ICU sedation, delirium & recovery

New and persistent psychoactive medication use in intensive care unit survivors with COVID-19: a multicentre population-based cohort study

Can J AnaesthPublished Population-based cohort study

Authors' conclusion

New psychoactive medication prescriptions were common (17.6%) in COVID-19 ICU survivors, among whom approximately half of patients were still receiving these medications 1 year later.

Study context

Population
Psychoactive-naïve adults admitted to an intensive care unit (ICU) with COVID-19 who survived to hospital discharge, Alberta, Canada, January 2021–July 2022
Participants
1,486 psychoactive-naïve adults
Exposure
New discharge prescriptions vs No new prescriptions
  • New discharge prescriptionsn = 261
Outcome
Frequency of new psychoactive medication prescriptions after hospital discharge
Methodological detailsmulticentre, inverse probability of treatment weighting, linked provincial health data sets
  • Multicentre
  • Inverse probability of treatment weighting
  • Linked provincial health data sets

Main finding

As reported in the abstract

New psychoactive prescriptions filled after discharge

New discharge prescriptions

17.6%

261

Benzodiazepines
41%
Opioids
28.3%
Antipsychotics
20.3%
Selective serotonin reuptake inhibitors
15.0%

Observational data: associations, not effects.

Further findings

OutcomeNew discharge prescriptionsNo new prescriptionsaOR (95% CI)
All-cause mortality · 1 yearInverse probability of treatment weighting10.3%5.4%1.64 (1.15–2.55)
Re-hospitalization · 1 yearInverse probability of treatment weighting37.6%47.5%1.47 (1.20–1.81)
ED visits · 1 yearInverse probability of treatment weighting58.2%41.8%1.95 (1.59–2.40)

Persistent psychoactive medication dispensations among new recipients · 1 year

New recipients with persistent medication dispensations
135 (51.7%)

Original publication

New and persistent psychoactive medication use in intensive care unit survivors with COVID-19: a multicentre population-based cohort study. Can J Anaesth. Published 9 June 2026. doi:10.1007/s12630-026-03140-4

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