In:
PeerJ, PeerJ, Vol. 11 ( 2023-06-09), p. e15260-
Abstract:
Psychological dysfunction is one of the considerable health-related outcomes among critically-ill patients and their informal caregivers. Follow-up of intensive care unit (ICU) survivors has been conducted in a variety of different ways, with different timing after discharge, targets of interest (physical, psychological, social) and measures used. Of diverse ICU follow-up, the effects of follow-ups which focused on psychological interventions are unknown. Our research question was whether follow-up with patients and their informal caregivers after ICU discharge improved mental health compared to usual care. We published a protocol for this systematic review and meta-analysis in https://www.protocols.io/ ( https://dx.doi.org/10.17504/protocols.io.bvjwn4pe ). We searched PubMed, Cochrane Library, EMBASE, CINAHL and PsycInfo from their inception to May 2022. We included randomized controlled trials for follow-ups after ICU discharge and focused on psychological intervention for critically ill adult patients and their informal caregivers. We synthesized primary outcomes, including depression, post-traumatic stress disorder (PTSD), and adverse events using the random-effects method. We used the Grading of Recommendations Assessment, Development and Evaluation approach to rate the certainty of evidence. From the 10,471 records, we identified 13 studies ( n = 3, 366) focusing on patients and four ( n = 538) focusing on informal caregivers. ICU follow-up for patients resulted in little to no difference in the prevalence of depression (RR 0.89, 95% CI [0.59–1.34]; low-certainty evidence) and PTSD (RR 0.84, 95% CI [0.55–1.30] ; low-certainty evidence) among patients; however, it increased the prevalence of depression (RR 1.58 95% CI [1.01–2.46]; very low-certainty evidence), PTSD (RR 1.36, 95% CI [0.91–2.03] ; very low-certainty evidence) among informal caregivers. The evidence for the effect of ICU follow-up on adverse events among patients was insufficient. Eligible studies for informal caregivers did not define any adverse event. The effect of follow-ups after ICU discharge that focused on psychological intervention should be uncertain.
Type of Medium:
Online Resource
ISSN:
2167-8359
DOI:
10.7717/peerj.15260/fig-1
DOI:
10.7717/peerj.15260/fig-2
DOI:
10.7717/peerj.15260/fig-3
DOI:
10.7717/peerj.15260/table-1
DOI:
10.7717/peerj.15260/table-2
DOI:
10.7717/peerj.15260/table-3
DOI:
10.7717/peerj.15260/supp-1
DOI:
10.7717/peerj.15260/supp-2
DOI:
10.7717/peerj.15260/supp-3
DOI:
10.7717/peerj.15260/supp-4
DOI:
10.7717/peerj.15260/supp-5
DOI:
10.7717/peerj.15260/supp-6
DOI:
10.7717/peerj.15260/supp-7
DOI:
10.7717/peerj.15260/supp-8
DOI:
10.7717/peerj.15260/supp-9
DOI:
10.7717/peerj.15260/supp-10
Language:
English
Publisher:
PeerJ
Publication Date:
2023
detail.hit.zdb_id:
2703241-3
Permalink