Prevalence of and risk factors for post-intensive care syndrome: Multicenter study of patients living at home after treatment in 12 Japanese intensive care units, SMAP-HoPe study.

Few studies have examined the epidemiology of post-intensive care syndrome in Japan. This study investigated the mental health and quality of life of patients living at home in Japan after intensive care unit (ICU) discharge. Additionally, we examined whether unplanned admission to the ICU was assoc...

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Autores principales:	Takeshi Unoki, Hideaki Sakuramoto, Sakura Uemura, Takahiro Tsujimoto, Takako Yamaguchi, Yuko Shiba, Mayumi Hino, Tomoki Kuribara, Yuko Fukuda, Takumi Nagao, Mio Kitayama, Masako Shirasaka, Junpei Haruna, Yosuke Satoi, Yoshiki Masuda, SMAP-HoPe Study Project
Formato:	article
Lenguaje:	EN
Publicado:	Public Library of Science (PLoS) 2021
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/43e04e493d9f424c8a2fefca4af5dac0
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spelling	oai:doaj.org-article:43e04e493d9f424c8a2fefca4af5dac02021-11-25T06:23:43ZPrevalence of and risk factors for post-intensive care syndrome: Multicenter study of patients living at home after treatment in 12 Japanese intensive care units, SMAP-HoPe study.1932-620310.1371/journal.pone.0252167https://doaj.org/article/43e04e493d9f424c8a2fefca4af5dac02021-01-01T00:00:00Zhttps://doi.org/10.1371/journal.pone.0252167https://doaj.org/toc/1932-6203Few studies have examined the epidemiology of post-intensive care syndrome in Japan. This study investigated the mental health and quality of life of patients living at home in Japan after intensive care unit (ICU) discharge. Additionally, we examined whether unplanned admission to the ICU was associated with more severe post-traumatic stress disorder (PTSD), anxiety, and depressive symptoms. An ambidirectional cohort study was conducted at 12 ICUs in Japan. Patients who stayed in the ICU for > 3 nights and were living at home for 1 year afterward were included. One year after ICU discharge, we retrospectively screened patients and performed a mail survey on a monthly basis, including the Impact of Event Scale-Revised (IER-S), the Hospital Anxiety Depression Scale (HADS), and the EuroQOL-5 Dimension (EQ-5D-L) questionnaires. Patients' characteristics, delirium and coma status, drugs used, and ICU and hospital length of stay were assessed from medical records. Descriptive statistics and multilevel linear regression modeling were used to examine our hypothesis. Among 7,030 discharged patients, 854 patients were surveyed by mail. Of these, 778 patients responded (response rate = 91.1%). The data from 754 patients were analyzed. The median IES-R score was 3 (interquartile range [IQR] = 1‒9), and the prevalence of suspected PTSD was 6.0%. The median HADS anxiety score was 4.00 (IQR = 1.17‒6.00), and the prevalence of anxiety was 16.6%. The median HADS depression score was 5 (IQR = 2‒8), and the prevalence of depression was 28.1%. EQ-5D-L scores were lower in our participants than in the sex- and age-matched Japanese population. Unplanned admission was an independent risk factor for more severe PTSD, anxiety, and depressive symptoms. Approximately one-third of patients in the general ICU population experienced mental health issues one year after ICU discharge. Unplanned admission was an independent predictor for more severe PTSD symptoms.Takeshi UnokiHideaki SakuramotoSakura UemuraTakahiro TsujimotoTakako YamaguchiYuko ShibaMayumi HinoTomoki KuribaraYuko FukudaTakumi NagaoMio KitayamaMasako ShirasakaJunpei HarunaYosuke SatoiYoshiki MasudaSMAP-HoPe Study ProjectPublic Library of Science (PLoS)articleMedicineRScienceQENPLoS ONE, Vol 16, Iss 5, p e0252167 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q Takeshi Unoki Hideaki Sakuramoto Sakura Uemura Takahiro Tsujimoto Takako Yamaguchi Yuko Shiba Mayumi Hino Tomoki Kuribara Yuko Fukuda Takumi Nagao Mio Kitayama Masako Shirasaka Junpei Haruna Yosuke Satoi Yoshiki Masuda SMAP-HoPe Study Project Prevalence of and risk factors for post-intensive care syndrome: Multicenter study of patients living at home after treatment in 12 Japanese intensive care units, SMAP-HoPe study.
