Intensive Care Diaries Reduce New Onset Post Traumatic Stress Disorder Following Cri 2693439

Abstract Introduction: Patients recovering from critical illness have been shown to be at risk of developing Post Traumatic Stress disorder (PTSD). This study was to evaluate whether a prospectively collected diary of a patient’s intensive care unit (ICU) stay when used during convalescence following critical illness will reduce the development of new onset PTSD. Methods: Intensive care patients with an ICU stay of more than 72 hours were recruited to a randomised controlled trial examining the effect of a diary outlining the details of the patients ICU stay on the development of acute PTSD. The intervention patients received their ICU diary at 1 month following critical care discharge and the final assessment of the development of acute PTSD was made at 3 months. Results: 352 patients were randomised to the study at 1 month. The incidence of new cases of PTSD was reduced in the intervention group compared to the control patients (5% versus 13%, P = 0.02). Conclusions: The provision of an ICU diary is effective in aiding psychological recovery and reducing the incidence of new PTSD. Document Preview:

Jones et al. Critical Care 2010, 14:R168http://ccforum.com/content/14/5/R168RESEARCH Open AccessIntensive care diaries reduce new onset posttraumatic stress disorder following critical illness:a randomised, controlled trial1,2 3 4 5 6 7Christina Jones , Carl Bäckman , Maurizia Capuzzo , Ingrid Egerod , Hans Flaatten , Cristina Granja ,8 1,2*Christian Rylander , Richard D Griffiths , the RACHEL groupAbstractIntroduction: Patients recovering from critical illness have been shown to be at risk of developing Post TraumaticStress disorder (PTSD). This study was to evaluate whether a prospectively collected diary of a patient’s intensivecare unit (ICU) stay when used during convalescence following critical illness will reduce the development of newonset PTSD.Methods: Intensive care patients with an ICU stay of more than 72 hours were recruited to a randomisedcontrolled trial examining the effect of a diary outlining the details of the patients ICU stay on the development ofacute PTSD. The intervention patients received their ICU diary at 1 month following critical care discharge and thefinal assessment of the development of acute PTSD was made at 3 months.Results: 352 patients were randomised to the study at 1 month. The incidence of new cases of PTSD was reducedin the intervention group compared to the control patients (5% versus 13%, P = 0.02).Conclusions: The provision of an ICU diary is effective in aiding psychological recovery and reducing theincidence of new PTSD.Trial registration: NCT00912613.Introduction than 48 hours in the ICU, will have the diagnosis [3].ICU survivors, even with differing presenting diagnoses, The full diagnosis of PTSD is made if the symptoms thehave been shown to face common psychological pro- individuals are experiencing make it difficult for them toblems during their recovery, including anxiety, depres- function in domains of their normal life, such as rela-sion and post-traumatic stress disorder (PTSD)….

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