Posttraumatic Stress Disorder in Critical Illness Survivors: A Metaanalysis*

@article{Parker2015PosttraumaticSD,
  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},
  year={2015},
  volume={43},
  pages={1121–1129}
}
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… 
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TLDR
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TLDR
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.
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TLDR
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.
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TLDR
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 symptoms in survivors of critical illness: a systematic review and meta-analysis.
Influential Factors of Post-Traumatic Stress Disorder in Survivors of Intensive Care Units
TLDR
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.
The Effect of Intensive Care Unit Diaries on Posttraumatic Stress Disorder, Anxiety, and Depression
TLDR
Providing an ICU diary to patients admitted to the ICU reduced the rate of PTSD symptoms compared with usual care, and the effects of ICU diaries on depression, depression, and anxiety were investigated.
Post-traumatic stress disorder in critical illness survivors and its relation to memories of ICU.
TLDR
Evidence is provided of the relationship between delusional memories and PTSD in patients who had been discharged from the ICU and of the need to detect post-ICU psychiatric morbidities and provide early psychological intervention in post-discharge follow-up programmes to improve psychological outcomes after critical illness.
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TLDR
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.
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TLDR
A few patients met the criteria for the PTSD diagnosis indicating that the great majority of patients admitted at ICU show only symptomatology related to PTSD.
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TLDR
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.
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TLDR
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.
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TLDR
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.
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TLDR
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.
The Occurrence of Posttraumatic Stress Disorder in Patients Following Intensive Care Treatment: A Cross-Sectional Study in a Random Sample
TLDR
Posttraumatic stress disorder (PTSD) can now be applied to patients who have just had intensive care treatment and almost twice as many PTSD cases were diagnosed among the subjects with the PTSS-10 as with SCID.
Post-traumatic stress disorder and post-traumatic stress symptoms following critical illness in medical intensive care unit patients: assessing the magnitude of the problem
TLDR
Although PTSD may be a serious problem in some survivors of critical illness, data on the whole population are inconclusive, and there remains a pressing need for larger and more methodologically rigorous investigations of PTSD in ICU survivors.
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