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

Crit CarePublished 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 →

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