Cargando…

The prevalence of mental frailty in ICU survivors and informal caregiver strain: A 1-year retrospective study of the Frisian aftercare cohort

BACKGROUND: Intensive care unit (ICU) survivors often suffer from long-term mental problems and a reduced health-related quality of life (HRQoL). Symptoms of depression, anxiety, and post-traumatic stress disorder may render patients mentally frail post-ICU, resulting in impaired recovery and an inc...

Descripción completa

Detalles Bibliográficos
Autores principales: Beumeler, Lise F E, Bethlehem, Carina, Hoogstins-Vlagsma, Thialda T, van Zutphen, Tim, Buter, Hanneke, Navis, Gerjan J, Boerma, E Christiaan
Formato: Online Artículo Texto
Lenguaje:English
Publicado: SAGE Publications 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10572478/
https://www.ncbi.nlm.nih.gov/pubmed/37841292
http://dx.doi.org/10.1177/17511437221139547
_version_ 1785120243626016768
author Beumeler, Lise F E
Bethlehem, Carina
Hoogstins-Vlagsma, Thialda T
van Zutphen, Tim
Buter, Hanneke
Navis, Gerjan J
Boerma, E Christiaan
author_facet Beumeler, Lise F E
Bethlehem, Carina
Hoogstins-Vlagsma, Thialda T
van Zutphen, Tim
Buter, Hanneke
Navis, Gerjan J
Boerma, E Christiaan
author_sort Beumeler, Lise F E
collection PubMed
description BACKGROUND: Intensive care unit (ICU) survivors often suffer from long-term mental problems and a reduced health-related quality of life (HRQoL). Symptoms of depression, anxiety, and post-traumatic stress disorder may render patients mentally frail post-ICU, resulting in impaired recovery and an increased informal caregiver burden. The aim of this study was to investigate the prevalence of mental frailty up to 12 months after ICU admission and pinpoint markers for early risk-assessment in clinical practice. METHODS: A retrospective cohort study (2012–2018) in which clinical and post-ICU data of long-stay (⩾48 h) ICU-patients was used. Mental frailty was identified as clinically relevant symptoms of depression, anxiety, or post-traumatic distress disorder at 12 months after discharge. RESULTS: The prevalence of mental frailty at 12 months post-ICU among the total group of 239 patients was 38%. Mental frailty was defined as clinically relevant symptoms of depression, anxiety, and/or trauma. To achieve this, previously validated cut off values were used for the HADS (HADS-Anxiety ⩾ 8; HADS-Depression ⩾ 8) and TSQ (⩾6), and CSI (⩾7). CONCLUSION: A significant proportion of ICU-survivors can be identified as mentally frail, which is associated with impaired HRQoL at baseline and post-ICU, and high caregiver strain. These findings emphasize the need for integrative aftercare programs for both the patient and their informal caregivers.
format Online
Article
Text
id pubmed-10572478
institution National Center for Biotechnology Information
language English
publishDate 2022
publisher SAGE Publications
record_format MEDLINE/PubMed
spelling pubmed-105724782023-10-14 The prevalence of mental frailty in ICU survivors and informal caregiver strain: A 1-year retrospective study of the Frisian aftercare cohort Beumeler, Lise F E Bethlehem, Carina Hoogstins-Vlagsma, Thialda T van Zutphen, Tim Buter, Hanneke Navis, Gerjan J Boerma, E Christiaan J Intensive Care Soc Original Articles BACKGROUND: Intensive care unit (ICU) survivors often suffer from long-term mental problems and a reduced health-related quality of life (HRQoL). Symptoms of depression, anxiety, and post-traumatic stress disorder may render patients mentally frail post-ICU, resulting in impaired recovery and an increased informal caregiver burden. The aim of this study was to investigate the prevalence of mental frailty up to 12 months after ICU admission and pinpoint markers for early risk-assessment in clinical practice. METHODS: A retrospective cohort study (2012–2018) in which clinical and post-ICU data of long-stay (⩾48 h) ICU-patients was used. Mental frailty was identified as clinically relevant symptoms of depression, anxiety, or post-traumatic distress disorder at 12 months after discharge. RESULTS: The prevalence of mental frailty at 12 months post-ICU among the total group of 239 patients was 38%. Mental frailty was defined as clinically relevant symptoms of depression, anxiety, and/or trauma. To achieve this, previously validated cut off