ICU sedation, delirium & recovery

Self-reported symptoms experienced by intensive care unit patients: a prospective observational multicenter study

Intensive Care MedPublished Prospective observational cohort study

Authors' conclusion

Self-reporting ICU patients experienced a high and consistent symptom burden across seven days.

Study context

Population
Intensive care unit (ICU) patients able to self-report symptomsof 603 eligible
Participants
353 participants
Outcome
Prevalence, intensity and distress of pain, thirst, anxiousness, tiredness and shortness of breath (Patient Symptom Survey)
Follow-up
Over seven ICU days
Methodological detailsmulticentre
  • Multicentre

Main finding

As reported in the abstract

Symptom prevalence, intensity and distress · seven ICU days
Thirst most prevalent symptom, first ICU day (n=195)
66%
Thirst mean intensity score, first ICU day
6.13 (95% CI 5.7-6.56)
Thirst most prevalent symptom during seven days
64%
Thirst mean intensity score during seven days
6.05 (95% CI 5.81-6.3)
Anxiousness most distressful, mean distress score first day
5.24 (95% CI 4.32-6.15)
Anxiousness mean distress score during seven days
5.46 (95% CI 4.95-5.98)

Observational data: associations, not effects.

Further findings

Predictors of symptom intensity (general estimating equation (GEE) model) · seven days

Analgesic administration and sepsis associated with increased thirst intensity
Older age and mechanical ventilation associated with decreased pain intensity; analgesic administration with increased pain intensity
Family visits associated with increased anxiousness intensity; female gender with increased shortness of breath intensity

Original publication

Self-reported symptoms experienced by intensive care unit patients: a prospective observational multicenter study. Intensive Care Med. Published 9 October 2023. doi:10.1007/s00134-023-07219-0

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