More than half of the patients who survive a critical illness requiring care in an intensive care unit suffer from…
More than half of the patients who survive a critical illness requiring care in an intensive care unit suffer from anxiety, PTSD or depression within one year after discharge.
The number of patients suffering psychologically is greater than the first thought, revealed an Oxford University Study.
And when they suffer from symptoms in a mental state, there is a 64 percent chance that they will interact with symptoms on another.
Those who are depressed are 47 percent more likely to die for two years after discharge, the study shows.
Researchers said that ICU patients would be screened to detect those who may have mental disorders.
More than half of previous intensive care patients suffer from mental health problems like PTSD within one year after being released from intensive care, a study from Oxford University
New or impaired physical, cognitive impairment or mental health after treatment in the ICU is called post-intensive care syndrome (PICS).
Dr. Peter Watkinson, Associate Professor of Intensive Care, said: “The psychopathological components of PICS are estimated to occur in up to one third of ICU survivors.
” The most important psychological states described are anxiety, depression and post-traumatic stress disorder (PTSD). “
Post-traumatic stress disorder (PTSD) is an anxiety disorder caused by very stressful, scary or disturbing events.
People with PTSD often suffer nightmares and flashbacks to the traumatic event and may experience insomnia and inability to concentrate.
Symptoms are often difficult enough to have a serious impact on human daily life and may come immediately after the traumatic event or years later.
PTSD is thought to affect approximately one in every third person who has a traumatic experience and was first documented below World War I in Soldiers with Scallops.
People who are worried about having PTSD should visit their doctor, who can recommend a course of psychotherapy or anti-depressants, says NHS.
Combat Stress driver a 24-hour veterinary aid line available at 0800 138 1619.
The researchers examined mental disorders in a cohort of 4 943 former ICU patients between 2006 and 2013.
The had at least 24 hours at Level 3 ICU care and completed a questionnaire about symptoms of anxiety, depression and PTSD three months after discharge and again 12 months afterwards.
Results, published in the journal Critical Care, show that 46 percent of patients reported symptoms of anxiety, 40 percent reported symptoms of depression and 22 percent reported symptoms of PTSD.
And 18 percent reported symptoms of all three psychological conditions.
Prof Watkinson said: “Psychological problems after being treated for a critical disease in the ICU are very common and often complex when they occur.
” When symptoms of mental disorders are present, there is a 65 percent chance that they will interact with symptoms of another mental disorder. “
The study also found that depression is associated with higher mortality for common medical conditions such as heart disease, respiratory disease, cerebrovascular disease, accidents, diabetes mellitus and hypertension.
This is the first time a link between depression and an increased mortality rate has showed, according to the authors.
Prof Watkinson said: “It is still unclear whether clinics are looking at screening and treatment of depression to treat chronic medical conditions or if there is a biological link between chronic disease and depression.
“In post-ICU population, the observed relationship between depression and mortality can be partly explained by the severity of chronic disease, both before discharge and relapse, factors that we did not adjust for this study.
Depression can be a factor which was not previously considered in survival after the ICU.
“In view of the occurrence of depression in survivors, symptoms of this condition should be detected and handled in the post-ICU primary care and ICU follow-up clinics. & # 39;
There were 271,079 adult registers in an intensive care unit in 2015-2016, according to the NHS. Patients aged 50 and over accounted for 77 percent.
He noted because of the observational nature of the studies and its dependence on self-reported data means that it does not allow conclusions about the cause and effect of ICU care and symptoms of mental disorders.