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Timing of exposure to ICU diaries and its impact on mental health, memories, and quality of life: a double-blind randomized control trial
Tripathy, Swagata Acharya, Swati Priyadarshini Sahoo, Alok Kumar Hansda, Upendra Mitra, Jayanta Kumar Goel, Kishen Ahmad, Suma Rabab Kar, Nilamadhab
Tripathy, Swagata
Acharya, Swati Priyadarshini
Sahoo, Alok Kumar
Hansda, Upendra
Mitra, Jayanta Kumar
Goel, Kishen
Ahmad, Suma Rabab
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Affiliation
Department of Anesthesia & Critical Care, AIIMS Bhubaneswar, Bhubaneswar, India; Pdf Critical Care, Department of Anesthesia & Critical Care, AIIMS Bhubaneswar, Bhubaneswar, India; Department of Postgraduate Psychiatry, Black Country Healthcare NHS Foundation Trust, Steps to Health, Wolverhampton, United Kingdom.
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Publication date
2022-07-29
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Abstract
Anxiety-depression, memory, and QOL were assessed telephonically or home visits by a psychologist using the Hospital Anxiety-Depression Scale (HADS) and other tools at ICU discharge, 1-month (prerandomization), and 3 months of discharge. ID3 was reassessed after receiving diaries at 3.5 months. Primary outcome was anxiety-depression; secondary outcomes included PTSS, QOL, and memories. There was 100% follow-up. At 3 months, ID1 patients had a significant (p < 0.001) reduction in HADS from baseline when compared with ID3 that had not received diaries (4.16 ± 2.9 vs 2.15 ± 1.8; 95% CI, 2.8-1.2). PTSS scores were likewise better (p < 0.001). ID3 patients demonstrated significant improvement (p < 0.01) in QOL and memories along with HADS and PTSS when assessed at 3.5 months.
Citation
Crit Care Explor . 2022 Jul 29;4(8):e0742. doi: 10.1097/CCE.0000000000000742. eCollection 2022 Aug.
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Article