ICU sedation, delirium & recovery
Incidence of near-death experiences in patients surviving a prolonged critical illness and their long-term impact: a prospective observational study
Authors' conclusion
The recall of NDE is not so rare in the ICU. In our cohort, cognitive and spiritual factors outweighed medical parameters as predictors of the emergence of NDE.
Study context
- Population
- Adult intensive care unit (ICU) survivors (all aetiologies) with a prolonged ICU stay (> 7 days)61 at 1 year
- Participants
- 126 survivors
- Outcome
- Incidence of NDE (Greyson NDE scale, cut-off score ≥ 7/32)
- Follow-up
- First 7 days after discharge
Methodological detailssingle-centre, 1-year follow-up
- Single-centre
- 1-year follow-up
Main finding
As reported in the abstract
NDE incidence (Greyson NDE scale cut-off score ≥ 7/32)
Patients reporting near-death experience (NDE), of 126 included
19
15%
Observational data: associations, not effects.
Further findings
Predictors of NDE
- Univariate: mechanical ventilation, sedation, analgesia, reason for admission, primary organ dysfunction, dissociative and spiritual propensities associated with NDE
- Multivariate logistic regression: only dissociative and spiritual propensity strongly predicted NDE
Quality of life (EuroQol five-dimensional questionnaire) · up to 1 year
- NDE not significantly associated with quality of life
- n = 61
Original publication
Incidence of near-death experiences in patients surviving a prolonged critical illness and their long-term impact: a prospective observational study. Crit Care. Published 27 February 2023. doi:10. 1186/ s13054-023-04348-2
Composed by AI from the published abstract and checked against it. How Briefs are made →