Journal
CRITICAL CARE
Volume 14, Issue 5, Pages -Publisher
BMC
DOI: 10.1186/cc9260
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Funding
- Stanley Thomas Johnson Foundation
- Lundbeck Foundation
- Danish Health Insurance Foundation
- Tryg Foundation
- Aase & Ejnar Danielsen's Foundation
- Augustinus Foundation, Denmark
- Regional Research fund of Vastra, Gotaland, Sweden
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Introduction: Patients recovering from critical illness have been shown to be at risk of developing Post Traumatic Stress disorder (PTSD). This study was to evaluate whether a prospectively collected diary of a patient's intensive care unit (ICU) stay when used during convalescence following critical illness will reduce the development of new onset PTSD. Methods: Intensive care patients with an ICU stay of more than 72 hours were recruited to a randomised controlled trial examining the effect of a diary outlining the details of the patients ICU stay on the development of acute PTSD. The intervention patients received their ICU diary at 1 month following critical care discharge and the final assessment of the development of acute PTSD was made at 3 months. Results: 352 patients were randomised to the study at 1 month. The incidence of new cases of PTSD was reduced in the intervention group compared to the control patients (5% versus 13%, P = 0.02). Conclusions: The provision of an ICU diary is effective in aiding psychological recovery and reducing the incidence of new PTSD.
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