ArticleIntensive care medicine2019
Mental illness after admission to an intensive care unit.
Article in Intensive care medicine, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers.
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Who cites it
20 citing papers in PubMed.
- Incidence and risk factors of post-intensive care syndrome (PICS) in sepsis survivors: a prospective, observational study.BMC anesthesiology · 2025Observational
- Clinical characteristics and outcomes of critically ill adult patients admitted with traumatic brain injury: a cohort study.Canadian journal of anaesthesia = Journal canadien d'anesthesie · 2025Article
- Acute COVID-19 severity markers predict post-COVID new-onset psychiatric disorders: A 2-year cohort study of 34,489 patients.Molecular psychiatry · 2025Article
- Mechanical Ventilator-Associated Pneumonia in the COVID-19 Pandemic Era: A Critical Challenge in the Intensive Care Units.Antibiotics (Basel, Switzerland) · 2025Article
- Study on post-traumatic stress disorder and influencing factors in adult ICU patients on mechanical ventilation using latent profile analysis: a cross-sectional survey.Frontiers in psychology · 2025Article
- Prevalence and long-term outcomes of patients with life-limiting illness admitted to intensive care units in Australia and New Zealand.Critical care and resuscitation : journal of the Australasian Academy of Critical Care Medicine · 2024Article
- Outcomes of critically ill children with pre-existing mental health conditions.Pediatric investigation · 2024Article
- New-onset mental illness and long-term survival in survivors of critical illness: population-based cohort study in South Korea.BJPsych open · 2024Article
- A nationwide cohort study on the association between intensive care treatments and mental distress linked psychiatric disorders.Scientific reports · 2024Article
- Trajectories of Short-Term Post-Traumatic Stress Disorder Symptoms in Patients with Post-Intensive Care Syndrome: A Longitudinal Observational Study.International journal of general medicine · 2024Article
- Article
- Mental health-related quality of life is related to delirium in intensive care patients.Intensive care medicine · 2022Article
- Association between the presence of delirium during intensive care unit admission and cognitive impairment or psychiatric problems: the Korean ICU National Data Study.Journal of intensive care · 2022Article
- The 5-year pre- and post-hospitalization treated prevalence of mental disorders and psychotropic medication use in critically ill patients: a Canadian population-based study.Intensive care medicine · 2021Article
- Suicide and self-harm in adult survivors of critical illness: population based cohort study.BMJ (Clinical research ed.) · 2021Observational
- Functional disability and post-traumatic stress disorder in survivors of mechanical ventilation: a cross-sectional study in Guangzhou, China.Journal of thoracic disease · 2021Article
- Prevalence of post-intensive care syndrome among Japanese intensive care unit patients: a prospective, multicenter, observational J-PICS study.Critical care (London, England) · 2021Observational
- Intensive Care Unit-Specific Virtual Reality for Psychological Recovery After ICU Treatment for COVID-19; A Brief Case Report.Frontiers in medicine · 2020Article
- Predictors of suicidality in critical care ICU patients after discharge: A cross-sectional study.Industrial psychiatry journalArticle
- Suicide within 1 year of non-fatal overdose: Risk factors and risk reduction with medications for opioid use disorder.General hospital psychiatryArticle
Corrections and comments
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Authors and funding
6 authors.
Funding
Abstract
purposeSurvivors of critical illness may be at higher risk of developing subsequent mental illness. We sought to determine the risk of new mental illness diagnoses across a large population of intensive care unit (ICU) survivors compared with hospitalized patients.
methodsPopulation-based study (2005-2015) conducted in adults hospitalized in Ontario, Canada. The primary exposure was ICU admission for ≥ 48 h; secondary exposures were ICU procedures including mechanical ventilation and duration of ICU. The primary outcome was mental illness diagnosed during the year after hospital discharge. To account for case mix differences between ICU and other hospitalized patients, sensitivity analyses were conducted restricting to six pre-specified diagnoses that can lead to hospitalization with or without ICU.
results1,847,462 patients survived hospitalization, of whom 121,101 were admitted to ICU for ≥ 48 h. ICU patients had a higher rate of new mental illness diagnoses in the year after discharge compared to hospitalized patients (17 vs. 15%, adjusted hazard ratio (aHR) 1.08, 95% CI 1.07-1.10). In analyses restricted to pre-specified most responsible diagnoses, the increased risk associated with ICU was only significant for patients with pneumonia. Among ICU survivors, exposure to mechanical ventilation (aHR: 1.08; 95% CI 1.05-1.12) or longer ICU stays (aHR: 1.004 per day; 95% CI 1.003-1.005) increased the risk of new mental illness diagnosis.
conclusionsICU was associated with a marginally increased risk of mental illness diagnosis after hospitalization that was often no longer apparent when reason for admission was considered. Patients exposed to mechanical ventilation or longer ICU stays may be at higher risk of subsequent mental illnesses.
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