values were used for the HADS (HADS-Anxiety ⩾ 8; HADS-Depression ⩾ 8) and TSQ (⩾6), and CSI (⩾7). CONCLUSION: A significant proportion of ICU-survivors can be identified as mentally frail, which is associated with impaired HRQoL at baseline and post-ICU, and high caregiver strain. These findings emphasize the need for integrative aftercare programs for both the patient and their informal caregivers. SAGE Publications 2022-12-07 2023-11 /pmc/articles/PMC10572478/ /pubmed/37841292 http://dx.doi.org/10.1177/17511437221139547 Text en © The Author(s) 2022 https://creativecommons.org/licenses/by/4.0/This article is distributed under the terms of the Creative Commons Attribution 4.0 License (https://creativecommons.org/licenses/by/4.0/) which permits any use, reproduction and distribution of the work without further permission provided the original work is attributed as specified on the SAGE and Open Access pages (https://us.sagepub.com/en-us/nam/open-access-at-sage).
spellingShingle Original Articles
Beumeler, Lise F E
Bethlehem, Carina
Hoogstins-Vlagsma, Thialda T
van Zutphen, Tim
Buter, Hanneke
Navis, Gerjan J
Boerma, E Christiaan
The prevalence of mental frailty in ICU survivors and informal caregiver strain: A 1-year retrospective study of the Frisian aftercare cohort
title The prevalence of mental frailty in ICU survivors and informal caregiver strain: A 1-year retrospective study of the Frisian aftercare cohort
title_full The prevalence of mental frailty in ICU survivors and informal caregiver strain: A 1-year retrospective study of the Frisian aftercare cohort
title_fullStr The prevalence of mental frailty in ICU survivors and informal caregiver strain: A 1-year retrospective study of the Frisian aftercare cohort
title_full_unstemmed The prevalence of mental frailty in ICU survivors and informal caregiver strain: A 1-year retrospective study of the Frisian aftercare cohort
title_short The prevalence of mental frailty in ICU survivors and informal caregiver strain: A 1-year retrospective study of the Frisian aftercare cohort
title_sort prevalence of mental frailty in icu survivors and informal caregiver strain: a 1-year retrospective study of the frisian aftercare cohort
topic Original Articles
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10572478/
https://www.ncbi.nlm.nih.gov/pubmed/37841292
http://dx.doi.org/10.1177/17511437221139547
work_keys_str_mv AT beumelerlisefe theprevalenceofmentalfrailtyinicusurvivorsandinformalcaregiverstraina1yearretrospectivestudyofthefrisianaftercarecohort
AT bethlehemcarina theprevalenceofmentalfrailtyinicusurvivorsandinformalcaregiverstraina1yearretrospectivestudyofthefrisianaftercarecohort
AT hoogstinsvlagsmathialdat theprevalenceofmentalfrailtyinicusurvivorsandinformalcaregiverstraina1yearretrospectivestudyofthefrisianaftercarecohort
AT vanzutphentim theprevalenceofmentalfrailtyinicusurvivorsandinformalcaregiverstraina1yearretrospectivestudyofthefrisianaftercarecohort
AT buterhanneke theprevalenceofmentalfrailtyinicusurvivorsandinformalcaregiverstraina1yearretrospectivestudyofthefrisianaftercarecohort
AT navisgerjanj theprevalenceofmentalfrailtyinicusurvivorsandinformalcaregiverstraina1yearretrospectivestudyofthefrisianaftercarecohort
AT boermaechristiaan theprevalenceofmentalfrailtyinicusurvivorsandinformalcaregiverstraina1yearretrospectivestudyofthefrisianaftercarecohort
AT beumelerlisefe prevalenceofmentalfrailtyinicusurvivorsandinformalcaregiverstraina1yearretrospectivestudyofthefrisianaftercarecohort
AT bethlehemcarina prevalenceofmentalfrailtyinicusurvivorsandinformalcaregiverstraina1yearretrospectivestudyofthefrisianaftercarecohort
AT hoogstinsvlagsmathialdat prevalenceofmentalfrailtyinicusurvivorsandinformalcaregiverstraina1yearretrospectivestudyofthefrisianaftercarecohort
AT vanzutphentim prevalenceofmentalfrailtyinicusurvivorsandinformalcaregiverstraina1yearretrospectivestudyofthefrisianaftercarecohort
AT buterhanneke prevalenceofmentalfrailtyinicusurvivorsandinformalcaregiverstraina1yearretrospectivestudyofthefrisianaftercarecohort
AT navisgerjanj prevalenceofmentalfrailtyinicusurvivorsandinformalcaregiverstraina1yearretrospectivestudyofthefrisianaftercarecohort
AT boermaechristiaan prevalenceofmentalfrailtyinicusurvivorsandinformalcaregiverstraina1yearretrospectivestudyofthefrisianaftercarecohort