Kerstin Metzger1, Martina Gamp1, Theresa Tondorf1, Seraina Hochstrasser1, Christoph Becker2, Tanja Luescher1, Roshaani Rasiah1, Aurelio Boerlin1, Kai Tisljar3, Christian Emsden3, Raoul Sutter3, Rainer Schaefert4, Gunther Meinlschmidt5, Stephan Marsch3, Sabina Hunziker6. 1. Department of Medical Communication, University Hospital Basel, Klingelbergstrasse 23, CH-4031, Switzerland. 2. Department of Medical Communication, University Hospital Basel, Klingelbergstrasse 23, CH-4031, Switzerland; Department of Emergency Medicine, University Hospital Basel, Petersgraben 2, CH-4031 Basel, Switzerland. 3. Medical Intensive Care Unit, University Hospital Basel, Petersgraben 4, CH-4031 Basel, Switzerland. 4. Department of Psychosomatic Medicine, University Hospital Basel and University of Basel, Hebelstrasse 2, CH-4031 Basel, Switzerland. 5. Department of Psychosomatic Medicine, University Hospital Basel and University of Basel, Hebelstrasse 2, CH-4031 Basel, Switzerland; Division of Clinical Psychology and Cognitive Behavioral Therapy, International Psychoanalytic University, Stromstrasse 1, D-10555 Berlin, Germany; Division of Clinical Psychology and Epidemiology, Department of Psychology, University of Basel, Missionsstrasse 60/62, CH-4055 Basel, Switzerland. 6. Department of Medical Communication, University Hospital Basel, Klingelbergstrasse 23, CH-4031, Switzerland; Medical Intensive Care Unit, University Hospital Basel, Petersgraben 4, CH-4031 Basel, Switzerland; Department of Psychosomatic Medicine, University Hospital Basel and University of Basel, Hebelstrasse 2, CH-4031 Basel, Switzerland. Electronic address: Sabina.Hunziker@usb.ch.
Abstract
PURPOSE: Relatives of patients admitted to the intensive care unit (ICU) with out-of-hospital cardiac arrest (OHCA) may suffer from adverse psychological outcomes. We assessed prevalence and risk factors for depression and anxiety in such relatives 90 days after ICU admission. MATERIALS AND METHODS: This study included consecutive relatives of OHCA patients admitted to the ICU of University Hospital in Basel, Switzerland. Relatives were interviewed upon admission regarding psychosocial risk factors and satisfaction with communication. Symptoms of depression and anxiety were assessed by Hospital Anxiety and Depression Scale (HADS) 90 days after inclusion. RESULTS: Of 101 included relatives, 17% and 13% of relatives reported symptoms of depression and anxiety, respectively. Witnessing cardiopulmonary resuscitation was associated with depression (gender- and age-adjusted odds ratio [OR] 6.71; 95%CI 1.27 to 35.34; p = .025). Satisfaction with information and decision-making was associated with lower risk of depression (adjusted OR 0.95; 95%CI 0.91 to 0.99; p = .013). Unemployment (adjusted OR 10.42; 95%CI 1.18 to 92.35; p = .035) and lower perceived health status were associated with anxiety (adjusted OR 0.93; 95%CI 0.87 to 0.99; p = .025). CONCLUSIONS: Many relatives of OHCA patients report symptoms of depression and anxiety after 90 days. Improving initial care and communication may help to reduce these risks.
PURPOSE: Relatives of patients admitted to the intensive care unit (ICU) with out-of-hospital cardiac arrest (OHCA) may suffer from adverse psychological outcomes. We assessed prevalence and risk factors for depression and anxiety in such relatives 90 days after ICU admission. MATERIALS AND METHODS: This study included consecutive relatives of OHCA patients admitted to the ICU of University Hospital in Basel, Switzerland. Relatives were interviewed upon admission regarding psychosocial risk factors and satisfaction with communication. Symptoms of depression and anxiety were assessed by Hospital Anxiety and Depression Scale (HADS) 90 days after inclusion. RESULTS: Of 101 included relatives, 17% and 13% of relatives reported symptoms of depression and anxiety, respectively. Witnessing cardiopulmonary resuscitation was associated with depression (gender- and age-adjusted odds ratio [OR] 6.71; 95%CI 1.27 to 35.34; p = .025). Satisfaction with information and decision-making was associated with lower risk of depression (adjusted OR 0.95; 95%CI 0.91 to 0.99; p = .013). Unemployment (adjusted OR 10.42; 95%CI 1.18 to 92.35; p = .035) and lower perceived health status were associated with anxiety (adjusted OR 0.93; 95%CI 0.87 to 0.99; p = .025). CONCLUSIONS: Many relatives of OHCA patients report symptoms of depression and anxiety after 90 days. Improving initial care and communication may help to reduce these risks.
Authors: Adrian Quinto; Maja Ramin-Wright; Sabina Hunziker; Christoph Becker; Katharina Beck; Alessia Vincent; Kai Tisljar; Giulio Disanto; Pascal Benkert; David Leppert; Hans Pargger; Stephan Marsch; Nils Peters; Jens Kuhle Journal: Crit Care Date: 2021-01-20 Impact factor: 9.097
Authors: Alessia Vincent; Katharina Beck; Emanuel Thommen; Madlaina Widmer; Christoph Becker; Nina Loretz; Sebastian Gross; Jonas Mueller; Simon A Amacher; Chantal Bohren; Rainer Schaefert; Jens Gaab; Stephan Marsch; Christian Emsden; Kai Tisljar; Raoul Sutter; Sabina Hunziker Journal: PLoS One Date: 2022-10-14 Impact factor: 3.752