The Prevalence of Post Traumatic Stress Disorder in Survivors of ICU Treatment: a Systematic Review
John Griffiths, Gillian Fortune, Vicki Barber, J.Duncan Young
Intensive Care Med (2007) 33:1506–1518
Objective: to determine the prevalence of post traumatic stress disorder in survivors of intensive care treatment. Design: Systematic literature review including Medline, Embase, CINAHL, PsycINFO and references from identified papers.
Study selection: studies determining the prevalence of PTSD in adult patients who had at least 24 h treatment on an intensive care unit. Independent duplicate data extraction. Study quality was evaluated in terms of study design and method and timing of PTSD assessment.
Data synthesis and results: of the 1472 citations identified, 30 studies meeting the selection criteria were reviewed. PTSD was diagnosed by standardized clinical interview alone in 2 studies. A self-report measure alone was used in 19 studies to measure PTSD symptomatology. The remaining 9 studies applied both standardized clinical interview and a self-report measure. The reported prevalence of PTSD was 0–64% when diagnosed by standardised clinical interview and 5–64% by self-report measure. PTSD assessments occurred 7 days to 8 years after intensive care discharge.
Conclusion: the true prevalence of PTSD and the optimum timing and method of PTSD assessment have not yet been determined in intensive care unit survivors. Deficiencies in design, methodology and reporting make interpretation and comparison of quoted prevalence rates difficult, and rigorous longitudinal studies are needed.
A new frontier in critical care: saving the injuried brain.
Gestire il doloreFlowchart dolore
Gestire la sedazioneFlowchart sedaz/agitaz
Gestire il deliriumFlowchart Delirium
Scheda di lavoro CAM-ICU
Questo sito è stato realizzato grazie al contributo di:
Finanziamento per la Ricerca Indipendente
(Decreto DGS 13456 del 22 dicembre 2010)