Association between Early Mobilization in the ICU and Psychiatric Symptoms after Surviving a Critical Illness: A Multi-Center Prospective Cohort Study.

ICU care anxiety depression early mobilization mental health post-traumatic stress disorder

Journal

Journal of clinical medicine
ISSN: 2077-0383
Titre abrégé: J Clin Med
Pays: Switzerland
ID NLM: 101606588

Informations de publication

Date de publication:
05 May 2022
Historique:
received: 11 03 2022
revised: 18 04 2022
accepted: 29 04 2022
entrez: 14 5 2022
pubmed: 15 5 2022
medline: 15 5 2022
Statut: epublish

Résumé

This is a prospective multicenter cohort study aiming to investigate the association between early mobilization (EM), defined as a rehabilitation level of sitting at the edge of the bed or higher within 72 h of ICU admission, and psychiatric outcome. Consecutive patients, admitted to the ICU for more than 48 h, were enrolled. The primary outcome was the incidence of psychiatric symptoms at 3 months after hospital discharge defined as the presence of any of three symptoms: depression, anxiety, or post-traumatic stress disorder (PTSD). Risk ratio (RR) and multiple logistic regression analysis were used. As a sensitivity analysis, two methods for inverse probability of treatment weighting statistics were performed. Of the 192 discharged patients, 99 (52%) were assessed. The patients who achieved EM had a lower incidence of psychiatric symptoms compared to those who did not (25% vs. 51%,

Identifiants

pubmed: 35566716
pii: jcm11092587
doi: 10.3390/jcm11092587
pmc: PMC9099642
pii:
doi:

Types de publication

Journal Article

Langues

eng

Subventions

Organisme : the public trust foundation of marumo er medicine &research institute of Japanese
ID : NA

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Auteurs

Shinichi Watanabe (S)

Department of Rehabilitation, National Hospital Organization, Nagoya Medical Center, 4-1-1 Sannomaru, Naka-ku, Nagoya 460-0001, Japan.
Department of Physical Therapy, Faculty of Rehabilitation, Gifu University of Health Science, 2-92 Higashiuzura, Gifu 500-8281, Japan.

Keibun Liu (K)

Critical Care Research Group, The Prince Charles Hospital, 627 Rode Rd, Chermside, QLD 4032, Australia.

Kensuke Nakamura (K)

Department of Emergency and Critical Care Medicine, Hitachi General Hospital, 2-1-1 Jounann, Hitachi 317-0077, Japan.

Ryo Kozu (R)

Department of Cardiopulmonary Rehabilitation Science, Nagasaki University Graduate School of Biomedical Sciences, 1-14 Bunkyou-cho, Nagasaki 852-8521, Japan.

Tatsuya Horibe (T)

Department of Rehabilitation, Tokyo Women's Medical University, 8-1 Kawata-cho, Shinjuku-ku, Tokyo 162-8666, Japan.

Kenzo Ishii (K)

Department of Anesthesiology, Intensive Care Unit, Fukuyama City Hospital, 3-8-5 Zao-cho, Fukuyama 721-8511, Japan.

Daisetsu Yasumura (D)

Department of Rehabilitation, Naha City Hospital, 2-31-1 Furujima, Naha 902-8511, Japan.
Department of Healthcare Administration, The University of Kyushu, 3-1-1, Maidashi, Higashi-ku, Fukuoka 812-8582, Japan.

You Takahashi (Y)

Department of Rehabilitation, Yuuai Medical Center, 50-5 Yone, Tomigusuku 901-0224, Japan.

Tomoya Nanba (T)

Department of Rehabilitation, Yao Tokushukai General Hospital, 1-17 Wakakusachou, Yao-shi, Osaka 581-0011, Japan.

Yasunari Morita (Y)

Department of Critical Care Medicine, National Hospital Organization, Nagoya Medical Center, 4-1-1 Sannomaru, Naka-ku, Nagoya 460-0001, Japan.

Takahiro Kanaya (T)

Department of Rehabilitation, National Hospital Organization, Nagoya Medical Center, 4-1-1 Sannomaru, Naka-ku, Nagoya 460-0001, Japan.

Shuichi Suzuki (S)

Department of Critical Care Medicine, National Hospital Organization, Nagoya Medical Center, 4-1-1 Sannomaru, Naka-ku, Nagoya 460-0001, Japan.

Alan Kawarai Lefor (AK)

Department of Surgery, Jichi Medical University, 3311-1 Yakushiji, Shimostuke-shi 329-0498, Japan.

Hajime Katsukawa (H)

Japanese Society for Early Mobilization, 1-2-12 Kudankita, Tiyoda-ku, Tokyo 102-0073, Japan.

Toru Kotani (T)

Department of Intensive Care Medicine, School of Medicine, Showa University, 1-5-8 Hatanodai, Shinagawa-ku, Tokyo 142-8666, Japan.

Classifications MeSH