with lower anxiety and depression rates. Acute Physiology and Chronic Health Evaluation II scores on admission positively correlated with both anxiety (r = +0.187; P = 0.011) and depression (r = +0.239; P = 0.001). A negative correlation between health status before intensive care admission and HADS scores was observed (anxiety r(s) = -0.193; P = 0.008; depression r(s) = -0.227; P = 0.002); better health resulted in less anxiety and depression disorders.Conclusion Adverse social and economic status is associated with higher rates of anxiety and depression following ICU stay. Eur J Anaesthesiol 2013; 30:111-118