Self-reported Depressive Symptoms and Memory Complaints in Survivors Five Years After ARDS

被引:59
作者
Adhikari, Neill K. J. [1 ,2 ]
Tansey, Catherine M. [3 ]
McAndrews, Mary Pat [4 ]
Matte, Andrea [3 ]
Pinto, Ruxandra [2 ]
Cheung, Angela M. [3 ,5 ,6 ,7 ]
Diaz-Granados, Natalia [5 ,8 ]
Herridge, Margaret S. [1 ,3 ,6 ]
机构
[1] Univ Toronto, Interdept Div Crit Care, Toronto, ON, Canada
[2] Sunnybrook Hlth Sci Ctr, Dept Crit Care Med, Toronto, ON M4N 3M5, Canada
[3] Univ Hlth Network, Dept Med, Toronto, ON, Canada
[4] Univ Hlth Network, Krembil Neurosci Ctr, Toronto, ON, Canada
[5] Univ Hlth Network, Womens Hlth Program, Toronto, ON, Canada
[6] Univ Toronto, Dept Med, Toronto, ON, Canada
[7] Univ Toronto, Dalla Lana Sch Publ Hlth, Toronto, ON, Canada
[8] McMaster Univ, Dept Clin Epidemiol & Biostat, Hamilton, ON, Canada
基金
加拿大健康研究院;
关键词
RESPIRATORY-DISTRESS-SYNDROME; QUALITY-OF-LIFE; ACUTE LUNG INJURY; HEALTH SURVEY SF-36; INTENSIVE-CARE; CRITICAL ILLNESS; COGNITIVE IMPAIRMENT; EVALUATING MEMORY; NORMATIVE DATA; EVERYDAY LIFE;
D O I
10.1378/chest.11-1667
中图分类号
R4 [临床医学];
学科分类号
1002 ; 100602 ;
摘要
Background: Survivors of ARDS report depressive symptoms and memory complaints, the prevalence of which after 5 years is unknown. Methods: We administered instruments assessing symptoms of depression (Beck Depression Inventory II [BDI-II]) and memory complaints (Memory Assessment Clinics Self-Rating Scale [MAC-S]) to 64 survivors of ARDS from four university-affiliated ICUs 5 years after ICU discharge. We compared BDI-II scores to quality of life (Medical Outcomes Study 36-Item Short Form [SF-36]) mental health domains (role emotional, mental health, mental component summary), compared BDI-II and MAC-S scores to earlier scores (median, 22 months postdischarge), and examined return to work. Results: Forty-three (67.2%), 46 (71.9%), and 38 (59.4%) patients fully completed the BDI-II, MAC-S ability subscale, and MAC-S frequency of occurrence subscale, respectively. Responders were young (median, 48 years; first-third quartile [Q1-Q3], 39-61 years) with high illness severity. The median BDI-II score was 10 (Q1-Q3, 3-18); eight of 43 (18.6%) had moderate to severe depressive symptoms compared with 14 of 43 (32.6%) earlier (P = .15, n = 38 with paired data). Median MAC-S ability and MAC-S frequency scores were 81 (Q1-Q3, 57-92) and 91.5 (Q1-Q3, 76-105), respectively, similar to earlier scores (P = .67 and P = .64, respectively); 0% to 4.3% scored > 2 SDs below population norms. Higher BDI-II score was predicted by higher earlier BDI-II score, slower recovery of organ function, and longer duration of mechanical ventilation and ICU stay. Higher MAC-S score was predicted by higher earlier MAC-S score. SF-36 mental health domain scores were very stable (P = .57-.83). BDI-II and SF-36 mental health domains were negatively correlated (Spearman coefficient, -0.50 to -0.82). Most patients returned to work regardless of depressive symptoms (minimal to mild, 31 of 35 [88.6%]; moderate to severe, five of eight [62.5%]; P = .12). Conclusions: Compared with similar to 2 years postdischarge from the ICU, depressive symptoms and memory complaints were similar at 5 years. Mental health domains of the SF-36 may not be sensitive to small changes in mood symptoms. CHEST 2011; 140(6):1484-1493
引用
收藏
页码:1484 / 1493
页数:10
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