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Icu AND mental health

Kimberly Giraud, Megan Pontin, Linda D Sharples, Paul Fletcher, Tim Dalgleish, Allaina Eden, David P Jenkins, Alain Vuylsteke
Introduction: Post-operative delirium remains a significant problem, particularly in the older surgical patient. Previous evidence suggests that the provision of supplementary visual feedback about ones environment via the use of a mirror may positively impact on mental status and attention (core delirium diagnostic domains). We aimed to explore whether use of an evidence-based mirrors intervention could be effective in reducing delirium and improving post-operative outcomes such as factual memory encoding of the Intensive Care Unit (ICU) environment in older cardiac surgical patients...
2016: Frontiers in Aging Neuroscience
Janet F Jensen, Ingrid Egerod, Morten H Bestle, Doris F Christensen, Ask Elklit, Randi L Hansen, Heidi Knudsen, Louise B Grode, Dorthe Overgaard
PURPOSE: The aim of this randomized controlled trial (RCT) was to test the effectiveness of a post-ICU recovery program compared to standard care during the first year after ICU discharge. METHODS: A pragmatic, non-blinded, multicenter, parallel-group RCT was conducted between December 2012 and December 2015, at ten intensive care units (ICUs) in Denmark. We randomly assigned 386 adult patients (≥18 years) after receiving mechanical ventilation (≥48 h) to standard care (SC) plus a nurse-led intensive care recovery program or standard care alone after ICU discharge (190 intervention, 196 SC)...
September 30, 2016: Intensive Care Medicine
Tiphaine Bourseau, Flavie Fremondière, Valérie Dubus, Bénédicte Gohier, Dewi Le Gal, Fabien Cave, Isabelle Richard, Nicolas Lerolle
OBJECTIVE: After critical illness, some survivors experience long-term physical, functional, neurocognitive and/or mental health impairments, which has been termed "Post-Intensive Care syndrome" (PICS) [1]. A specific follow-up is required and many specialized follow-up clinics have been created both abroad and in France. The aim of this study is to evaluate long-term outcomes after critical illness, through the International Classification of Functioning, Disability and Health, and to analyse rehabilitation needs after intensive care unit (ICU) discharge...
September 2016: Annals of Physical and Rehabilitation Medicine
Maria C Duggan, Li Wang, Jo Ellen Wilson, Robert S Dittus, E Wesley Ely, James C Jackson
PURPOSE: Although executive dysfunction and depression are common among intensive care unit (ICU) survivors, their relationship has not been evaluated in this population. We sought to determine (1) if executive dysfunction is independently associated with severity of depressive symptoms or worse mental health-related quality of life (HRQOL) in ICU survivors, and (2) if age modifies these associations. METHODS: In a prospective cohort (n=136), we measured executive dysfunction by the Behavior Rating Inventory of Executive Function-Adult, depression by the Beck Depression Inventory-II, and mental HRQOL by the Short-Form 36...
August 31, 2016: Journal of Critical Care
Kevin J Solverson, Christopher Grant, Christopher J Doig
BACKGROUND: Prior studies of physical functioning after critical illness have been mostly limited to survivors of acute respiratory distress syndrome. The purpose of this study was to objectively assess muscle strength and physical functioning in survivors of critical illness from a general ICU and the associations of these measures to health-related quality of life (HRQL), mental health and critical illness variables. METHODS: This was a prospective cohort study of 56 patients admitted to a medical ICU (length of stay ≥4 days) from April 1, 2009, and March 31, 2010...
December 2016: Annals of Intensive Care
Dorothy Wade, Valerie Page
No abstract text is available yet for this article.
October 2016: Critical Care Medicine
Annemiek E Wolters, Linda M Peelen, Maartje C Welling, Lotte Kok, Dylan W de Lange, Olaf L Cremer, Diederik van Dijk, Arjen J C Slooter, Dieuwke S Veldhuijzen
OBJECTIVES: To determine whether delirium during ICU stay is associated with long-term mental health problems defined as symptoms of anxiety, depression, and posttraumatic stress disorder. DESIGN: Prospective cohort study. SETTING: Survey study, 1 year after discharge from a medical-surgical ICU in the Netherlands. PATIENTS: One-year ICU survivors of an ICU admission lasting more than 48 hours, without a neurologic disorder or other condition that would impede delirium assessment during ICU stay...
