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Crit Care. 2010;14(5):R168. doi: 10.1186/cc9260. Epub 2010 Sep 15.

Intensive care diaries reduce new onset post traumatic stress disorder following critical illness: a randomised, controlled trial.

Author information

1
ICU, Whiston Hospital, Warrington Road, Prescot L35 5DR, UK. christina.jones@sthk.nhs.uk

Abstract

INTRODUCTION:

Patients recovering from critical illness have been shown to be at risk of developing Post Traumatic Stress disorder (PTSD). This study was to evaluate whether a prospectively collected diary of a patient's intensive care unit (ICU) stay when used during convalescence following critical illness will reduce the development of new onset PTSD.

METHODS:

Intensive care patients with an ICU stay of more than 72 hours were recruited to a randomised controlled trial examining the effect of a diary outlining the details of the patients ICU stay on the development of acute PTSD. The intervention patients received their ICU diary at 1 month following critical care discharge and the final assessment of the development of acute PTSD was made at 3 months.

RESULTS:

352 patients were randomised to the study at 1 month. The incidence of new cases of PTSD was reduced in the intervention group compared to the control patients (5% versus 13%, P = 0.02).

CONCLUSIONS:

The provision of an ICU diary is effective in aiding psychological recovery and reducing the incidence of new PTSD.

TRIAL REGISTRATION:

NCT00912613.

PMID:
20843344
PMCID:
PMC3219263
DOI:
10.1186/cc9260
[Indexed for MEDLINE]
Free PMC Article
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