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Psychologic Distress and Quality of Life After ICU Treatment for Coronavirus Disease 2019: A Multicenter, Observational Cohort Study. | LitMetric

AI Article Synopsis

  • The study evaluates the psychological distress, posttraumatic stress disorder (PTSD), anxiety, and depression in ICU survivors of COVID-19, monitoring their health-related quality of life over a six-month period.
  • Conducted in Rotterdam, the research involved adult patients who had been hospitalized for COVID-19 and required ICU care, with assessments occurring at 6 weeks, 3 months, and 6 months post-discharge.
  • Results indicated that while some patients experienced distress, they generally reported less PTSD, anxiety, and depression compared to a historical cohort of critical illness survivors, and overall quality of life improved over time.

Article Abstract

Unlabelled: To quantify short- and long-term psychologic distress, that is, symptoms of posttraumatic stress disorder, anxiety, and depression, and the health-related quality of life in coronavirus disease 2019 ICU survivors.

Design: A prospective, observational cohort study.

Setting: Postcoronavirus disease 2019 clinics of three hospitals in Rotterdam, the Netherlands.

Patients: Adult patients admitted for coronavirus disease 2019 to the ICU, who visited the postcoronavirus disease 2019 follow-up clinic.

Measures And Main Results: The primary outcomes were psychologic distress and overall and mental health-related quality of life, assessed using the Impact of Event Scale-Revised, Hospital Anxiety and Depression Scale, Short-Form 36, and European Quality of Life 5D, 6 weeks, 3 months, and 6 months post hospital discharge. Second, we compared 3-month psychologic and mental health-related quality of life outcomes with a historical critical illness survivor cohort and overall and mental health-related quality of life with the Dutch population. We included 118 patients with a median age of 61 years (95% range, 36-77 yr) of whom 79 (68%) were male. At 6 weeks, 13 patients (23%) reported psychologic distress, copresence of probable psychiatric disorders was common, and no decline in psychologic distress was observed throughout follow-up. Coronavirus disease 2019 patients tend to suffer less from posttraumatic stress disorder and reported less severe symptoms of anxiety (Hospital Anxiety and Depression Scale Anxiety Score: 3 [0-17] vs 5 [0-16]; estimated mean difference 2.3 [95% CI, 0.0-4.7]; = 0.05) and depression (Hospital Anxiety and Depression Scale Depression Score: 3 [0-15] vs 5 [0-16]; estimated mean difference 2.4 [95% CI, 0.1-2.4]; = 0.04) than the historical critical illness cohort. Overall and mental health-related quality of life increased over time. Coronavirus disease 2019 ICU survivors reported better mental health-related quality of life than our historical cohort, but overall and mental health-related quality of life was still poorer than the Dutch population.

Conclusions: Psychologic distress was common in coronavirus disease 2019 ICU survivors and remained similar until 6 months after hospital discharge. Health-related quality of life increased over time and was higher than in a historical cohort, but was lower than in the Dutch population. Our findings highlight that coronavirus disease 2019 ICU survivors should be monitored after ICU treatment to detect possible psychologic distress.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC8357249PMC
http://dx.doi.org/10.1097/CCE.0000000000000497DOI Listing

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