Incidence and Risk Factors for Intensive Care Unit–related Post-traumatic Stress Disorder in Veterans and Civilians

Patel, Mayur B.; Jackson, James C.; Morandi, Alessandro; Girard, Timothy D.; Hughes, Christopher; Thompson, Jennifer L.; Kiehl, Amy L.; Elstad, Mark R.; Wasserstein, Mitzi L.; Goodman, Richard B.; Beckham, Jean C.; Chandrasekhar, Rameela; Dittus, Robert S.; Ely, E. Wesley; Pandharipande, Pratik P.

doi:10.1164/rccm.201506-1158oc

Cited by 91 publications

(74 citation statements)

References 51 publications

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“…PTSD is a serious psychiatric disorder that can occur in people who have experienced or witnessed a traumatic event (e.g., natural disaster, a serious accident, a terrorist act, war/combat, rape or other violent personal assault) (1), like surviving a critical illness. Common screening tools include PCL-5 (PTSD Checklist for DSM-5), and IES (Impact of Events Scale), but often require extensive confirmation using diagnostic tools like DSM-5 and CAPS (Clinician Administered PTSD Scale) (74–76). These complexities probably relate to the inconsistent epidemiology of ICU-related PTSD.…”

Section: Post-traumatic Stress Disorder (Ptsd)mentioning

confidence: 99%

“…The incidence of PTSD, anchored to the ICU experience and not related to past stressful experiences, has been consistently around 10% in the first year after hospital discharge (73, 74, 77, 78) in the most rigorous studies, despite historically reported higher rates in many other studies (75, 76). It is critically important to recognize despite these reports of higher epidemiologic occurrences of PTSD after critical illness(76), many studies have not distinguished pre-existing PTSD from ICU-related PTSD, nor used DSM criteria, or accounted for the ICU course.…”

Section: Post-traumatic Stress Disorder (Ptsd)mentioning

confidence: 99%

“…It is critically important to recognize despite these reports of higher epidemiologic occurrences of PTSD after critical illness(76), many studies have not distinguished pre-existing PTSD from ICU-related PTSD, nor used DSM criteria, or accounted for the ICU course. Using a multicenter ICU population of US civilians and veterans, the most recent study to clearly identify ICU-related PTSD demonstrated an occurrence of 1 in 10 ICU survivors (74). …”

Section: Post-traumatic Stress Disorder (Ptsd)mentioning

confidence: 99%

“…Patients with a history of depression and related disroders may also be at risk of developing PTSD (74, 84). Depression can have emotional, psychological, psychosocial, and physical effects that diminish coping mechanisms.…”

Section: Post-traumatic Stress Disorder (Ptsd)mentioning

confidence: 99%

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Intensive Care Unit Delirium and Intensive Care Unit–Related Posttraumatic Stress Disorder

Marra

Pandharipande

Patel

2017

Surgical Clinics of North America

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SYNOPSIS Delirium is one of the most common behavioral manifestations of acute brain dysfunction in Intensive Care Unit (ICU) and is a strong predictor of worse outcome. Routine monitoring for delirium is recommended for all ICU patients using validated tools (e.g., CAM-ICU, ICDSC). In delirious patients, a search for all reversible precipitants is the first line of action and pharmacological treatment should be considered when all causes have been ruled out, and not contraindicated. Long-term morbidity, in the forms of cognitive, physical and psychological impairments, has significant consequences for survivors of critical illness and for their caregivers. ICU patients may develop PTSD anchored to their critical illness experience, with ICU-related PTSD incidence rates of 10%. Using ICU diaries during a critical illness may minimize the occurrence of future ICU-related PTSD.

