Posttraumatic Stress Disorder in Critical Illness Survivors: A Metaanalysis*

  title={Posttraumatic Stress Disorder in Critical Illness Survivors: A Metaanalysis*},
  author={Ann M. Parker and Thiti Sricharoenchai and Sandeep Raparla and Kyle Schneck and O. Joseph Bienvenu and Dale M. Needham},
  journal={Critical Care Medicine},
Objective: To conduct a systematic review and metaanalysis of the prevalence, risk factors, and prevention/treatment strategies for posttraumatic stress disorder symptoms in critical illness survivors. Data Sources: PubMed, Embase, CINAHL, PsycINFO, and Cochrane Library from inception through March 5, 2014. Study Selection: Eligible studies met the following criteria: 1) adult general/nonspecialty ICU, 2) validated posttraumatic stress disorder instrument greater than or equal to 1 month post… 

Depressive Symptoms After Critical Illness: A Systematic Review and Meta-Analysis

Clinically important depressive symptoms occurred in approximately one-third of ICU survivors and were persistent through 12-month follow-up, and greater research into treatment is needed for this common and persistent post-ICU morbidity.

Prevalence of post-traumatic stress disorder symptoms in adult critical care survivors: a systematic review and meta-analysis

PTSD symptoms may affect 1 in every 5 adult critical care survivors, with a high expected prevalence 12 months after discharge, with action taken to further explore the causal relationship between ICU stay and PTSD, as well as to propose early measures to prevent PTSD.

The Effect of ICU Diaries on Psychological Outcomes and Quality of Life of Survivors of Critical Illness and Their Relatives: A Systematic Review and Meta-Analysis

ICU diaries decrease anxiety and depression and improve health-related quality of life, but not posttraumatic stress disorder among ICU survivors and may result in less posttraumatic Stress disorder among relatives of ICU patients.

Predictors of post-traumatic stress disorder following critical illness: A mixed methods study

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.

Posttraumatic stress disorder in critical illness survivors: too many questions remain.

A meta-analysis of the prevalence of PTSD in general critical illness survivors and a systematic review of potential risk factors and interventions for PTSD in this population found that pre-ICU psychopathology was associated with increased risk of post-ICu PTSD in over half of studies examining this characteristic, in line with previous work.

Anxiety, Depression and Post Traumatic Stress Disorder after critical illness: a UK-wide prospective cohort study

Over half of those who respond to postal questionnaire following treatment on ICU in the UK reported significant symptoms of anxiety, depression or PTSD, which indicates depression following critical illness is associated with an increased mortality risk in the first 2 years following discharge from ICU.

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

Risk Factors of Delayed Onset Posttraumatic Stress Disorder in Chronically Critically Ill Patients

Investigating factors associated with a delayed-onset posttraumatic stress disorder after the intensive care unit (ICU) treatment of patients with a chronic critical illness found significant risk factors were the severity of the medical illness, the perceived fear of dying at the ICU, the number of traumatic memories from theICU, and the presence of a coronary heart disease.

Influential Factors of Post-Traumatic Stress Disorder in Survivors of Intensive Care Units

It is suggested that a various factors influencing PTSD should be identified to prevent PTSD in patients who requires ICU care and post-ICU care programs are required to assess and reduce PTSD.



Posttraumatic stress disorder in general intensive care unit survivors: a systematic review.

The prevalence of post traumatic stress disorder in survivors of ICU treatment: a systematic review

The true prevalence of PTSD and the optimum timing and method of PTSD assessment have not yet been determined in intensive care unit survivors, and rigorous longitudinal studies are needed.

Symptoms of acute posttraumatic stress disorder after intensive care.

The rate of symptoms of posttraumatic stress disorder 1 month after discharge from intensive care was relatively low and, consistent with findings of previous research, being younger than 65 years was the only independent predictor of symptoms.

Precipitants of post-traumatic stress disorder following intensive care: a hypothesis generating study of diversity in care

The hypothesis that the impact of care within the ICU has an impact on subsequent psychological morbidity and therefore must be assessed in future studies looking at the way patients are sedated in theICU and how physical restraint is used is raised.

Post-traumatic stress disorder symptoms after acute lung injury: a 2-year prospective longitudinal study

PTSD symptoms are common, long-lasting and associated with psychiatric treatment during the first 2 years after acute lung injury (ALI), and risk factors include pre-ALI depression, durations of stay and sepsis in the ICU, and administration of high-dose opiates in theICU.

Identifying clinical and acute psychological risk factors for PTSD after critical care: a systematic review.

The quality and number of post-ICU PTSD studies has increased over time, and one can be more confident in the accumulated findings.

Understanding posttraumatic stress disorder-related symptoms after critical care: The early illness amnesia hypothesis*

Amnesia for the early period of critical illness (early amnesia) was positively associated with the level of posttraumatic stress disorder-related symptoms, which may be a proxy for severity of disease at the time of intensive care unit admission.

Posttraumatic Stress Disorder Prevalence and Risk of Recurrence in Acute Coronary Syndrome Patients: A Meta-analytic Review

It is suggested that clinically significant PTSD symptoms induced by ACS are moderately prevalent and are associated with increased risk for recurrent cardiac events and mortality.

Posttraumatic stress disorder in survivors of acute lung injury: evaluating the Impact of Event Scale-Revised.

The Impact of Events Scale-Revised (IES-R), a questionnaire measure of PTSD symptoms, against the Clinician-Administered PTSD Scale (CAPS), the current state-of-the-art PTSD diagnostic reference standard, appears to be an excellent brief PTSD symptom measure and screening tool in ALI survivors.

Post-traumatic stress disorder after critical illness requiring general intensive care

A high incidence of symptoms consistent with PTSD 3 months after ICU discharge in this general ICU cohort was found, associated with younger patients and those who visited their GP or a mental health professional complaining of psychological symptoms.