Navigation Links
Caregivers of ICU patients are collateral damage of critical illness, say Pitt researchers
Date:2/1/2010

PITTSBURGH, Feb. 1 Intensive care unit patients are not the only ones likely to be severely depressed in the aftermath of hospitalization. Family and friends who care for them often suffer emotional and social hardship, too, according to a prospective study from the University of Pittsburgh School of Medicine that is the first to monitor patients and caregivers during a one-year period for predictors of depression and lifestyle disruption.

The findings, published this month in Chest, indicate that the informal caregivers of ICU survivors endure even more stress than those caring for Alzheimer's disease patients, noted senior author Michael R. Pinsky, M.D., professor and vice chair for academic affairs, Department of Critical Care Medicine.

"Caregiver depression is the collateral damage of these stressful ICU admissions," he noted. "This research reveals that loved ones of critically ill patients have profound and unmet needs for assistance even after hospital discharge. The emotional and economic burden is enormous, and these issues must be addressed."

Part of a larger project examining ICU outcomes, this study focused on the survivors of critical illness requiring breathing assistance with a ventilator for at least 48 hours as well as their informal caregivers, meaning family and friends. Caregivers were evaluated for depression symptoms two, six and 12 months after mechanical ventilation was initiated in the patient. At the two-month mark, more than 40 percent of the patients had died.

Of the 48 caregivers who were interviewed at all three time points, the majority were female and nearly half were wives of the patients. A predictor of depression symptoms at both two and 12 months was looking after a male patient. At 12 months, patient tracheostomy, in which a hole is made through the neck directly into the airway to assist breathing, also was a predictor of caregiver symptoms. If patients had at least a high school education, caregivers were more likely to report lifestyle disruption at the two-month mark. Tracheostomy, functional dependency and male patient gender were predictive of lifestyle disruption at 12 months.

"Our previous studies indicate that caregivers often change their lives to care for recovering patients, including quitting work, taking lower-paying jobs or leaving college in order to spend more time at home," Dr. Pinsky said. "These are highly stressful choices, and it is imperative that we develop interventions to help families cope with the burden of critical illness even after they have left the hospital."

Studies are now underway to assess approaches designed to mitigate these problems for both patients and caregivers.


'/>"/>

Contact: Anita Srikameswaran
SrikamAV@upmc.edu
412-578-9193
University of Pittsburgh Schools of the Health Sciences
Source:Eurekalert

Related medicine news :

1. Providence St. Joseph Medical Center, Caregivers Reach Agreement on a Union Contract
2. UHW Announces: Antelope Valley Hospital Caregivers and Board Vote to Ratify First Union Contract With SEIU UHW-West
3. Counseling Boosts Alzheimers Caregivers Health
4. Chronic stress can steal years from caregivers lifetimes
5. Alzheimers Caregivers Get Sage Advice
6. Caregivers Demand County Honor Their Contract
7. Valley Health System Caregivers, Members of SEIU UHW, to Announce Endorsement of Measure G
8. Demonstration at Carlyle Group Offices Monday as Grassroots Caravan of Caregivers, Senior Advocates Arrives in D.C. to Speak Out for Improved Care, Staffing at Nations Largest Nursing Home Chain
9. Coalition of Caregivers Warns Congress of Danger to Oldest U.S. Seniors if Medicare Slashed
10. Care-ousel for Brain Tumor Patients: Doctors in the Hospital, Caregivers at Home
11. Caregivers benefit from cancer support programs, U-M study finds
Post Your Comments:
*Name:
*Comment:
*Email:
(Date:6/26/2016)... (PRWEB) , ... June 26, 2016 , ... ... fertility once they have been diagnosed with endometriosis. These women need a treatment ... also require a comprehensive approach that can help for preservation of fertility and ...
(Date:6/25/2016)... TX (PRWEB) , ... June 25, 2016 , ... Austin ... of the American College of Mohs Surgery and to Dr. Russell Peckham for medical ... and highly effective treatment for skin cancer. The selective fellowship in Mohs Micrographic Surgery ...
(Date:6/25/2016)... Aliso Viejo, California (PRWEB) , ... June 25, 2016 , ... ... preset to fit their specific project," said Christina Austin - CEO of Pixel Film ... all fully customizable and all within Final Cut Pro X . Simply select ...
(Date:6/25/2016)... ... June 25, 2016 , ... As a lifelong Southern Californian, ... and his M.D from the David Geffen School of Medicine at UCLA. He trained ... Angeles to complete his fellowship in hematology/oncology at the UCLA-Olive View-Cedars Sinai program where ...
(Date:6/25/2016)... ... June 25, 2016 , ... On Friday, June 10, Van Mitchell, Secretary of ... award to iHire in recognition of their exemplary accomplishments in worksite health promotion. , ... Workplace Health & Wellness Symposium at the BWI Marriott in Linthicum Heights. iHire was ...
Breaking Medicine News(10 mins):
(Date:6/26/2016)... Ontario , June 27, 2016  VMS Rehab ... Company,s Board will take whatever measures required to build ... Company,s stock which is currently listed on the OTC ... Wexler, Company Chairman and CEO, "We are seeing an ... difficult to understand, not only by the Company, but ...
(Date:6/24/2016)... June 24, 2016   Bay Area Lyme ... Dean Center for Tick Borne Illness , ... Rehabilitation, MIT Hacking Medicine, University of California, Berkeley, ... announced the five finalists of Lyme Innovation ... More than 100 scientists, clinicians, researchers, entrepreneurs, and ...
(Date:6/24/2016)... CLEMENTE, Calif. , June 24, 2016  American Respiratory Labs ... company, is now able to perform sophisticated lung assessments in patients, ... Technologies , Inc. Patients are no longer limited ... ndd,s EasyOne PRO ® , ARL patients like Jeanne R. of ... done in the comfort of her own home. ...
Breaking Medicine Technology: