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Caregiver burden and emotional wellbeing in informal caregivers to ICU survivors-A prospective cohort study
Department of Physiology and Pharmacology, Karolinska Institutet, Solna, Sweden; Department of Perioperative Medicine and Intensive care, Karolinska University Hospital, Stockholm, Sweden.
Department of Molecular Medicine and Surgery, Karolinska Institutet, Solna, Sweden.
Department of Surgical Sciences, Uppsala University, Uppsala, Sweden.
Department of Surgical Sciences, Uppsala University, Uppsala, Sweden.
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2022 (English)In: Acta Anaesthesiologica Scandinavica, ISSN 0001-5172, E-ISSN 1399-6576, Vol. 66, no 1, p. 94-102Article in journal (Refereed) Published
Abstract [en]

Background: Informal caregivers to intensive care unit (ICU) survivors may develop post-intensive care syndrome family (PICS-F), including depression, anxiety and post-traumatic stress (PTS). Our primary aim was to investigate associations between caregiver burden in informal caregivers cohabiting with ICU survivors and patients' physical and psychological outcomes.

Methods: A prospective, multicentre cohort study in four ICUs in Sweden. Adults cohabiting with ICU patients included in a previous study were eligible for inclusion. Three months post-ICU, informal caregivers received questionnaires assessing caregiver burden, health-related quality of life (HRQL) and symptoms of depression, anxiety and PTS. In parallel, patients reported their three-month physical and psychological status via validated questionnaires. The primary outcome of this study was to compare caregiver burden in informal caregivers to patients with and without adverse physical and psychological outcomes 3 months post-ICU. Secondary outcomes were correlations between caregiver burden and informal caregivers' mental HRQL.

Results: Among 62 included informal caregivers, 55 (89%) responded to the follow-up questionnaires. Caregiver burden was higher among informal caregivers to patients with an adverse outcome, compared to informal caregivers to patients without an adverse outcome, caregiver burden scale score mean (+/- standard deviation) 52 (11) and 41 (13) respectively (p = 0.003). There was strong negative correlation between caregiver burden and informal caregivers' mental HRQL (r(s) -0.74, p < 0.001).

Conclusion: Informal caregivers to ICU survivors with adverse physical or psychological outcome experience a higher caregiver burden. A higher caregiver burden correlates with worse caregiver mental HRQL. ICU follow-up programs should consider screening and follow-up of informal caregivers for mental health problems.

Place, publisher, year, edition, pages
John Wiley & Sons, 2022. Vol. 66, no 1, p. 94-102
Keywords [en]
anxiety, caregiver burden, critical care, depression, informal caregivers, intensive care unit, PICS, PICS-F, posttraumatic stress, psychological
National Category
Anesthesiology and Intensive Care
Identifiers
URN: urn:nbn:se:oru:diva-95038DOI: 10.1111/aas.13988ISI: 000703040000001PubMedID: 34582048Scopus ID: 2-s2.0-85116141399OAI: oai:DiVA.org:oru-95038DiVA, id: diva2:1603331
Funder
Swedish Research Council
Note

Funding agencies:

Region Auvergne-Rhone-Alpes

Region Bourgogne-Franche-Comte

Region Hauts-de-France

Region Nouvelle-Aquitaine

Available from: 2021-10-15 Created: 2021-10-15 Last updated: 2022-01-12Bibliographically approved

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Savilampi, Johanna

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