Post-Icu Psychological Morbidity in Very Long Icu Stay Patients With Ards and Delirium

Post-Icu Psychological Morbidity in Very Long Icu Stay Patients With Ards and Delirium Publisher Pubmed

Bashar FR¹ ; Vahedianazimi A² ; Hajiesmaeili M³ ; Salesi M⁴ ; Farzanegan B⁵ ; Shojaei S³ ; Goharani R³ ; Madani SJ⁶ ; Moghaddam KG⁷ ; Hatamian S⁸ ; Moghaddam HJ⁹ ; Mosavinasab SMM² ; Elamin EM^{10, 11} ; Miller AC^{12, 13}

Show Affiliations

1. Anesthesia and Critical Care Department, Hamedan University of Medical Sciences, Hamedan, Iran
2. Trauma Research Center, Nursing Faculty, Baqiyatallah University of Medical Sciences, Tehran, Iran
3. Anesthesiology Research Center, Anesthesia and Critical Care Department, Loghman Hakim Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran
4. Research Center for Prevention of Oral and Dental Disease, Baqiyatallah University of Medical Sciences, Tehran, Iran
5. Tracheal Diseases Research Center, Anesthesia and Critical Care Department, Masih Daneshvari Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran
6. Trauma Research Center, Medicine Faculty, Baqiyatallah University of Medical Sciences, Tehran, Iran
7. Department of Internal Medicine, Shariati Hospital, Tehran University of Medical Sciences, Tehran, Iran
8. Anesthesia and Critical Care Department, Alborz University of Medical Sciences, Karaj, Iran
9. Anesthesiology Research Center, Anesthesia Care Department, Modares Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran
10. Department of Medicine, Division of Pulmonary, Critical Care Medicine and Sleep, University of South Florida, Tampa, FL, United States
11. Department of Medicine, Division of Pulmonary, Critical Care Medicine and Sleep, James A. Haley Veteran Hospital, Tampa, FL, United States
12. Department of Emergency Medicine, J.W. Ruby Memorial Hospital, West Virginia University, Morgantown, WV, United States
13. Department of Emergency Medicine, Vident Medical Center, East Carolina University, Greenville, NC, United States

Source: Journal of Critical Care Published:2018

Abstract

Purpose We investigated the impact of delirium on illness severity, psychological state, and memory in acute respiratory distress syndrome patients with very long ICU stay. Materials and methods Prospective cohort study in the medical-surgical ICUs of 2 teaching hospitals. Very long ICU stay (> 75 days) and prolonged delirium (≥ 40 days) thresholds were determined by ROC analysis. Subjects were ≥ 18 years, full-code, and provided informed consent. Illness severity was assessed using Acute Physiology and Chronic Health Evaluation IV, Simplified Acute Physiology Score-3, and Sequential Organ Failure Assessment scores. Psychological impact was assessed using the Hospital Anxiety and Depression Scale, Impact of Event Scale-Revised, and the 14-question Post-Traumatic Stress Syndrome (PTSS-14). Memory was assessed using the ICU Memory Tool survey. Results 181 subjects were included. Illness severity did not correlate with delirium duration. On logistic regression, only PTSS-14 < 49 correlated with delirium (p = 0.001; 95% CI 1.011, 1.041). 49% remembered their ICU stay clearly. 47% had delusional memories, 50% reported intrusive memories, and 44% reported unexplained feelings of panic or apprehension. Conclusion Delirium was associated with memory impairment and PTSS-14 scores suggestive of PTSD, but not illness severity. © 2017

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Style	Citing Format
MLA	Bashar FR, et al.. "Post-Icu Psychological Morbidity in Very Long Icu Stay Patients With Ards and Delirium." Journal of Critical Care, vol. 43, no. , 2018, pp. 88-94.
APA	Bashar FR, Vahedianazimi A, Hajiesmaeili M, Salesi M, Farzanegan B, Shojaei S, Goharani R, Madani SJ, Moghaddam KG, Hatamian S, Moghaddam HJ, Mosavinasab SMM, Elamin EM, Miller AC (2018). Post-Icu Psychological Morbidity in Very Long Icu Stay Patients With Ards and Delirium. Journal of Critical Care, 43(), 88-94.
Chicago	Bashar FR, Vahedianazimi A, Hajiesmaeili M, Salesi M, Farzanegan B, Shojaei S, Goharani R, et al.. "Post-Icu Psychological Morbidity in Very Long Icu Stay Patients With Ards and Delirium." Journal of Critical Care 43, no. (2018): 88-94.
Harvard	Bashar FR et al. (2018) 'Post-Icu Psychological Morbidity in Very Long Icu Stay Patients With Ards and Delirium', Journal of Critical Care, 43(), pp. 88-94.
Vancouver	Bashar FR, Vahedianazimi A, Hajiesmaeili M, Salesi M, Farzanegan B, Shojaei S, et al.. Post-Icu Psychological Morbidity in Very Long Icu Stay Patients With Ards and Delirium. Journal of Critical Care. 2018;43():88-94.
BibTex	@article{ author = {Bashar FR and Vahedianazimi A and Hajiesmaeili M and Salesi M and Farzanegan B and Shojaei S and Goharani R and Madani SJ and Moghaddam KG and Hatamian S and Moghaddam HJ and Mosavinasab SMM and Elamin EM and Miller AC}, title = {Post-Icu Psychological Morbidity in Very Long Icu Stay Patients With Ards and Delirium}, journal = {Journal of Critical Care}, volume = {43}, number = {}, pages = {88-94}, year = {2018} }
RIS	TY - JOUR AU - Bashar FR AU - Vahedianazimi A AU - Hajiesmaeili M AU - Salesi M AU - Farzanegan B AU - Shojaei S AU - Goharani R AU - Madani SJ AU - Moghaddam KG AU - Hatamian S AU - Moghaddam HJ AU - Mosavinasab SMM AU - Elamin EM AU - Miller AC TI - Post-Icu Psychological Morbidity in Very Long Icu Stay Patients With Ards and Delirium JO - Journal of Critical Care VL - 43 IS - SP - 88 EP - 94 PY - 2018 ER -

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