Journal ArticleDOI
Rehabilitation after critical illness: a randomized, controlled trial.
Christina Jones,Paul Skirrow,Richard D. Griffiths,Gerald H. Humphris,Sarah Ingleby,Jane Eddleston,Carl Waldmann,Melanie Gager +7 more
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A self-help rehabilitation manual is effective in aiding physical recovery and reducing depression in patients recalling delusional memories from the ICU, however, further psychological care may be needed to reduce the incidence of anxiety and PTSD-related symptoms.Abstract:
Objective: To evaluate the effectiveness of a rehabilitation program following critical illness to aid physical and psychological recovery. Design: Randomized controlled trial, blind at follow-up with final assessment at 6 months. Setting: Two district general hospitals and one teaching hospital. Patients: Patients were 126 consecutively admitted intensive care patients meeting the inclusion criteria. Interventions: Control patients received ward visits, three telephone calls at home, and clinic appointments at 8 wks and 6 months. Intervention patients received the same plus a 6-wk self-help rehabilitation manual. Measurements and Main Results: We measured levels of depression and anxiety (Hospital Anxiety and Depression Scale), phobic symptoms (Fear Index), posttraumatic stress disorder (PTSD)-related symptoms (Impact of Events Scale), and scores on the Short-Form Health Survey physical dimension 8 wks and 6 months after intensive care unit (ICU) treatment. Memory for ICU was assessed at 2 wks post-ICU discharge using the ICU Memory Tool. The intervention group improved, compared with the control patients, on the Short-Form Health Survey physical function scores at 8 wks and 6 months (p .006), and there was a trend to a lower rate of depression at 8 wks (12% vs. 25%). However, there were no differences in levels of anxiety and PTSD-related symptoms between the groups. The presence of delusional memories was correlated significantly with both anxiety and Impact of Events Scale scores. Conclusions: A self-help rehabilitation manual is effective in aiding physical recovery and reducing depression. However, in those patients recalling delusional memories from the ICU, further psychological care may be needed to reduce the incidence of anxiety and PTSD-related symptoms. (Crit Care Med 2003; 31:2456‐2461)read more
Citations
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Functional disability 5 years after acute respiratory distress syndrome.
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TL;DR: An International Consensus Conference was held in April 2005 to provide recommendations regarding the management of this process and an 11-member international jury answered five pre-defined questions.
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Surviving sepsis campaign: international guidelines for management of sepsis and septic shock 2021.
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References
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Journal ArticleDOI
The Hospital Anxiety and Depression Scale.
A. S. Zigmond,R. P. Snaith +1 more
TL;DR: It is suggested that the introduction of the scales into general hospital practice would facilitate the large task of detection and management of emotional disorder in patients under investigation and treatment in medical and surgical departments.
Journal ArticleDOI
The MOS 36-item short-form health survey (SF-36). I. Conceptual framework and item selection.
John E. Ware,Cathy D. Sherbourne +1 more
TL;DR: A 36-item short-form survey designed for use in clinical practice and research, health policy evaluations, and general population surveys to survey health status in the Medical Outcomes Study is constructed.
Journal ArticleDOI
Impact of Event Scale: a measure of subjective stress.
TL;DR: A scale of current subjective distress, related to a specific event, was based on a list of items composed of commonly reported experiences of intrusion and avoidance, and responses indicated that the scale had a useful degree of significance and homogeneity.
Book
An Introduction to Medical Statistics
TL;DR: The design of experiments, analysis of the means of small samples using the t-c Distribution, and selection of the statistical method for clinical measurement and the structure of human populations are reviewed.
Journal ArticleDOI
An Introduction to Medical Statistics
TL;DR: It is scarcely an exaggeration to say that the recently issued preliminary report on the census of 1931 is one of the most sensational documents which has appeared for years, and that he who reads it intelligently will understand what is meant by saying that civilisation is in the melting pot.
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