Intensive Care Medicine最新文献

筛选
英文 中文
Determinants of ICU memories and the impact on the development and trajectory of post-traumatic stress symptoms: a multicenter longitudinal cohort study. ICU记忆的决定因素及其对创伤后应激症状发展和轨迹的影响:一项多中心纵向队列研究
IF 38.9 1区 医学
Intensive Care Medicine Pub Date : 2025-10-06 DOI: 10.1007/s00134-025-08132-4
Rens W J Kooken,Bram Tilburgs,Arjen J C Slooter,Mark van den Boogaard
{"title":"Determinants of ICU memories and the impact on the development and trajectory of post-traumatic stress symptoms: a multicenter longitudinal cohort study.","authors":"Rens W J Kooken,Bram Tilburgs,Arjen J C Slooter,Mark van den Boogaard","doi":"10.1007/s00134-025-08132-4","DOIUrl":"https://doi.org/10.1007/s00134-025-08132-4","url":null,"abstract":"PURPOSETo identify demographic and clinical determinants of memory formation in intensive care unit (ICU) patients, and determine the relationship between ICU memories and the development and trajectory of post-traumatic stress disorder (PTSD) symptoms.METHODSAdult patients (n = 426) from two Dutch University ICUs underwent a structured telephone interview using the validated ICU-Memory Tool (ICU-MT) 3 months post-ICU and were assessed for symptoms of PTSD using the Impact of Event Scale (IES-6) at 3 and 12 months post-ICU.RESULTSFactual memories without delusional memories were present in 47.7% (n = 203), complete ICU amnesia in 13.8% (n = 59), and delusional memories in 38.5% (n = 164) of patients. Delirium was present in 41% (n = 68) of patients with delusional memories. Using multinomial logistic regression, female sex and number of days with deep sedation were associated with ICU amnesia (aOR 1.99, 95% CI 1.04-3.81, and aOR 1.34, 95% CI 1.09-1.65, respectively), whereas delirium and length of ICU stay were associated with delusional memories (aOR 1.94, 95% CI 1.04-3.61, and aOR 1.11, 95% CI 1.02-1.21, respectively). Of 250 patients assessed at both time points, the prevalence of PTSD symptoms increased significantly over time (4.5 to 10.0%, p < 0.01), driven by a significant increase among those with delusional memories (6.7 to 18.1%, p < 0.01). In a linear mixed-effects model, delusional memories were independently linked to both 3- and 12-month symptoms of PTSD (vs. factuals, adjusted %-difference in mean IES score, 12.9%, 95% CI 2.6-24.1%, and 18.1%, 95% CI 5.2-32.5%, respectively).CONCLUSIONSFemale sex and prolonged deep sedation were associated with complete ICU amnesia, whereas a longer ICU stay and delirium were associated with delusional memories, although these memories were also common in those without delirium. Delusional memories were independently linked to the development and persistence of PTSD symptoms. Targeted interventions to mitigate memory disturbances, both during and after the ICU, may help alleviate the psychological impact of critical illness.","PeriodicalId":13665,"journal":{"name":"Intensive Care Medicine","volume":"73 1","pages":""},"PeriodicalIF":38.9,"publicationDate":"2025-10-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145229167","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Lactate dynamics as a marker of perfusion: physiological interpretation and pitfalls. 乳酸动态作为灌注的标志:生理学解释和缺陷。
IF 38.9 1区 医学
Intensive Care Medicine Pub Date : 2025-10-06 DOI: 10.1007/s00134-025-08140-4
Bruno Levy,Glenn Hernandez,Fabio Taccone
{"title":"Lactate dynamics as a marker of perfusion: physiological interpretation and pitfalls.","authors":"Bruno Levy,Glenn Hernandez,Fabio Taccone","doi":"10.1007/s00134-025-08140-4","DOIUrl":"https://doi.org/10.1007/s00134-025-08140-4","url":null,"abstract":"","PeriodicalId":13665,"journal":{"name":"Intensive Care Medicine","volume":"55 1","pages":""},"PeriodicalIF":38.9,"publicationDate":"2025-10-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145229170","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Re-evaluating the impact of ventilator-associated events on mortality in critically ill patients: insights from advanced causal modeling. 重新评估呼吸机相关事件对危重患者死亡率的影响:来自高级因果模型的见解。
