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Post-traumatic stress, anxiety and depression after intensive care unit stay: Findings from a general hospital

Published online by Cambridge University Press:  13 August 2021

U. Bhaumik ,
V. Subramaniyam  and
R. Kandukuru
U. Bhaumik*
Affiliation:
Psychiatry, Independent Practice, Kolkata, India
V. Subramaniyam
Affiliation:
Psychiatry, Independent practice, Bangalore, India
R. Kandukuru
Affiliation:
Anaesthesiology And Critical Care, M S Ramaiah Medical College, Bangalore, India
*
*Corresponding author.

Abstract

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Introduction

Post-traumatic stress disorder (PTSD) following intensive care is a relatively new entity. It is triggered due to traumatic experiences in a setting of threat to life due to illness. Prolonged stay in intensive care predisposes to delusional memories related to the stay experience and may increase likelihood of post-traumatic stress.It may also present as anxiety or depression.

Objectives

This study explored the prevalence of post-traumatic symptoms in intensive care, find its correlates and its impact on health-related quality of life (HRQoL).

Methods

225 adult patients admitted for at least 1 day in the intensive care unit (ICU) of a general hospital in Bangalore,India were recruited and assessed at 1 week,1 month and 3 months after ICU discharge. Subjects were assessed for ICU related memories, PTSD, anxiety and depression scores and quality of life at and post discharge.

Results

59.6% of the study population had significant post-traumatic stress, including anxiety in 62.35%, depression in 10.58% and mixed anxiety-depression in 27.06%. Delusional memories were found in 31.6%. Presence of delusional memories was found to have significant correlation with post-traumatic stress and had a negative impact on HRQoL.

Conclusions

This study was the first of its kind from Asia. More systematic studies on PTSD following ICU stay and its correlates are required as available evidence lacks homogeneity. Suitable preventive measures should be taken to reduce prevalence of post-traumatic stress in intensive care due to its lasting impact on HRQoL.

Disclosure

No significant relationships.

Keywords

post-traumatic stress disorderanxiety and depressiondelusional memoriesintensive care unit
Type
Abstract
Information
European Psychiatry , Volume 64 , Special Issue S1: Abstracts of the 29th European Congress of Psychiatry , April 2021 , pp. S141
Creative Commons
Creative Common License - CCCreative Common License - BY
This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited.
Copyright
© The Author(s), 2021. Published by Cambridge University Press on behalf of the European Psychiatric Association
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