Back to Search
Start Over
Intensive care survivor-reported symptoms: a longitudinal study of survivors' symptoms.
- Source :
- Nursing in Critical Care; Jan2018, Vol. 23 Issue 1, p48-54, 7p
- Publication Year :
- 2018
-
Abstract
- Background: There is growing interest in potential long-term outcomes following intensive care, but few researchers have studied the prevalence of multiple symptoms or the association between pain and other symptoms. Aims: To investigate the prevalence of anxiety, depression, fatigue, sleep disturbance and post-traumatic stress symptoms (PTSS) among intensive care survivors 3 months and 1 year after being discharged from an intensive care unit (ICU) and to determine whether pain is associated with higher prevalence of these symptoms 3 months and 1 year after ICU stay. Study design: Exploratory, longitudinal cohort of intensive care survivors from two mixed ICUs in a tertiary referral hospital in Norway. Methods: Intensive care survivors completed surveys at 3 months (n=118) and 1 year (n=89) after ICU discharge. Clinical Trials: NCT02279212. Results: Prevalence rates of intensive care survivors' symptoms were pain 58 (49·2%), anxiety/depression 24/118 (20·8%), fatigue 18/118(15·3%), PTSS 15 (12·8%) and sleep disturbance 58/118 (49·2%) at 3 months after ICU discharge (n=118). Prevalence rates at 1 year (n=89) changed only slightly to pain 34 (38·2%), anxiety/depression 17 (20·0%), fatigue 12 (13·8%), PTSS 13 (15·1%) and sleep disturbance 40/89 (46·5%). Associations were strong between pain and presence of sleep disturbance, anxiety/depression, PTSS and fatigue. Conclusions: Intensive care survivors have multiple symptoms and the prevalence rates of these symptoms remained almost unchanged from 3 months to 1 year after ICU discharge. The presence of pain was associated with high odds for the presence of sleep disturbance, anxiety/depression, PTSS and fatigue, compared to a no-pain group. ICU survivors may benefit from targeted interventions designed to alleviate the symptom burden. Relevance to clinical practice: Knowledge about ICU survivor's prevalence and risk for having multiple symptoms may help health care professionals to give better care, if needed, to the ICU survivors. [ABSTRACT FROM AUTHOR]
- Subjects :
- ACADEMIC medical centers
ANXIETY
CONFIDENCE intervals
CRITICALLY ill
MENTAL depression
PSYCHOLOGICAL distress
FATIGUE (Physiology)
LENGTH of stay in hospitals
INTENSIVE care units
LONGITUDINAL method
PAIN
PATIENTS
POST-traumatic stress disorder
PSYCHOLOGICAL tests
QUESTIONNAIRES
RESEARCH
SCALE analysis (Psychology)
SLEEP disorders
SURVEYS
LOGISTIC regression analysis
SYMPTOMS
SEVERITY of illness index
DATA analysis software
DESCRIPTIVE statistics
ODDS ratio
Subjects
Details
- Language :
- English
- ISSN :
- 13621017
- Volume :
- 23
- Issue :
- 1
- Database :
- Complementary Index
- Journal :
- Nursing in Critical Care
- Publication Type :
- Academic Journal
- Accession number :
- 127823144
- Full Text :
- https://doi.org/10.1111/nicc.12330