@article{oai:jrckicn.repo.nii.ac.jp:00000848, author = {UNOKI, Takeshi and 卯野木, 健 and SAKURAMOTO, Hideaki and 櫻本, 秀明 and UEMURA, Sakura and 植村, 桜 and TSUJIMOTO, Takahiro and 辻本, 雄大 and YAMAGUCHI, Takako and 山口, 貴子 and SHIBA, Yuko and 柴, 優子 and HINO, Mayumi and 日野, 真弓 and 栗原, 知己 and KURIBARA, Tomoki and FUKUDA, Yuko and 福田, 侑子 and NAGAO, Takumi and 長尾, 工 and KITAYAMA, Mio and 北山, 未央 and 白坂, 雅子 and SHIRASAKA, Masako and 春名, 純平 and HARUNA, Junpei and SATOI, Yosuke and 里井, 陽介 and 升田, 好樹 and MASUDA, Yoshiki}, issue = {5}, journal = {PLoS ONE, PLoS ONE}, month = {}, note = {application/pdf, Few studies have examined the epidemiology of post-intensive care syndrome in Japan. This study investigated the mental health and quality of life of patients living at home in Japan after intensive care unit (ICU) discharge. Additionally, we examined whether unplanned admission to the ICU was associated with more severe post-traumatic stress disorder (PTSD), anxiety, and depressive symptoms. An ambidirectional cohort study was conducted at 12 ICUs in Japan. Patients who stayed in the ICU for > 3 nights and were living at home for 1 year afterward were included. One year after ICU discharge, we retrospectively screened patients and performed a mail survey on a monthly basis, including the Impact of Event Scale—Revised (IER-S), the Hospital Anxiety Depression Scale (HADS), and the EuroQOL—5 Dimension (EQ-5D-L) questionnaires. Patients’ characteristics, delirium and coma status, drugs used, and ICU and hospital length of stay were assessed from medical records. Descriptive statistics and multilevel linear regression modeling were used to examine our hypothesis. Among 7,030 discharged patients, 854 patients were surveyed by mail. Of these, 778 patients responded (response rate = 91.1%). The data from 754 patients were analyzed. The median IES-R score was 3 (interquartile range [IQR] = 1‒9), and the prevalence of suspected PTSD was 6.0%. The median HADS anxiety score was 4.00 (IQR = 1.17‒6.00), and the prevalence of anxiety was 16.6%. The median HADS depression score was 5 (IQR = 2‒8), and the prevalence of depression was 28.1%. EQ-5D-L scores were lower in our participants than in the sex- and age-matched Japanese population. Unplanned admission was an independent risk factor for more severe PTSD, anxiety, and depressive symptoms. Approximately one-third of patients in the general ICU population experienced mental health issues one year after ICU discharge. Unplanned admission was an independent predictor for more severe PTSD symptoms.}, title = {Prevalence of and risk factors for post-intensive care syndrome: Multicenter study of patients living at home after treatment in 12 Japanese intensive care units, SMAP-HoPe study}, volume = {16}, year = {2021}, yomi = {ウノキ, タケシ and サクラモト, ヒデアキ and ウエムラ, サクラ and ツジモト, タカヒロ and ヤマグチ, タカコ and シバ, ユウコ and ヒノ, マユミ and クリバラ, トモキ and フクダ, ユウコ and ナガオ, タクミ and キタヤマ, ミオ and シラサカ, マサコ and ハルナ, ジュンペイ and サトイ, ヨウスケ and マスダ, ヨシキ} }