ICU sedation, delirium & recovery
Resilience after severe critical illness: a prospective, multicentre, observational study (RESIREA)
Authors' conclusion
Resilient patients had a lower prevalence of PTSD symptoms and higher quality of life scores, compared to patients with low resilience. Higher scores for social support and illness perception were independently associated with greater resilience.
Study context
- Population
- ICU survivors given mechanical ventilation and vasoactive amines for shock, 41 French ICUs, assessed 3 months to 1 year after ICU admission
- Participants
- 382 participants · 41 French ICUs
- Exposure
- Normal or high resilience vs low resilience
- Resilientn = 203
- Outcome
- Resilience (CD-RISC-25) and its associations with post-traumatic stress disorder (PTSD) symptoms (IES-R) and quality of life (SF-36)
- Follow-up
- Three months to one year after ICU admission
Methodological detailsmulticentre, conducted in parallel with the NUTRIREA-3 trial
- Multicentre
- Conducted in parallel with the NUTRIREA-3 trial
Main finding
As reported in the abstract
Moderate to severe PTSD symptoms (IES-R ≥ 24)
P = 0.002
- Normal or high resilience (Connor-Davidson Resilience Scale (CD-RISC-25) ≥ 68)
- 203 (53.1%)
Observational data: associations, not effects.
Further findings
Quality of life (SF-36)
- Resilient patients had higher SF-36 scores
Factors independently associated with higher CD-RISC-25 scores
- Higher Multidimensional Scale of Perceived Social Support (MSPSS) score (stronger social support): OR 1.027, 95%CI 1.008-1.047
- P = 0.005
- Lower Brief Illness Perception Questionnaire (B-IPQ) scores (more threatening illness perception): OR 0.973, 95%CI 0.950-0.996
- P = 0.02
Original publication
Resilience after severe critical illness: a prospective, multicentre, observational study (RESIREA). Crit Care. Published 12 July 2024. doi:10. 1186/ s13054-024-04989-x
Composed by AI from the published abstract and checked against it. How Briefs are made →