Megan M Hosey1,2,3, Stephen T Wegener1, Caroline Hinkle1,4, Dale M Needham1,2,3. 1. Department of Physical Medicine and Rehabilitation, Johns Hopkins School of Medicine, Baltimore, MD 21287, USA. 2. Department of Medicine, Division of Pulmonary and Critical Care Medicine, Johns Hopkins School of Medicine, Baltimore, MD 21287, USA. 3. Outcomes after Critical Illness and Surgery (OACIS) Research Group, Johns Hopkins University, Baltimore, MD 21287, USA. 4. Department of Psychology, University of Maryland, Baltimore County, Baltimore, MD 21250, USA.
Abstract
BACKGROUND: The number of people surviving critical illness is rising rapidly around the globe. Survivorship comes at a cost, with approximately half of patients with acute respiratory failure (ARF) experiencing clinically significant symptoms of anxiety, and 32-40% of survivors having substantial anxiety symptoms in the months or years after hospitalization. METHODS: This feasibility study reports on 11 consecutive ARF patients receiving up to six sessions of a psychological intervention for self-management of anxiety. RESULTS: All 11 patients accepted and received the psychological intervention. Four patients did not fully complete all 6 sessions due to death (n = 1, 2 sessions completed), and early hospital discharge (n = 3, patients completed 2, 3 and 5 sessions). The median (IQR) score (range: 0-100; minimal clinically important difference: 13) for the Visual Analog Scale-Anxiety (VAS-A) pre-intervention was 70 (57, 75) points. During the intervention, all 11 patients had a decrease in VAS-A, with a median (IQR) decrease of 44 (19, 48) points. CONCLUSIONS: This self-management intervention appears acceptable and feasible to implement among ARF patients during and after an ICU stay.
BACKGROUND: The number of people surviving critical illness is rising rapidly around the globe. Survivorship comes at a cost, with approximately half of patients with acute respiratory failure (ARF) experiencing clinically significant symptoms of anxiety, and 32-40% of survivors having substantial anxiety symptoms in the months or years after hospitalization. METHODS: This feasibility study reports on 11 consecutive ARFpatients receiving up to six sessions of a psychological intervention for self-management of anxiety. RESULTS: All 11 patients accepted and received the psychological intervention. Four patients did not fully complete all 6 sessions due to death (n = 1, 2 sessions completed), and early hospital discharge (n = 3, patients completed 2, 3 and 5 sessions). The median (IQR) score (range: 0-100; minimal clinically important difference: 13) for the Visual Analog Scale-Anxiety (VAS-A) pre-intervention was 70 (57, 75) points. During the intervention, all 11 patients had a decrease in VAS-A, with a median (IQR) decrease of 44 (19, 48) points. CONCLUSIONS: This self-management intervention appears acceptable and feasible to implement among ARFpatients during and after an ICU stay.
Entities:
Keywords:
anxiety; cognitive behavior therapies; critical care; critical care outcomes; intensive care units
Authors: Lioudmila V Karnatovskaia; Katalin Varga; Alexander S Niven; Phillip J Schulte; Midhat Mujic; Ognjen Gajic; Brent A Bauer; Matthew M Clark; Roberto P Benzo; Kemuel L Philbrick Journal: Crit Care Date: 2021-12-20 Impact factor: 19.334