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Trastorno de estrés postraumático, ansiedad y depresión en sobrevivientes de la unidad de cuidados intensivos del
Imen Ben Saida1,2, Marwa Zghidi1,2, Safa Fathallah2
1Faculty of Medicine of Sousse, University of Sousse, Sousse, Tunisia.
Acute and critical care
|September 3, 2025
Resumen
El trastorno de estrés postraumático (TEPT), la ansiedad y la depresión son comunes en los sobrevivientes de la unidad de cuidados intensivos (UCI). La edad más joven, el sexo femenino y el control físico estaban relacionados con estas condiciones.
Área de la Ciencia:
- Medicina para cuidados intensivos
- La neurociencia
- La psiquiatría
Sus antecedentes:
- Los sobrevivientes de enfermedades críticas con frecuencia experimentan problemas físicos y psicológicos a largo plazo, que afectan la calidad de vida.
- El trastorno de estrés postraumático (TEPT), la ansiedad y la depresión son preocupaciones frecuentes para los sobrevivientes de la unidad de cuidados intensivos (UCI).
- Los trastornos neuropsiquiátricos relacionados con el síndrome de cuidados intensivos posteriores (PICS-ND) representan una carga significativa de morbilidad.
Objetivo del estudio:
- Para determinar la prevalencia de TEPT, ansiedad y depresión en los sobrevivientes de la UCI 3 meses después del alta.
- Para identificar los factores asociados con el TEPT, la ansiedad y la depresión en esta población.
- Investigar la prevalencia y los factores determinantes del PICS-ND.
Principales métodos:
- Estudio analítico prospectivo de observación llevado a cabo en una UCI médica.
- Cuestionarios basados en el teléfono (Escala de eventos de impacto revisada, Escala de ansiedad y depresión hospitalaria) administrados 3 meses después del alta de la UCI.
- Análisis univariados y multivariados para identificar las variables asociadas significativas.
Principales resultados:
- El trastorno de estrés postraumático (21,9%), la ansiedad (21,0%) y la depresión (9,6%) prevalecieron a los 3 meses.
- Los factores asociados para el TEPT incluyeron la edad más joven, el sexo femenino, la restricción física y la polineuropatía y miopatía por enfermedad crítica (CIPNM).
- PICS-ND afectó al 28,9% de los pacientes, con una edad más joven, sexo femenino y restricción física como factores asociados.
Conclusiones:
- TEPT, ansiedad, depresión y PICS-ND son secuelas comunes para los sobrevivientes de la UCI.
- Los resultados psicológicos están asociados con la edad más joven, el sexo femenino, el estado civil, el índice Charlson, la restricción física y el CIPNM.
Palabras clave:
Ansiedadenfermedad gravela depresiónestudios de seguimientotrastorno por estrés postraumáticoMás Videos Relacionados
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