The online version of this article (doi:10.1186/cc9260) contains supplementary material, which is available to authorized users.
The authors declare that they have no competing interests.
CJ co-conceived the study, participated in its design and coordination, performed the statistical analysis and drafted the manuscript. CB developed the diary concept, coordinated the study in Sweden, collected data and helped to draft the manuscript. MC coordinated the study in Italy and helped to draft the manuscript. IE coordinated the study in Denmark and helped to draft the manuscript. HF coordinated the study in Norway and helped to draft the manuscript. CG coordinated the study in Portugal and helped to draft the manuscript. CR helped coordinate the study in Sweden and to draft the manuscript. RDG co-conceived the study and participated in its design and helped to draft the manuscript. All authors read and approved the final manuscript.
Patients recovering from critical illness have been shown to be at risk of developing Post Traumatic Stress disorder (PTSD). This study was to evaluate whether a prospectively collected diary of a patient's intensive care unit (ICU) stay when used during convalescence following critical illness will reduce the development of new onset PTSD.
Intensive care patients with an ICU stay of more than 72 hours were recruited to a randomised controlled trial examining the effect of a diary outlining the details of the patients ICU stay on the development of acute PTSD. The intervention patients received their ICU diary at 1 month following critical care discharge and the final assessment of the development of acute PTSD was made at 3 months.
352 patients were randomised to the study at 1 month. The incidence of new cases of PTSD was reduced in the intervention group compared to the control patients (5% versus 13%, P = 0.02).
The provision of an ICU diary is effective in aiding psychological recovery and reducing the incidence of new PTSD.
Additional file 1:Patient diary guidelines. This contains the guidelines used in the study to ensure all study centres wrote diaries in a similar way. (DOC 28 KB)13054_2010_8657_MOESM1_ESM.DOC
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- Intensive care diaries reduce new onset post traumatic stress disorder following critical illness: a randomised, controlled trial
Richard D Griffiths
the RACHEL group
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