IF 38.9 1区 医学
Intensive Care Medicine Pub Date : 2025-10-06 DOI: 10.1007/s00134-025-08150-2
Toshiaki Iba,Ricard Ferrer,Michael Klompas
{"title":"Re-evaluating the impact of ventilator-associated events on mortality in critically ill patients: insights from advanced causal modeling.","authors":"Toshiaki Iba,Ricard Ferrer,Michael Klompas","doi":"10.1007/s00134-025-08150-2","DOIUrl":"https://doi.org/10.1007/s00134-025-08150-2","url":null,"abstract":"","PeriodicalId":13665,"journal":{"name":"Intensive Care Medicine","volume":"73 1","pages":""},"PeriodicalIF":38.9,"publicationDate":"2025-10-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145229171","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Exploring the dark side of the moon: diagnostic errors in critically ill patients. 探索月球背面:危重病人的诊断错误。
IF 38.9 1区 医学
Intensive Care Medicine Pub Date : 2025-10-06 DOI: 10.1007/s00134-025-08126-2
Andreas Valentin,Hans Flaatten,Martin W Dünser
{"title":"Exploring the dark side of the moon: diagnostic errors in critically ill patients.","authors":"Andreas Valentin,Hans Flaatten,Martin W Dünser","doi":"10.1007/s00134-025-08126-2","DOIUrl":"https://doi.org/10.1007/s00134-025-08126-2","url":null,"abstract":"","PeriodicalId":13665,"journal":{"name":"Intensive Care Medicine","volume":"77 1","pages":""},"PeriodicalIF":38.9,"publicationDate":"2025-10-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145229228","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Nonketotic hyperglycemic hemichorea 非酮症性高血糖性血凝
IF 38.9 1区 医学
Intensive Care Medicine Pub Date : 2025-10-06 DOI: 10.1007/s00134-025-08114-6
Jia-Qi Chen, Wei-Nv Fan
{"title":"Nonketotic hyperglycemic hemichorea","authors":"Jia-Qi Chen, Wei-Nv Fan","doi":"10.1007/s00134-025-08114-6","DOIUrl":"https://doi.org/10.1007/s00134-025-08114-6","url":null,"abstract":"No Abstract","PeriodicalId":13665,"journal":{"name":"Intensive Care Medicine","volume":"75 1","pages":""},"PeriodicalIF":38.9,"publicationDate":"2025-10-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145229305","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Effects of The Caregiver Pathway intervention on symptoms of post-intensive care syndrome among family caregivers to critically ill patients: long-term results from a randomized controlled trial. 护理者途径干预对危重患者家庭护理人员重症监护后综合征症状的影响:一项随机对照试验的长期结果
IF 38.9 1区 医学
Intensive Care Medicine Pub Date : 2025-10-06 DOI: 10.1007/s00134-025-08139-x
Solbjørg Watland,Lise Solberg Nes,Øivind Ekeberg,Morten Rostrup,Elizabeth Hanson,Mirjam Ekstedt,Milada Hagen,Elin Børøsund
{"title":"Effects of The Caregiver Pathway intervention on symptoms of post-intensive care syndrome among family caregivers to critically ill patients: long-term results from a randomized controlled trial.","authors":"Solbjørg Watland,Lise Solberg Nes,Øivind Ekeberg,Morten Rostrup,Elizabeth Hanson,Mirjam Ekstedt,Milada Hagen,Elin Børøsund","doi":"10.1007/s00134-025-08139-x","DOIUrl":"https://doi.org/10.1007/s00134-025-08139-x","url":null,"abstract":"PURPOSEA long-term evaluation of The Caregiver Pathway, a model to follow up family caregivers on Post-intensive Care Symptoms among Family (PICS-F).METHODSA single-center non-blinded randomized controlled trial including 196 family caregivers to critically ill patients randomized to intervention (n = 101) or control group (n = 95). The Caregiver Pathway intervention consists of: (1) a digital assessment followed by a conversation with a nurse in the first days at the ICU, (2) a supportive card when leaving the ICU, (3) an offer to receive a phone call following patient transfer to a step-down unit, and (4) a follow-up conversation within 3 months after discharge. Outcome measures were collected at 6 and 12 months, including symptoms of post-traumatic stress disorder (PTSD), anxiety, depression, Health-related Quality of Life (HRQoL), hope, and self-efficacy.RESULTSThe Caregiver Pathway was associated with a significant effect for symptoms of PTSD after 6 months compared with