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Post‐traumatic stress symptoms in Guillain–Barré syndrome patients after prolonged mechanical ventilation in ICU : a preliminary report
Author(s) -
Le Guennec Loïc,
Brisset Marion,
Viala Karine,
Essardy Fatiha,
Maisonobe Thierry,
Rohaut Benjamin,
Demeret Sophie,
Bolgert Francis,
Weiss Nicolas
Publication year - 2014
Publication title -
journal of the peripheral nervous system
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1
H-Index - 67
eISSN - 1529-8027
pISSN - 1085-9489
DOI - 10.1111/jns.12087
Subject(s) - medicine , depression (economics) , anxiety , mechanical ventilation , intensive care unit , population , quality of life (healthcare) , beck depression inventory , traumatic stress , beck anxiety inventory , hospital anxiety and depression scale , insomnia , physical therapy , anesthesia , psychiatry , nursing , environmental health , economics , macroeconomics
Thirty percent of Guillain–Barré syndrome ( GBS ) patients require mechanical ventilation (MV) in intensive care unit ( ICU ). Post‐traumatic stress disorder ( PTSD ) is found in ICU survivors, and the traumatic aspects of intubation and MV have been previously reported as risk factors for PTSD after ICU . Our objective was to determine long‐term PTSD or post‐traumatic stress symptoms (PTSS) in GBS patients after prolonged MV in ICU . We assessed GBS patients who had MV for more than 2 months. PTSD was assessed using Horowitz Impact of Event Scale ( IES ), IES‐Revisited ( IES ‐R), and the Post‐traumatic CheckList Scale; functional outcome using Rankin and Barthel scales; quality of life ( QoL ) using Nottingham Health Profile ( NHP ) and 36‐Item Short Form Health Survey ( SF ‐36) and depression using Hospital Anxiety and Depression Scale ( HAD ) and Beck questionnaire. Thirteen patients could be identified and analyzed. They had only mild disability. They were neither anxious nor depressed with an anxiety HAD at 5 (4–11.5), a depression HAD at 1 (0–3.5) and a Beck at 1 (0–5). QoL was mildly decreased in our population with a NHP at 78.5 (12.8–178.8) and mild decreased SF ‐36. Compared with the French population, the SF ‐36 sub‐categories were, however, not statistically different. Twenty‐two percentage of our 13 patients had PTSD and PTSS with a Horowitz IES at 12 (2–29), and an IES ‐R at 16 (2–34.5). Although severe GBS patients requiring prolonged MV had good functional recovery and no difference in QoL , they had a high incidence of PTSS.