Emotional sequelae among survivors of critical illness

Kowalczyk, Michał; Nestorowicz, Andrzej; Fijałkowska, Anna; Kwiatosz-Muc, Magdalena

doi:10.1097/eja.0b013e32835dcc45

Cited by 27 publications

(21 citation statements)

References 32 publications

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“…For studies that reported potential risk factors, neither age nor gender were associated with anxiety in any study (0 of 5 (25,27,32,37,43) and 0 of 4 (22,27,37,43) studies, respectively). In addition, neither severity of illness, diagnosis at ICU admission, nor ICU/hospital length of stay were associated with anxiety (0 of 4 studies (25,32,35,37), 0 of 4 studies (27,29,35,37) and 0 of 4 studies (25,27,32,35), respectively).…”

Section: Resultsmentioning

confidence: 88%

“…Post-ICU depression and PTSD symptoms were strongly correlated with post-ICU anxiety symptoms (5 of 5 studies (21,25,35,37,38)). In addition, anxiety was associated with lower quality of life in 2 of 2 studies (23,25) (Table 2).…”

Section: Resultsmentioning

confidence: 99%

“…A total of 27 unique studies from 29 publications (Figure 1) met our eligibility criteria. These studies included 8 RCTs (14–21), 15 cohort studies (22–36), and 4 cross-sectional studies (37–39) (Supplemental Table 1). A total of 2,880 unique patients were assessed for anxiety symptoms in the included studies.…”

Section: Resultsmentioning

confidence: 99%

“…In addition, neither severity of illness, diagnosis at ICU admission, nor ICU/hospital length of stay were associated with anxiety (0 of 4 studies (25,32,35,37), 0 of 4 studies (27,29,35,37) and 0 of 4 studies (25,27,32,35), respectively).…”

Section: Resultsmentioning

confidence: 99%

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Anxiety symptoms in survivors of critical illness: a systematic review and meta-analysis

Nikayin

Rabiee

Hashem

et al. 2016

General Hospital Psychiatry

355

247

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Objectives To evaluate the epidemiology of, and post-intensive care unit (ICU) interventions for anxiety symptoms after critical illness Methods We searched 5 databases (1970-2015) to identify studies assessing anxiety symptoms in adult ICU survivors. Data from studies using the most common assessment instrument were meta-analyzed. Results We identified 27 studies (2,880 patients) among 27,334 citations. The Hospital Anxiety and Depression Scale-Anxiety subscale (HADS-A) was the most common instrument (81% of studies). We pooled data at 2-3, 6, and 12-14 month time-points, with anxiety symptom prevalences (HADS-A≥8, 95%CI) of 32%(27-38%), 40%(33-46%), and 34%(25-42%), respectively. In a subset of studies with repeated assessments in the exact same patients, there was no significant change in anxiety score or prevalence over time. Age, gender, severity of illness, diagnosis, and length of stay were not associated with anxiety symptoms. Psychiatric symptoms during admission and memories of in-ICU delusional experiences were potential risk factors. Physical rehabilitation and ICU diaries had potential benefit. Conclusions One-third of ICU survivors experience anxiety symptoms that are persistent during their first year of recovery. Psychiatric symptoms during admission and memories of in–ICU delusional experiences were associated with post-ICU anxiety. Physical rehabilitation and ICU diaries merit further investigation as possible interventions.

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Section: Resultsmentioning

confidence: 88%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

See 2 more Smart Citations

Anxiety symptoms in survivors of critical illness: a systematic review and meta-analysis

Nikayin

Rabiee

Hashem

et al. 2016

General Hospital Psychiatry

355

247

View full text Add to dashboard Cite

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“…Patients discharged from intensive care unit (ICU) may experience psychological, cognitive, and physical dysfunction (Jones, ; Wolters et al ., ) resulting in a complex rehabilitation that extends well beyond hospital discharge (Kowalczyk et al ., ; Elliott et al ., ). Patients' relatives are also vulnerable to psychological pathologies and diminished health‐related quality of life (HRQoL) following the patients' critical illness (Wintermann et al, ).…”

Section: Introductionmentioning

confidence: 99%

Outcomes and experiences of relatives of patients discharged home after critical illness: a systematic integrative review

Stayt

Venes

2018

Nursing in Critical Care

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Background Patients discharged from intensive care may experience psychological and physical deficits resulting in a long and complex rehabilitation upon discharge. Relatives are also vulnerable to psychological pathologies and diminished health‐related quality of life following the patients' critical illness. Relatives often provide care during the patients' rehabilitation, which may influence their health. Aim To report the outcomes and experiences of relatives of patients discharged home after critical illness. Design Systematic integrative review. Methods Electronic databases Cumulative Index of Nursing and Allied Health Literature, PubMed, Embase®, and PsychINFO® were searched using keywords, synonyms, and medical subject headings. Reference lists of articles and critical care journals were manually searched. Studies eligible for inclusion reported primary research and were published in English between 2007 and 2017. Studies were appraised using the Critical Appraisal Skills Programme checklists. Data were extracted and then analysed according to framework. Findings Twenty‐five studies were included: 19 quantitative, 4 qualitative, and 1 mixed method study. Three themes were identified: health and well‐being, employment and lifestyle, and caregiving role. Health and well‐being reports the incidence and significance of psychological morbidity such as post‐traumatic stress disorder, anxiety, and depression. Employment and lifestyle describes the impact of caregiving on the relative's ability to work and engage in usual social activities. The final theme describes and discusses the caregiving role in terms of activities of daily living, knowledge and skills, and adaption to the role. Conclusions There is a significant and meaningful impact on outcomes and experiences of relatives of patients discharged home after critical illness. Relatives' caregiving is embedded within the context of their psychological morbidity and social adjustment. Relevance to practice If informal care giving is to be sustainable, there is a need to design effective strategies of supporting families through all stages of the critical illness trajectory.

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A Nurse-Managed Follow-Up Practice for Patients After Discharge from the Intensive Care Unit: Development, Testing and Implementation

Jónasdóttir

Jónsdóttir

2019

Leadership in Nursing: Experiences From the European Nordic Countries

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Emotional sequelae among survivors of critical illness

Abstract: Adverse social and economic status is associated with higher rates of anxiety and depression following ICU stay.

Cited by 27 publications

References 32 publications

Anxiety symptoms in survivors of critical illness: a systematic review and meta-analysis

Anxiety symptoms in survivors of critical illness: a systematic review and meta-analysis

Outcomes and experiences of relatives of patients discharged home after critical illness: a systematic integrative review

A Nurse-Managed Follow-Up Practice for Patients After Discharge from the Intensive Care Unit: Development, Testing and Implementation

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