Please use this identifier to cite or link to this item: http://ahro.austin.org.au/austinjspui/handle/1/13677
Title: Psychosocial outcomes in informal caregivers of the critically ill : a systematic review
Authors: Haines, Kimberley J, ;Denehy, Linda;Skinner, Elizabeth H.;Warrillow, Stephen
Issue Date: May-2015
Citation: Critical care medicine 2015, vol. 43 (5) p. 1112-20
Abstract: OBJECTIVE: The objective of the review was to evaluate and synthesize the prevalence, risk factors, and trajectory of psychosocial morbidity in informal caregivers of critical care survivors. DATA SOURCES: A systematic search of MEDLINE, PsychInfo, PubMed, CINAHL, Cochrane Library, Scopus, PILOTS, EMBASE, and Physiotherapy Evidence Database was undertaken between January and February 2014. STUDY SELECTION: Citations were screened independently by two reviewers for studies that investigated psychosocial outcomes (depression, anxiety, stress, posttraumatic stress disorder, burden, activity restriction, and health-related quality of life) for informal caregivers of critical care survivors (mechanically ventilated for 48 hr or more). DATA EXTRACTION: Data on study outcomes were extracted into a standardized form and quality assessed by two independent reviewers using the Newcastle-Ottawa Scale, the Physiotherapy Evidence Database, and the National Health and Medical Research Council Hierarchy of Evidence guide. Preferred Reporting Items for Systematic Reviews guidelines were followed. DATA SYNTHESIS: Fourteen studies of 1,491 caregivers were included. Depressive symptoms were the most commonly reported outcome with a prevalence of 75.5% during critical care and 22.8-29% at 1-year follow-up. Risk factors for depressive symptoms in caregivers included female gender and younger age. The greatest period of risk for all outcomes was during the patient's critical care admission although psychological symptoms improved over time. The overall quality of the studies was low. CONCLUSIONS: Depressive symptoms were the most prevalent in informal caregivers of survivors of intensive care who were ventilated for more than 48 hours and persist at 1 year with a prevalence of 22.8-29.0%, which is comparable with caregivers of patients with dementia. Screening for caregiver risks could be performed during the ICU admission where intervention can be implemented and then evaluated. Further high-quality studies are needed to quantify anxiety, stress, caregiver burden, and posttraumatic stress disorder outcomes in informal caregivers of long-stay patients surviving ICU.
URI: http://ahro.austin.org.au/austinjspui/handle/1/13677
DOI: doi: 10.1097/CCM.0000000000000865.
PubMed URL: http://www.ncbi.nlm.nih.gov/pubmed/?term=25654174
Type: Journal Article
Subjects: Critical illness
Quality of life
Mental health
Behaviournal symptoms
Caregivers
Type of Clinical Study or Trial: Systematic Reviews
Appears in Collections:Journal articles

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