description	Few studies have examined the epidemiology of post-intensive care syndrome in Japan. This study investigated the mental health and quality of life of patients living at home in Japan after intensive care unit (ICU) discharge. Additionally, we examined whether unplanned admission to the ICU was associated with more severe post-traumatic stress disorder (PTSD), anxiety, and depressive symptoms. An ambidirectional cohort study was conducted at 12 ICUs in Japan. Patients who stayed in the ICU for > 3 nights and were living at home for 1 year afterward were included. One year after ICU discharge, we retrospectively screened patients and performed a mail survey on a monthly basis, including the Impact of Event Scale-Revised (IER-S), the Hospital Anxiety Depression Scale (HADS), and the EuroQOL-5 Dimension (EQ-5D-L) questionnaires. Patients' characteristics, delirium and coma status, drugs used, and ICU and hospital length of stay were assessed from medical records. Descriptive statistics and multilevel linear regression modeling were used to examine our hypothesis. Among 7,030 discharged patients, 854 patients were surveyed by mail. Of these, 778 patients responded (response rate = 91.1%). The data from 754 patients were analyzed. The median IES-R score was 3 (interquartile range [IQR] = 1‒9), and the prevalence of suspected PTSD was 6.0%. The median HADS anxiety score was 4.00 (IQR = 1.17‒6.00), and the prevalence of anxiety was 16.6%. The median HADS depression score was 5 (IQR = 2‒8), and the prevalence of depression was 28.1%. EQ-5D-L scores were lower in our participants than in the sex- and age-matched Japanese population. Unplanned admission was an independent risk factor for more severe PTSD, anxiety, and depressive symptoms. Approximately one-third of patients in the general ICU population experienced mental health issues one year after ICU discharge. Unplanned admission was an independent predictor for more severe PTSD symptoms.
format	article
author	Takeshi Unoki Hideaki Sakuramoto Sakura Uemura Takahiro Tsujimoto Takako Yamaguchi Yuko Shiba Mayumi Hino Tomoki Kuribara Yuko Fukuda Takumi Nagao Mio Kitayama Masako Shirasaka Junpei Haruna Yosuke Satoi Yoshiki Masuda SMAP-HoPe Study Project
author_facet	Takeshi Unoki Hideaki Sakuramoto Sakura Uemura Takahiro Tsujimoto Takako Yamaguchi Yuko Shiba Mayumi Hino Tomoki Kuribara Yuko Fukuda Takumi Nagao Mio Kitayama Masako Shirasaka Junpei Haruna Yosuke Satoi Yoshiki Masuda SMAP-HoPe Study Project
author_sort	Takeshi Unoki
title	Prevalence of and risk factors for post-intensive care syndrome: Multicenter study of patients living at home after treatment in 12 Japanese intensive care units, SMAP-HoPe study.
title_short	Prevalence of and risk factors for post-intensive care syndrome: Multicenter study of patients living at home after treatment in 12 Japanese intensive care units, SMAP-HoPe study.
title_full	Prevalence of and risk factors for post-intensive care syndrome: Multicenter study of patients living at home after treatment in 12 Japanese intensive care units, SMAP-HoPe study.
title_fullStr	Prevalence of and risk factors for post-intensive care syndrome: Multicenter study of patients living at home after treatment in 12 Japanese intensive care units, SMAP-HoPe study.
title_full_unstemmed	Prevalence of and risk factors for post-intensive care syndrome: Multicenter study of patients living at home after treatment in 12 Japanese intensive care units, SMAP-HoPe study.
title_sort	prevalence of and risk factors for post-intensive care syndrome: multicenter study of patients living at home after treatment in 12 japanese intensive care units, smap-hope study.
publisher	Public Library of Science (PLoS)
publishDate	2021
url	https://doaj.org/article/43e04e493d9f424c8a2fefca4af5dac0
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Prevalence of and risk factors for post-intensive care syndrome: Multicenter study of patients living at home after treatment in 12 Japanese intensive care units, SMAP-HoPe study.

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