The DOI matches its Crossref record; 47 of the 47 references it cites were found in a registry or an index.
Posttraumatic stress disorder in general intensive care unit survivors: a systematic review
Open accessAbstract
Objective Our objective was to summarize and critically review data on the prevalence of posttraumatic stress disorder (PTSD) in general intensive care unit (ICU) survivors, risk factors for post-ICU PTSD, and the impact of post-ICU PTSD on health-related quality of life (HRQOL). Methods We conducted a systematic literature review using Medline, EMBASE, Cochrane Library, CINAHL, PsycINFO, and a hand-search of thirteen journals. Results Fifteen studies were eligible. The median point prevalence of questionnaire-ascertained “clinically significant” PTSD symptoms was 22% (n = 1,104), and the median point prevalence of clinician-diagnosed PTSD was 19% (n = 93). Consistent predictors of post-ICU PTSD included prior psychopathology, greater ICU benzodiazepine administration, and post-ICU memories of in-ICU frightening and/or psychotic experiences. Female sex and younger age were less consistent predictors, and severity of critical illness was consistently not a predictor. Post-ICU PTSD was associated with substantially lower HRQOL. Conclusions The prevalence of PTSD in ICU survivors is high and negatively impacts survivors’ HRQOL. Future studies should comprehensively address how patient-specific factors (e.g., pre-ICU psychopathology), ICU management factors (e.g., administration of sedatives), and ICU clinical factors (e.g., in-ICU delirium) relate to one another and to post-ICU PTSD. Clinicians caring for the growing population of ICU survivors should be aware of PTSD risk factors and monitor patients’ needs for early intervention.
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Cites
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Cited by
Needham, D. M., Davidson, J., Cohen, H., Hopkins, R. O., Weinert, C., Wunsch, H., Zawistowski, C., Bemis-Dougherty, A., Berney, S. C., Bienvenu, O. J., et al. (2012) · Critical Care Medicine · doi:10.1097/ccm.0b013e318232da75 · Cited by 2,639
Self-citationLong-term complications of critical care
Desai, S. V., Law, T. J., & Needham, D. M. (2011) · Critical Care Medicine · doi:10.1097/ccm.0b013e3181fd66e5 · Cited by 870
Self-citationPosttraumatic Stress Disorder in Critical Illness Survivors: A Metaanalysis*
Parker, A. M., Sricharoenchai, T., Raparla, S., Schneck, K. W., Bienvenu, O. J., & Needham, D. M. (2015) · Critical Care Medicine · doi:10.1097/ccm.0000000000000882 · Cited by 779
Self-citationJackson, J. C., Pandharipande, P. P., Girard, T. D., Brummel, N. E., Thompson, J. L., Hughes, C. G., Pun, B. T., Vasilevskis, E. E., Morandi, A., Shintani, A. K., et al. (2014) · The Lancet Respiratory Medicine · doi:10.1016/s2213-2600(14)70051-7 · Cited by 673
Mikkelsen, M. E., Christie, J. D., Lanken, P. N., Biester, R. C., Thompson, B. T., Bellamy, S. L., Localio, A. R., Demissie, E., Hopkins, R. O., & Angus, D. C. (2012) · American Journal of Respiratory and Critical Care Medicine · doi:10.1164/rccm.201111-2025oc · Cited by 615
Metadata
- Authors
- Davydow, D. S., Gifford, J. M., Desai, S. V., Needham, D. M., & Bienvenu, O. J.
- Venue
- General Hospital Psychiatry
- Publisher
- Elsevier BV
- Published
- 2008-09
- Volume
- 30
- Issue
- 5
- Pages
- 421-434
- ISSN
- 0163-8343 (ISSN-L)
- OpenAlex
- W2056891302
- Cited by
- 676
- References
- 47
- FWCI
- 2.71
- Type
- journal article
- Language
- en
- Open access
- green
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