危重症后创伤后应激障碍的预测因素：一项混合方法研究。
Predictors of post-traumatic stress disorder following critical illness: A mixed methods study.
作者信息
Battle Ceri E, James Karen, Bromfield Tom, Temblett Paul
机构信息
Ed Major Critical Care Unit, Morriston Hospital, Swansea, UK.
出版信息
J Intensive Care Soc. 2017 Nov;18(4):289-293. doi: 10.1177/1751143717713853. Epub 2017 Jun 26.
PURPOSE
Post-traumatic stress disorder has been reported in survivors of critical illness. The aim of this study was to investigate the predictors of post-traumatic stress disorder in survivors of critical illness.
MATERIALS AND METHODS
Patients attending the intensive care unit (ICU) follow-up clinic completed the UK-Post-Traumatic Stress Syndrome 14-Questions Inventory and data was collected from their medical records. Predictors investigated included age, gender, Apache II score, ICU length of stay, pre-illness psychopathology; delirium and benzodiazepine administration during ICU stay and delusional memories of the ICU stay following discharge.
RESULTS
A total of 198 patients participated, with 54 (27%) patients suffering with post-traumatic stress disorder. On multivariable logistic regression, the significant predictors of post-traumatic stress disorder were younger age, lower Apache II score, pre-illness psychopathology and delirium during the ICU stay.
CONCLUSIONS
The predictors of post-traumatic stress disorder in this study concur with previous research however a lower Apache II score has not been previously reported.
目的
危重症幸存者中已报告出现创伤后应激障碍。本研究旨在调查危重症幸存者创伤后应激障碍的预测因素。
材料与方法
在重症监护病房（ICU）随访门诊就诊的患者完成了英国创伤后应激综合征14项问题量表的填写，并从其病历中收集数据。调查的预测因素包括年龄、性别、急性生理与慢性健康状况评分系统II（Apache II）评分、ICU住院时间、病前精神病理学；ICU住院期间的谵妄和苯二氮䓬类药物使用情况以及出院后对ICU住院的妄想性记忆。
结果
共有198名患者参与，其中54名（27%）患者患有创伤后应激障碍。多变量逻辑回归分析显示，创伤后应激障碍的显著预测因素为年龄较小、Apache II评分较低、病前精神病理学以及ICU住院期间的谵妄。
结论
本研究中创伤后应激障碍的预测因素与先前研究一致，但此前未报告较低的Apache II评分。
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