Post-intensive care syndrome symptoms and health-related quality of life in family decision-makers of critically ill patients

Petrinec, Amy; Martin, Bradley R.

doi:10.1017/s1478951517001043

Cited by 79 publications

(102 citation statements)

References 37 publications

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“…Our study con rms a high prevalence of post-intensive care syndrome in family members of critically ill persons within the rst weeks post-ICU discharge or death. Posttraumatic stress was more prevalent in our sample than previously reported, whereas anxiety and depression occurred in a similar proportion of family members compared to other studies (9,(35)(36)(37). The higher rate of posttraumatic stress might be due to the fact that data were collected relatively shortly after ICU discharge or death, when the rami cations of critical illness are still acute (1,19,20).…”

Section: Discussionsupporting

confidence: 46%

Factors Influencing Post-icu Psychological Distress in Family Members of Critically Ill Patients: A Linear Mixed-effects Model

Naef

Felten

Ernst

2020

Preprint

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Background: Adverse responses to critical illness, such as symptoms of depression, anxiety or posttraumatic stress, are relatively common among family members. The role of risk factors, however, remains insufficiently understood, but may be important to target those family members most in need for support. We therefore examined the association of patient-, family member- and care-related factors with post-ICU psychological distress in family members in a general population of critical ill patients.Methods: We conducted a prospective, single-centre observational study in a twelve-bed surgical ICU in a 900-bed University Hospital in Switzerland. Participants were family members of patients treated in ICU who completed the Family Satisfaction in ICU-24 Survey, the Hospital Anxiety Depression Scale, Impact of Event Scale-Revised-6, and a demographic form within the first three months of their close other’s ICU stay. Data were analysed using linear mixed-effects models, with depression, anxiety, and posttraumatic stress as outcome measures. Results: A total of 214 family members (53% return rate) returned a completed questionnaire. We found that higher levels of satisfaction were significantly associated with lower levels of depression, anxiety and posttraumatic stress. There was no statistically significant association between family member characteristics and any measure of psychological distress. Among the included patient characteristics, younger patient age was associated with higher levels of depression and anxiety, and patient death was associated with higher levels of depression and posttraumatic stress.Conclusions: Our results suggest that satisfaction with ICU care is strongly associated with family well-being post-ICU. Family members of younger patients and of those who die seem to be most at risk for psychological distress, requiring specific support, whereas family member characteristics may have less relevance.

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Section: Discussionsupporting

confidence: 46%

Factors Influencing Post-icu Psychological Distress in Family Members of Critically Ill Patients: A Linear Mixed-effects Model

Naef

Felten

Ernst

2020

Preprint

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“…Prevalence of PICS‐F conditions in the relatives of adult patients is shown in Table . The wide range of rates is due to differences in each study's patient population, measurement tools, and time frames varying from 1 week to 1 year.…”

Section: Introductionmentioning

confidence: 99%

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

Inoue

Hatakeyama

Kondo

et al. 2019

Acute Medicine & Surgery

402

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.

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“…The physical, mental and social debility experienced by survivors of critical illness has been defined as an entity of its own, as post-ICU syndrome (PICS). This also affects families of survivors, who risk a high prevalence of psychological symptoms [33,34]. There has been a growing effort towards identifying and modifying factors in the intensive care unit that may result in PICS.…”

Section: Quality Of Life Post-intensive Care Syndrome and Socio-econmentioning

confidence: 99%

Outcomes of critical illness: what is meaningful?

Gajić

Ahmad

Wilson

et al. 2018

Current Opinion in Critical Care

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Post-intensive care syndrome symptoms and health-related quality of life in family decision-makers of critically ill patients

Cited by 79 publications

References 37 publications

Factors Influencing Post-icu Psychological Distress in Family Members of Critically Ill Patients: A Linear Mixed-effects Model

Factors Influencing Post-icu Psychological Distress in Family Members of Critically Ill Patients: A Linear Mixed-effects Model

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

Outcomes of critical illness: what is meaningful?

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