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Post-Intensive Care Unit Psychiatric Comorbidity and Quality of Life.

Publication ,  Journal Article
Wang, S; Mosher, C; Perkins, AJ; Gao, S; Lasiter, S; Khan, S; Boustani, M; Khan, B
Published in: J Hosp Med
October 2017

The prevalence of psychiatric symptoms ranges from 17% to 44% in intensive care unit (ICU) survivors. The relationship between the comorbidity of psychiatric symptoms and quality of life (QoL) in ICU survivors has not been carefully examined. This study examined the relationship between psychiatric comorbidities and QoL in 58 survivors of ICU delirium. Patients completed 3 psychiatric screens at 3 months after discharge from the hospital, including the Patient Health Questionnaire-9 (PHQ-9) for depression, the Generalized Anxiety Disorder-7 (GAD-7) questionnaire for anxiety, and the Post-Traumatic Stress Syndrome (PTSS- 10) questionnaire for posttraumatic stress disorder. Patients with 3 positive screens (PHQ-9 = 10; GAD-7 = 10; and PTSS-10 > 35) comprised the high psychiatric comorbidity group. Patients with 1 to 2 positive screens were labeled the low to moderate (low-moderate) psychiatric comorbidity group. Patients with 3 negative screens were labeled the no psychiatric morbidity group. Thirty-one percent of patients met the criteria for high psychiatric comorbidity. After adjusting for age, gender, Charlson Comorbidity Index, discharge status, and prior history of depression and anxiety, patients who had high psychiatric comorbidity were more likely to have a poorer QoL compared with the low-moderate comorbidity and no morbidity groups, as measured by a lower EuroQol 5 dimensions questionnaire 3-level Index (no, 0.69 ± 0.25; low-moderate, 0.70 ± 0.19; high, 0.48 ± 0.24; P = 0.017). Future studies should confirm these findings and examine whether survivors of ICU delirium with high psychiatric comorbidity have different treatment needs from survivors with lower psychiatric comorbidity.

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Published In

J Hosp Med

DOI

EISSN

1553-5606

Publication Date

October 2017

Volume

12

Issue

10

Start / End Page

831 / 835

Location

United States

Related Subject Headings

  • Surveys and Questionnaires
  • Respiratory Distress Syndrome
  • Quality of Life
  • Patient Discharge
  • Middle Aged
  • Mental Disorders
  • Male
  • Intensive Care Units
  • Humans
  • General & Internal Medicine
 

Citation

APA
Chicago
ICMJE
MLA
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Wang, S., Mosher, C., Perkins, A. J., Gao, S., Lasiter, S., Khan, S., … Khan, B. (2017). Post-Intensive Care Unit Psychiatric Comorbidity and Quality of Life. J Hosp Med, 12(10), 831–835. https://doi.org/10.12788/jhm.2827
Wang, Sophia, Chris Mosher, Anthony J. Perkins, Sujuan Gao, Sue Lasiter, Sikandar Khan, Malaz Boustani, and Babar Khan. “Post-Intensive Care Unit Psychiatric Comorbidity and Quality of Life.J Hosp Med 12, no. 10 (October 2017): 831–35. https://doi.org/10.12788/jhm.2827.
Wang S, Mosher C, Perkins AJ, Gao S, Lasiter S, Khan S, et al. Post-Intensive Care Unit Psychiatric Comorbidity and Quality of Life. J Hosp Med. 2017 Oct;12(10):831–5.
Wang, Sophia, et al. “Post-Intensive Care Unit Psychiatric Comorbidity and Quality of Life.J Hosp Med, vol. 12, no. 10, Oct. 2017, pp. 831–35. Pubmed, doi:10.12788/jhm.2827.
Wang S, Mosher C, Perkins AJ, Gao S, Lasiter S, Khan S, Boustani M, Khan B. Post-Intensive Care Unit Psychiatric Comorbidity and Quality of Life. J Hosp Med. 2017 Oct;12(10):831–835.
Journal cover image

Published In

J Hosp Med

DOI

EISSN

1553-5606

Publication Date

October 2017

Volume

12

Issue

10

Start / End Page

831 / 835

Location

United States

Related Subject Headings

  • Surveys and Questionnaires
  • Respiratory Distress Syndrome
  • Quality of Life
  • Patient Discharge
  • Middle Aged
  • Mental Disorders
  • Male
  • Intensive Care Units
  • Humans
  • General & Internal Medicine