Department of Medical Communication, University Hospital Basel, Klingelbergstrasse 23, CH-4031, Switzerland.
Department of Medical Communication, University Hospital Basel, Klingelbergstrasse 23, CH-4031, Switzerland; Department of Emergency Medicine, University Hospital Basel, Petersgraben 2, CH-4031 Basel, Switzerland.
J Crit Care. 2019 Jun;51:57-63. doi: 10.1016/j.jcrc.2019.01.026. Epub 2019 Jan 28.
Relatives of patients admitted to the intensive care unit (ICU) with out-of-hospital cardiac arrest (OHCA) may suffer from adverse psychological outcomes. We assessed prevalence and risk factors for depression and anxiety in such relatives 90 days after ICU admission.
This study included consecutive relatives of OHCA patients admitted to the ICU of University Hospital in Basel, Switzerland. Relatives were interviewed upon admission regarding psychosocial risk factors and satisfaction with communication. Symptoms of depression and anxiety were assessed by Hospital Anxiety and Depression Scale (HADS) 90 days after inclusion.
Of 101 included relatives, 17% and 13% of relatives reported symptoms of depression and anxiety, respectively. Witnessing cardiopulmonary resuscitation was associated with depression (gender- and age-adjusted odds ratio [OR] 6.71; 95%CI 1.27 to 35.34; p = .025). Satisfaction with information and decision-making was associated with lower risk of depression (adjusted OR 0.95; 95%CI 0.91 to 0.99; p = .013). Unemployment (adjusted OR 10.42; 95%CI 1.18 to 92.35; p = .035) and lower perceived health status were associated with anxiety (adjusted OR 0.93; 95%CI 0.87 to 0.99; p = .025).
Many relatives of OHCA patients report symptoms of depression and anxiety after 90 days. Improving initial care and communication may help to reduce these risks.
住进重症监护病房（ICU）的院外心搏骤停（OHCA）患者的亲属可能会出现不良的心理后果。我们评估了 ICU 入住 90 天后此类亲属出现抑郁和焦虑的患病率和风险因素。
这项研究纳入了瑞士巴塞尔大学医院 ICU 连续收治的 OHCA 患者的亲属。亲属在入住时接受了关于社会心理风险因素和沟通满意度的访谈。在纳入后 90 天，通过医院焦虑和抑郁量表（HADS）评估抑郁和焦虑症状。
在 101 名纳入的亲属中，分别有 17%和 13%的亲属报告有抑郁和焦虑症状。目睹心肺复苏与抑郁有关（性别和年龄调整后的比值比 [OR] 6.71；95%置信区间 [CI] 1.27 至 35.34；p=0.025）。对信息和决策的满意度与抑郁风险降低相关（调整后的 OR 0.95；95%CI 0.91 至 0.99；p=0.013）。失业（调整后的 OR 10.42；95%CI 1.18 至 92.35；p=0.035）和较低的感知健康状况与焦虑有关（调整后的 OR 0.93；95%CI 0.87 至 0.99；p=0.025）。
许多 OHCA 患者的亲属在入住 90 天后报告出现抑郁和焦虑症状。改善初始护理和沟通可能有助于降低这些风险。
