Predictors of post-traumatic stress disorder following critical illness: A mixed methods study
- PMID: 29123558
- PMCID: PMC5661793
- DOI: 10.1177/1751143717713853
Predictors of post-traumatic stress disorder following critical illness: A mixed methods study
Abstract
Purpose: Post-traumatic stress disorder has been reported in survivors of critical illness. The aim of this study was to investigate the predictors of post-traumatic stress disorder in survivors of critical illness.
Materials and methods: Patients attending the intensive care unit (ICU) follow-up clinic completed the UK-Post-Traumatic Stress Syndrome 14-Questions Inventory and data was collected from their medical records. Predictors investigated included age, gender, Apache II score, ICU length of stay, pre-illness psychopathology; delirium and benzodiazepine administration during ICU stay and delusional memories of the ICU stay following discharge.
Results: A total of 198 patients participated, with 54 (27%) patients suffering with post-traumatic stress disorder. On multivariable logistic regression, the significant predictors of post-traumatic stress disorder were younger age, lower Apache II score, pre-illness psychopathology and delirium during the ICU stay.
Conclusions: The predictors of post-traumatic stress disorder in this study concur with previous research however a lower Apache II score has not been previously reported.
Keywords: Critical illness; post-traumatic stress syndrome; predictors.
References
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- Griffiths J, Fortune G, Barber V, et al. The prevalence of post traumatic stress disorder in survivors of ICU treatment: a systematic review. Intensive Care Med 2007; 33: 1506–1518. - PubMed
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