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Section: Post-traumatic Stress Disorder (Ptsd)mentioning

confidence: 99%

Section: Post-traumatic Stress Disorder (Ptsd)mentioning

confidence: 99%

Section: Post-traumatic Stress Disorder (Ptsd)mentioning

confidence: 99%

Section: Post-traumatic Stress Disorder (Ptsd)mentioning

confidence: 99%

See 2 more Smart Citations

Intensive Care Unit Delirium and Intensive Care Unit–Related Posttraumatic Stress Disorder

Marra

Pandharipande

Patel

2017

Surgical Clinics of North America

Self Cite

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“…In the case of passive noise cancellation, sound source localization from a point diferent from the patient's ears could lead to spatial disorientation. Within the DSM-5 types of PTSD, there is a dissociative subtype of PTSD that is deined by symptoms of derealization and depersonalization [6]. The depersonalization experience could be an "out-of-body" experience, which could exacerbate the PTSD symptomatology.…”

Section: Subtypes Of Ptsd Anchored To Critical Illness: Impact Of Soundmentioning

confidence: 99%

SLAAP: Silencing Loud Alarms to Attenuate PTSD: Frequency- Selective Silencing Device for Digital Filtering of Alarm Sounds to Enhance ICU Patient Recovery

Pradhan¹,

Reynolds²,

Sweyer³

et al. 2017

Proceedings of the Conference on Design and Semantics of Form and Movement - Sense and Sensitivity, DeSForM 2017

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Free-ield auditory medical alarms, although widely present in intensive care units, have created a number of hazards for both patients and clinicians in this environment. The harsh characteristics of the alarm noise proile combined the frequency at which they sound throughout the ICU have created discomfort for the patients and contribute to psychological problems, like post-traumatic stress disorder (PTSD) and delirium. Thus, this frequency-selective silencing device seeks to atenuate these problems by removing the alarm sounds from the patient perspective. Patients do not need to hear these alarms as the alarms primarily serve to alert clinicians; therefore, this device, through the use of a Raspberry Pi and digital ilters, removes the alarm sounds present in the environment while passing all other sounds to the patient without distortion. This allows patients to hear everything occurring around them and to communicate efectively without experiencing the negative consequences of audible alarms.

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Post‐intensive care syndrome: its pathophysiology, prevention, and future directions

Inoue

Hatakeyama

Kondo

et al. 2019

Acute Medicine & Surgery

404

365

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Expanding elderly populations are a major social challenge in advanced countries worldwide and have led to a rapid increase in the number of elderly patients in intensive care units (ICUs). Innovative advances in medical technology have enabled lifesaving of patients in ICUs, but there remain various problems to improve their long‐term prognoses. Post‐intensive care syndrome (PICS) refers to physical, cognition, and mental impairments that occur during ICU stay, after ICU discharge or hospital discharge, as well as the long‐term prognosis of ICU patients. Its concept also applies to pediatric patients (PICS‐p) and the mental status of their family (PICS‐F). Intensive care unit‐acquired weakness, a syndrome characterized by acute symmetrical limb muscle weakness after ICU admission, belongs to physical impairments in three domains of PICS. Prevention of PICS requires performance of the ABCDEFGH bundle, which incorporates the prevention of delirium, early rehabilitation, family intervention, and follow‐up from the time of ICU admission to the time of discharge. Diary, nutrition, nursing care, and environmental management for healing are also important in the prevention of PICS. This review outlines the pathophysiology, prevention, and future directions of PICS.

show abstract

Incidence and Risk Factors for Intensive Care Unit–related Post-traumatic Stress Disorder in Veterans and Civilians

Abstract: This study found around 1 in 10 ICU survivors experienced ICU-related PTSD (i.e., PTSD anchored to their critical illness) in the year after hospitalization. Preexisting PTSD and depression were strongly associated with ICU-related PTSD.

Cited by 91 publications

References 51 publications

Intensive Care Unit Delirium and Intensive Care Unit–Related Posttraumatic Stress Disorder

Intensive Care Unit Delirium and Intensive Care Unit–Related Posttraumatic Stress Disorder

SLAAP: Silencing Loud Alarms to Attenuate PTSD: Frequency- Selective Silencing Device for Digital Filtering of Alarm Sounds to Enhance ICU Patient Recovery

Post‐intensive care syndrome: its pathophysiology, prevention, and future directions

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