.jpg "Amy Stewart, MD, FACS photo")
Amy Stewart, MD, FACS
Trauma Surgeon
Advocate Lutheran General Hospital
Park Ridge, Illinois, United States
Disclosure information not submitted.
Murad Alostaz, BS
Medical Student
Chicago Medical School, United States
Disclosure information not submitted.
Teodor Kouzov, MD
Research assistant
Advocate Lutheran General Hospital, United States
Disclosure information not submitted.
Shouvik Sarkar, BS
Medical Student
Chicago Medical School, United States
Disclosure information not submitted.
Gaith Haidar, BS
Medical Student
Chicago Medical School, United States
Disclosure information not submitted.
Faiza Tariq, MD
Research assistant
Advocate Lutheran General Hosptial, United States
Disclosure information not submitted.
Taylor Burden, MS
Medical Student
Chicago Medical School, United States
Disclosure information not submitted.
Anne Rivelli, MA
PCOR Coordinator
Russell Center for Research & Innovation, United States
Disclosure information not submitted.
Dana Villines, MA
PCOR Coordinator
Russell Center for Research & Innovation, United States
Disclosure information not submitted.
Maureen Shields, MPH
PCOR Coordinator
Russell Center for Research & Innovation, United States
Disclosure information not submitted.
Sarah Kozmic, PhD
PCOR Coordinator
Russell Center for Research & Innovation, United States
Disclosure information not submitted.
Firas Dabbous, PhD
PCOR Coordinator
Russell Center for Research & Innovation, United States
Disclosure information not submitted.
Rovi Origenes, MSN ANP-C CCRN TNS
APN
Advocate Lutheran General Hospital, United States
Disclosure information not submitted.
Danielle Valentino, MSN, ANP
APN
Advocate Lutheran General Hospital, United States
Disclosure information not submitted.
Kenneth Schaffer, MSN, APRN, AGACNP-BC, RVT
APN
Advocate Lutheran General Hospital, United States
Disclosure information not submitted.
Geoffrey Levin, MD
Psychiatrist
Advocate Lutheran General Hospital, United States
Disclosure information not submitted.
Manoj Shah, MD
Trauma Director
Advocate Lutheran General Hospital, United States
Disclosure information not submitted.
Title: The Relationship Between Negative ICU Memories and PTSD
Introduction: Many patients who survive intensive care unit (ICU)stay present with physical and mental symptoms post discharge. This includes muscle weakness, depression, anxiety, and post-traumatic stress disorder (PTSD.) The collection of these symptoms is known as post-intensive care syndrome (PICS). The primary objective of this study is to examine the relationship between a patients negative ICU memories and PTSD. The hypothesis presented is that an increase in negative ICU memories correlates with an increase in positive PTSD screening.
Methods: 193 patients were admitted to a suburban ICU from 2/1/2017 to 7/18/2019 and were interviewed by phone more than three months after their stay. Of the patients called, 23 were alive, had the ability to answer questions and consented to participation in the study. Patients were asked ICU satisfaction survey questions, their overall memory of their ICU stay, recollection of select memories from the ICU stay, and the PTSD Checklist for DSM-5 (PCL-5) questionnaire.
Results: Patients with a positive PCL-5 screen (n=9) had an average of 9.22 negative ICU memories and patients with a negative PCL-5 screen (n=14) had an average of 5.28 negative ICU memories. The standard deviation (SD) and standard error of mean (SEM) for the positive group is 4.12 and 1.37. The SD and SEM for the negative group is 3.05 and 0.81.(p=0.0154). Additionally, there was a statistically significant relationship (p=0.0092) between the patients’ overall memory of their ICU stay and positive PCL-5 screening results. Patients who self-reported “no memory” of their ICU stay were more likely to have a positive PCL-5 screen. Patients who self-reported “clear memory” were more likely to have a negative PCL-5 screen. Lastly, patients who self-reported “some memory” had an equal number of positive and negative PCL-5 screens.
Conclusions: Patients with a positive PCL-5 screen reported more negative ICU memories and poorer overall ICU memory than patients with a negative PCL-5 screen. These findings demonstrate the need to reduce stress and negative interactions in the ICU environment and the need to screen more post-ICU patients for PTSD. Future studies, with a larger sample size, should be conducted to improve the potential applicability of these findings.