ICU sedation, delirium & recovery
Predictors of ICU Surrogates’ States of Concurrent Prolonged Grief, Posttraumatic Stress, and Depression Symptoms*
Authors' conclusion
Surrogates' concurrent bereavement distress was positively associated with clinically modifiable factors: poor quality dying and death, higher surrogate anxiety, and palliative care-commonly provided late in the terminal-illness trajectory worldwide. Social-worker involvement and a do-not-resuscitate order appeared to mitigate risk.
Study context
- Population
- Family surrogates of patients in medical ICUs of two Taiwanese medical centers
- Participants
- 288 family surrogates
- Exposure
- Risk factors across four PGD-PTSD-depressive-symptom states
- Outcome
- Factors associated with four PGD-PTSD-depressive-symptom states (multinomial logistic regression)
Methodological detailsmulticentre
- Multicentre
Main finding
As reported in the abstract
Factors associated with symptom states vs resilient state
Each group vs resilientAdjusted odds ratio (95% CI)
PGD-PTSD-depression concurrentprovision of palliative care
8.750(1.603–47.768)
Subthreshold depression-dominantpoor-to-uncertain perceived quality of dying and death
4.063(1.531–10.784)
PGD-PTSD-depression concurrentpoor-to-uncertain perceived quality of dying and death
12.833(1.231–133.775)
PGD-PTSD-depression concurrentworst perceived quality of dying and death
12.820(1.806–91.013)
PGD-PTSD-depression concurrentsocial-worker involvement
0.004(0.001–0.097)
Subthreshold depression-dominantdo-not-resuscitate order issued before death
0.177(0.032–0.978)
- Three more profound distress states · higher anxiety symptoms
- aOR 1.781 to 2.768 (95% CI 1.562-2.031 to 2.288-3.347)
Observational data: associations, not effects.
Original publication
Predictors of ICU Surrogates’ States of Concurrent Prolonged Grief, Posttraumatic Stress, and Depression Symptoms*. Crit Care Med. Published 11 September 2024. doi:10.
Composed by AI from the published abstract and checked against it. How Briefs are made →