ICU sedation, delirium & recovery
Lack of Useful Predictors of Dignity-Related Distress Among the Critically Ill as Assessed With the Patient Dignity Inventory
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 →