Upvote Story 12
Survivors of intensive care are known to be at increased risk of developing longer-term psychopathology issues. We present a large UK multicentre study assessing the anxiety, depression and post-traumatic stress disorder (PTSD) caseness in the first year following discharge from an intensive care unit (ICU). Over half of those who respond to postal questionnaire following treatment on ICU in the UK reported significant symptoms of... Read More | Comment
Upvote Story 7
Symptoms of post-traumatic stress, anxiety and depression assessed 1 week after ICU stay correlate with 3-month psychological outcome. The HADS and PTSS-10 may be useful aids to identify ICU survivors at high risk for clinically significant symptoms of post-traumatic stress, anxiety and depression 3 months post ICU stay. Eighty-two patients returned the follow-up questionnaires. We found correlation between early and late scores and reasonable predictive... Read More | Comment
Upvote Story 8
Dr. Larry Komer and Joan Chandler Komer offer new hope to those with brain injuries. Millions of people of all ages experience concussions. Many others have a more serious event known as a traumatic brain injury. Battlefield injuries often include concussions or a TBI. These brain injuries can lead to a complex condition known as PTSD that can alter a person’s life, family and community.... Read More | Comment
Upvote Story 4
Experiencing critical illness and intensive care can be extremely stressful. Roughly 1 in 5 critical illness survivors have clinically significant post-traumatic stress disorder (PTSD) symptoms in the year after intensive care, according to an article in press in the journal Critical Care Clinics. The article, written by Oscar Joseph Bienvenu, MD, PhD and Ted-Avi Gerstenblith, MD (both from the Department of Psychiatry and Behavioral Sciences,... Read More | Comment
Upvote Story 6
The majority of included studies indicated that benzodiazepine use in the ICU is associated with delirium, symptoms of posttraumatic stress disorder, anxiety, depression, and cognitive dysfunction. Future well-designed studies and randomized controlled trials are necessary to rule out confounding by indication. Forty-nine of 3,066 unique studies identified were included. Thirty-five studies reported on neuropsychiatric outcome during hospitalization, 12 after discharge, and two at both time... Read More | Comment
Upvote Story 4
The emotional aftermath of critical illness/injury is something that often catches people by surprise but can have a significant impact on daily life. People who have been critically ill/injured often describe difficulty with anxiety, depression, and symptoms of post-traumatic stress disorder such as nightmares, flashbacks, and insomnia. The emotional disruption seen with PICS is complex and may stem from various causes. A history of anxiety... Read More | Comment
Upvote Story 11
The results of this study will inform ICU nurses about the effects, strengths and limitations of prompting relatives to author a diary for the patient. This will allow the diary intervention to be tailored to the individual needs of patients and relatives. The intervention consists of a hard-cover notebook that will be given to a close relative to write a diary for the critically ill... Read More | Comment
Upvote Story 16
The emotional trauma of a near-death experience causes ongoing emotional and physical symptoms in one-third of ICU patients. PICS doesn’t have a time limitation and can be triggered by almost anything. I was suddenly anxious every time I was outside my house, whether I was driving or not. I had no reason to be anxious, but there I was, making excuses to my kids for... Read More | Comment
Upvote Story 23
Despite a paucity of high-quality clinical investigations, the preponderance of evidence to date suggests that 1) posttraumatic stress disorder among survivors of critical illness may be preventable and 2) early interventions may be the most effective. Seventeen studies met all inclusion and no exclusion criteria. There was heterogeneity in interventions and outcome measures used. All studies had some concern for risk of bias as per... Read More | Comment
Upvote Story 9
In this multicenter cross-sectional survey, we interviewed family members of mechanically ventilated patients at the time of transfer from the ICU to the hospital ward. To our knowledge, this is the first study to explore coping as a multifaceted construct and its relationship with family psychological outcomes among survivors of mechanical ventilation. We found certain family characteristics of coping such as optimism, resilience, and social... Read More | Comment
Upvote Story 6
Intracranial hypertension (ICH) is a major cause of death after traumatic brain injury (TBI). Continuous hyperosmolar therapy (CHT) has been proposed for the treatment of ICH, but its effectiveness is controversial. We compared the mortality and outcomes in patients with TBI with ICH treated or not with CHT. CHT for the treatment of posttraumatic ICH was associated with improved adjusted 90-day survival. This result was... Read More | Comment
Upvote Story 14
I started the Intensive care follow-up clinic to try to make sense of my work with critical patients and get feedback from their physical recovery. Over time, I verified that the patients presented not only physical effects, but that they maintained psychological and cognitive changes. They also suffered from post-traumatic stress disorder (PTSD), as survivors of war or other catastrophes would, which may last for... Read More | Comment
Upvote Story 15
While you are likely proud to be a critical care medicine (CCM) practitioner, does work routinely leave you increasingly drained? Do you feel resentful about requests for “futile interventions” and unwilling to absorb others’ anger and grief? Has your job made you feel chronically disconnected, disenchanted and devalued? If so, then—like these two authors and many of your colleagues—you are at risk for burnout syndrome... Read More | Comment
Upvote Story 8
As many as one in three patients sick enough to require a ventilator might develop symptoms of post-traumatic stress disorder. Anxiety and depression are equally common, if not more so. Others survive critical illness but find themselves forgetful and easily confused, facing cognitive problems that are similar to those in people with mild Alzheimer’s disease or a traumatic brain injury. There is even a name... Read More | Comment
Upvote Story 13
A significant number of intensive care unit survivors evaluated 3 months after discharge had psychological, respiratory, motor, and socioeconomic problems; these findings highlight that strategies aimed to assist critically ill patients should be extended to the post-hospitalization period and that this problem is particularly important in low-income populations. A total of 688 out of 1945 intensive care unit survivors received care at the clinic. Of... Read More | Comment