controls, mean IES-R score: 25.8 [95% CI 21.9-29.7] versus 30.9 [95% CI 26.7-35.0], p = 0.009, and a trend toward an effect after 12 months: IES-R score: 25.0 [95% CI 21.3-28.7] versus 28.4 [95% CI 24.1-32.7], p = 0.057. Subgroup analyses at 12 months showed a significant intervention effect among family caregivers of patients who survived compared to controls for PTSD, IES-R score: 19.8 [95% CI 15.3-24.2] versus 29.1 [95% CI 23.5-34.6], p = 0.001, and anxiety, HADS-A score: 4.3 [95% CI 3.1-5.4] versus 6.8 [95% CI 5.2-8.4], p = 0.003.CONCLUSIONSThe Caregiver Pathway has the potential to reduce the symptoms of PICS-F, especially among family caregivers whose patient has survived.","PeriodicalId":13665,"journal":{"name":"Intensive Care Medicine","volume":"103 1","pages":""},"PeriodicalIF":38.9,"publicationDate":"2025-10-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145229231","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Challenges in assessing HRQoL after ICU sepsis: Author's reply. 评估ICU败血症后HRQoL的挑战:作者的回复。
IF 21.2 1区 医学
Intensive Care Medicine Pub Date : 2025-10-01 Epub Date: 2025-08-19 DOI: 10.1007/s00134-025-08083-w
Peter Halvorsen, Michael Marks-Hultström, Ewa Wallin, Björn Ahlström, Miklós Lipcsey
{"title":"Challenges in assessing HRQoL after ICU sepsis: Author's reply.","authors":"Peter Halvorsen, Michael Marks-Hultström, Ewa Wallin, Björn Ahlström, Miklós Lipcsey","doi":"10.1007/s00134-025-08083-w","DOIUrl":"10.1007/s00134-025-08083-w","url":null,"abstract":"","PeriodicalId":13665,"journal":{"name":"Intensive Care Medicine","volume":" ","pages":"1946-1947"},"PeriodicalIF":21.2,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144873054","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
It was just an epidural. 只是硬膜外麻醉。
IF 21.2 1区 医学
Intensive Care Medicine Pub Date : 2025-10-01 Epub Date: 2025-07-29 DOI: 10.1007/s00134-025-08060-3
Mohammed Aabdi
{"title":"It was just an epidural.","authors":"Mohammed Aabdi","doi":"10.1007/s00134-025-08060-3","DOIUrl":"10.1007/s00134-025-08060-3","url":null,"abstract":"","PeriodicalId":13665,"journal":{"name":"Intensive Care Medicine","volume":" ","pages":"1935-1936"},"PeriodicalIF":21.2,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144730293","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
2D- and 3D-EIT are different, but which one is correct? Author's reply. 2D- eit和3D-EIT是不同的,但哪一个是正确的?作者的回答。
IF 21.2 1区 医学
Intensive Care Medicine Pub Date : 2025-10-01 Epub Date: 2025-08-19 DOI: 10.1007/s00134-025-08090-x
Siyi Yuan, Yelin Gao, Ke Zhang, Huaiwu He
{"title":"2D- and 3D-EIT are different, but which one is correct? Author's reply.","authors":"Siyi Yuan, Yelin Gao, Ke Zhang, Huaiwu He","doi":"10.1007/s00134-025-08090-x","DOIUrl":"10.1007/s00134-025-08090-x","url":null,"abstract":"","PeriodicalId":13665,"journal":{"name":"Intensive Care Medicine","volume":" ","pages":"1950-1951"},"PeriodicalIF":21.2,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144873053","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Delirium Related to Sedation: Prevention Strategies and Patient Perspectives. 与镇静相关的谵妄:预防策略和患者观点。
IF 21.2 1区 医学
Intensive Care Medicine Pub Date : 2025-10-01 Epub Date: 2025-08-19 DOI: 10.1007/s00134-025-08062-1
Gerald Chanques, John P Kress
{"title":"Delirium Related to Sedation: Prevention Strategies and Patient Perspectives.","authors":"Gerald Chanques, John P Kress","doi":"10.1007/s00134-025-08062-1","DOIUrl":"10.1007/s00134-025-08062-1","url":null,"abstract":"","PeriodicalId":13665,"journal":{"name":"Intensive Care Medicine","volume":" ","pages":"1894-1897"},"PeriodicalIF":21.2,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144873057","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
0
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
确定
请完成安全验证×
相关产品
×
本文献相关产品
联系我们:info@booksci.cn Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。 Copyright © 2023 布克学术 All rights reserved.
京ICP备2023020795号-1
ghs 京公网安备 11010802042870号
Book学术文献互助
Book学术文献互助群
群 号:604180095
Book学术官方微信