October 2016: Critical Care Medicine
Adam Peña, Trevor Bibler
Mr. M is an eighty-five-year-old who presented to the hospital with congestive heart failure exacerbation, pneumonia, altered mental status, and sepsis. A physician determines that he lacks capacity, and the team in the intensive care unit looks to the patient's daughter, Celia, as his surrogate decision-maker because she is named as an agent in his medical power of attorney form. While in the ICU, Mr. M suffers acute respiratory distress secondary to pneumonia and thus requires intubation. Celia accepts several life-sustaining interventions, but she sporadically refuses other medically indicated therapies...
July 2016: Hastings Center Report
Peter E Morris, Michael J Berry, D Clark Files, J Clifton Thompson, Jordan Hauser, Lori Flores, Sanjay Dhar, Elizabeth Chmelo, James Lovato, L Douglas Case, Rita N Bakhru, Aarti Sarwal, Selina M Parry, Pamela Campbell, Arthur Mote, Chris Winkelman, Robert D Hite, Barbara Nicklas, Arjun Chatterjee, Michael P Young
IMPORTANCE: Physical rehabilitation in the intensive care unit (ICU) may improve the outcomes of patients with acute respiratory failure. OBJECTIVE: To compare standardized rehabilitation therapy (SRT) to usual ICU care in acute respiratory failure. DESIGN, SETTING, AND PARTICIPANTS: Single-center, randomized clinical trial at Wake Forest Baptist Medical Center, North Carolina. Adult patients (mean age, 58 years; women, 55%) admitted to the ICU with acute respiratory failure requiring mechanical ventilation were randomized to SRT (n=150) or usual care (n=150) from October 2009 through May 2014 with 6-month follow-up...
June 28, 2016: JAMA: the Journal of the American Medical Association
Shannon L Goddard, Neill K J Adhikari
No abstract text is available yet for this article.
June 28, 2016: JAMA: the Journal of the American Medical Association
Marzieh Momennasab, Tahereh Ghahramani, Shahrzad Yektatalab, Farid Zand
BACKGROUND: Monitoring the health status of patients discharged from intensive care units is a crucial method of service evaluation. OBJECTIVES: This study aimed to assess the physical and mental health status of patients immediately after discharge from the ICU and 24 hours later. PATIENTS AND METHODS: This descriptive comparative study was conducted on 104 patients discharged from the ICUs of a referral trauma center in Shiraz, Southwest Iran...
February 2016: Trauma Monthly
Sascha A van den Born-van Zanten, Dave A Dongelmans, Daniela Dettling-Ihnenfeldt, Roel Vink, Marike van der Schaaf
BACKGROUND: Many intensive care unit survivors (ICU) are confronted with undesirable and long-lasting impairments in physical, cognitive, and mental health, but not only patients are at risk of developing this post-intensive care syndrome (PICS). Family members can experience symptoms of depression, anxiety, and posttraumatic stress disorder (PTSD). This cluster of complications is called PICS-family. OBJECTIVE: To describe the level of caregiver strain and posttraumatic stress-related symptoms in relatives of ICU survivors...
May 2016: Rehabilitation Psychology
Jill I Cameron, Leslie M Chu, Andrea Matte, George Tomlinson, Linda Chan, Claire Thomas, Jan O Friedrich, Sangeeta Mehta, Francois Lamontagne, Melanie Levasseur, Niall D Ferguson, Neill K J Adhikari, Jill C Rudkowski, Hilary Meggison, Yoanna Skrobik, John Flannery, Mark Bayley, Jane Batt, Claudia dos Santos, Susan E Abbey, Adrienne Tan, Vincent Lo, Sunita Mathur, Matteo Parotto, Denise Morris, Linda Flockhart, Eddy Fan, Christie M Lee, M Elizabeth Wilcox, Najib Ayas, Karen Choong, Robert Fowler, Damon C Scales, Tasnim Sinuff, Brian H Cuthbertson, Louise Rose, Priscila Robles, Stacey Burns, Marcelo Cypel, Lianne Singer, Cecilia Chaparro, Chung-Wai Chow, Shaf Keshavjee, Laurent Brochard, Paul Hébert, Arthur S Slutsky, John C Marshall, Deborah Cook, Margaret S Herridge
BACKGROUND: Few resources are available to support caregivers of patients who have survived critical illness; consequently, the caregivers' own health may suffer. We studied caregiver and patient characteristics to determine which characteristics were associated with caregivers' health outcomes during the first year after patient discharge from an intensive care unit (ICU). METHODS: We prospectively enrolled 280 caregivers of patients who had received 7 or more days of mechanical ventilation in an ICU...
