Identification of risk factors for post-intensive care syndrome in family members (PICS-F) among adult patients: a systematic review.

IF 1.6 Q2 ANESTHESIOLOGY Anaesthesiology intensive therapy Pub Date : 2023-01-01 DOI:10.5114/ait.2023.130831
Zbigniew Putowski, Natalia Rachfalska, Karolina Majewska, Katarzyna Megger, Łukasz Krzych
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引用次数: 1

Abstract

Introduction: Relatives of critically ill patients who either die or survive the intensive care unit (ICU) may develop substantial mental health problems that are collectively defined as post-intensive care syndrome in family (PICS-F).

Material and methods: By using a systematised search strategy we included studies that focused on PICS-F in relatives of adult ICU patients and reported the risk factors associated with its development. The search was conducted within PubMed, Embase, SCOPUS, clinicaltrials.gov, and Cochrane Library on the 23 August 2022. PRISMA 2020 guidelines were implemented for appropriate reporting. The objective was to document all possible risk factors associated with the development of PICS-F.

Results: We included 51 papers covering 9302 relatives. The frequency of PICS-F varied between 2.5 and 69%. We identified 51 different risk factors of PICS-F, among which we distinguished patient-related ( n = 16), relative-related ( n = 27), and medical staff-related ( n = 8) risk factors. Among 21 studies of the highest quality, we identified the 33 variables associated with the development of PICS-F, of which younger age of a patient, death of a patient, depression in relatives during the ICU stay, history of mental disorders in relatives, being a female relative, being a spouse, and having low satisfaction with communication and care in the ICU were the most commonly reported risk factors.

Conclusions: PICS-F is a highly frequent phenomenon that can be exacerbated by several risk factors. Special attention should be paid to relatives of younger patients with worse prognosis and with the following relative-related risk factors: female sex, being a spouse, and history of mental health disorders. Finally, the medical staff play a role in preventing the PICS-F development, not only by maintenance of proper communication, but also by early identification of relatives prone to PICS-F.

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成年患者家庭成员重症监护后综合征(PICS-F)危险因素的识别:一项系统综述。
引言:重症监护室(ICU)中死亡或存活的危重患者亲属可能会出现严重的心理健康问题,这些问题统称为家庭重症监护后综合征(PICS-F)。材料和方法:通过使用系统化搜索策略,我们纳入了针对成年ICU患者亲属的PICS-F的研究,并报告了风险与其发展相关的因素。搜索于2022年8月23日在PubMed、Embase、SCOPUS、clinicaltrials.gov和Cochrane图书馆内进行。PRISMA 2020指南已实施,以进行适当的报告。目的是记录与PICS-F发展相关的所有可能的风险因素。结果:我们纳入了51篇论文,涵盖9302名亲属。PICS-F的频率在2.5%和69%之间变化。我们确定了51种不同的PICS-F风险因素,其中我们区分了患者相关(n=16)、亲属相关(n=27)和医务人员相关(n=8)的风险因素。在21项最高质量的研究中,我们确定了与PICS-F发展相关的33个变量,其中患者的年龄较小、患者的死亡、ICU期间亲属的抑郁症、亲属的精神障碍史、女性亲属、配偶,以及对ICU的沟通和护理满意度低是最常见的风险因素。结论:PICS-F是一种非常常见的现象,多种危险因素会加剧这种现象。应特别关注预后较差且具有以下相关风险因素的年轻患者的亲属:女性、配偶和精神健康障碍史。最后,医务人员不仅通过保持适当的沟通,而且通过早期识别易患PICS-F的亲属,在预防PICS-F发展方面发挥作用。
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来源期刊
CiteScore
3.00
自引率
5.90%
发文量
48
审稿时长
25 weeks
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