ICU sedation, delirium & recovery

Lack of Useful Predictors of Dignity-Related Distress Among the Critically Ill as Assessed With the Patient Dignity Inventory

Anesth AnalgPublished Retrospective cohort study

Authors' conclusion

Given that approximately one-third of critical care patients who are alert and without delirium demonstrate severe dignity-related distress, all such patients with prolonged intensive care unit length of stay should probably be evaluated for distress.

Study context

Population
Awake adult ICU patients with ≥48 hours without delirium, dementia, or sedation, 2019 to 2020
Participants
155 patients · 5 ICUs
Outcome
Dignity-related distress (Patient Dignity Inventory, 25 items, 1–5 scale; mean score thresholds) and its predictors
Methodological detailssingle hospital, 5 ICUs, logistic regression models (complete, stepwise forward, stepwise backward)
  • Single hospital, 5 ICUs
  • Logistic regression models (complete, stepwise forward, stepwise backward)

Main finding

As reported in the abstract

Significant dignity-related distress (mean score ≥1.60): 78/155; 95% CI 42-58

50%

Severe dignity-related distress (mean score ≥1.92): 52/155; CI 26-42

34%

Observational data: associations, not effects.

Original publication

Lack of Useful Predictors of Dignity-Related Distress Among the Critically Ill as Assessed With the Patient Dignity Inventory. Anesth Analg. Published 24 February 2023. doi:10.1213/ane.0000000000006405

Composed by AI from the published abstract and checked against it. How Briefs are made →

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