May 12, 2016: New England Journal of Medicine
Jason H Maley, Isabel Brewster, Iris Mayoral, Renata Siruckova, Sarah Adams, Kelley A McGraw, Angela A Piech, Michael Detsky, Mark E Mikkelsen
RATIONALE: Post-intensive care syndrome (PICS), defined as new or worsening impairment in cognition, mental health, or physical function after critical illness, is an important development in survivors. Although studies to date have focused on the frequency of these impairments, fundamental questions remain unanswered regarding the survivor experience and the impact of the critical illness event on survivor resilience and recovery. OBJECTIVES: To examine the association between resilience and neuropsychological and physical function and to contextualize these findings within the survivors' recovery experience...
August 2016: Annals of the American Thoracic Society
Ramona O Hopkins, Karen Choong, Carleen A Zebuhr, Sapna R Kudchadkar
Children who survive a critical illness are at risk of developing significant, long-lasting morbidities that may include neuromuscular weakness, cognitive impairments, and new mental health disorders. These morbidities, collectively known as post-intensive care syndrome (PICS), may lead to functional impairments, difficulty in school and social settings, and reduced quality of life. Interventions aimed at rehabilitation such as early mobilization, sedation minimization and prevention of ICU-acquired weakness, delirium, and posttraumatic stress disorder may lead to improved clinical outcomes and functional recovery in critically ill children...
December 2015: Journal of Pediatric Intensive Care
Kevin J Solverson, Paul A Easton, Christopher J Doig
BACKGROUND: Sleep quality is impaired during critical illness and may remain abnormal after discharge from hospital. Sleep dysfunction in patients after critical illness may impair recovery and health related quality of life. The purpose of this study was to use objective and subjective measures to evaluate sleep quality in critical illness survivors 3 months after hospital discharge. METHODS: This was a prospective cohort study of 55 patients admitted to a multidisciplinary intensive care unit (ICU) between April 1st, 2009 and March 31, 2010...
May 2016: Respiratory Medicine
Matthew Morrissey, Elizabeth Collier
AIM: To determine which factors relate to the development of post-traumatic stress disorder, in adult patients who are admitted to critical care units. BACKGROUND: Patient survival rates from critical care areas are improving each year and this has led to interest in the long-term outcomes for patients who have been discharged from such environments. Patients typically require invasive and extensive treatment, which places a stress on physical and mental health...
June 2016: Journal of Clinical Nursing
Julie L Darbyshire, Paul R Greig, Sarah Vollam, J Duncan Young, Lisa Hinton
INTRODUCTION: Patients who develop intensive care unit (ICU) acquired delirium stay longer in the ICU, and hospital, and are at risk of long-term mental and physical health problems. Despite guidelines for patient assessment, risk limitation, and treatment in the ICU population, delirium and associated delusions remain a relatively common occurrence on the ICU. There is considerable information in the literature describing the incidence, suspected causes of, and discussion of the benefits and side-effects of the various treatments for delirium in the ICU...
2016: PloS One
Alison E Turnbull, Anahita Rabiee, Wesley E Davis, Mohamed Farhan Nasser, Venkat Reddy Venna, Rohini Lolitha, Ramona O Hopkins, O Joseph Bienvenu, Karen A Robinson, Dale M Needham
OBJECTIVES: To evaluate the study designs and measurement instruments used to assess physical, cognitive, mental health, and quality of life outcomes of survivors of critical illness over more than 40 years old as a first step toward developing a core outcome set of measures for future trials to improve outcomes in ICU survivors. DESIGN: Scoping review. SETTING: Published articles that included greater than or equal to one postdischarge measure of a physical, cognitive, mental health, or quality of life outcome in more than or equal to 20 survivors of critical illness published between 1970 and 2013...
July 2016: Critical Care Medicine
Daniela S Dettling-Ihnenfeldt, Aafke E de Graaff, Anita Beelen, Frans Nollet, Marike van der Schaaf
OBJECTIVE: The purpose of this study was to explore coping styles among intensive care unit (ICU) survivors and investigate the association between coping style and quality of life (QOL). METHOD: In this cross-sectional multicenter study, 150 adult patients who were mechanically ventilated in an ICU for ≥2 days and discharged to their homes were invited to visit the post-ICU clinic 3 months after discharge. Before the post-ICU visit, the patients completed questionnaires regarding their QOL, coping style, and psychological distress...
May 2016: Rehabilitation Psychology
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