TY  - JOUR
PY  - 2011//
TI  - Depressive Symptoms and Impaired Physical Function after Acute Lung Injury: a 2-Year Longitudinal Study
JO  - American journal of respiratory and critical care medicine
A1  - Bienvenu, Oscar J.
A1  - Colantuoni, Elizabeth
A1  - Mendez-Tellez, Pedro A.
A1  - Dinglas, Victor D.
A1  - Shanholtz, Carl
A1  - Husain, Nadia
A1  - Dennison, Cheryl R.
A1  - Herridge, Margaret S.
A1  - Pronovost, Peter J.
A1  - Needham, Dale M.
SP  - 517
EP  - 524
VL  - 185
IS  - 5
N2  - RATIONALE: Survivors of acute lung injury (ALI) frequently have substantial depressive symptoms and physical impairment, but the longitudinal epidemiology of these conditions remains unclear. OBJECTIVES: To evaluate the 2-year incidence and duration of depressive symptoms and physical impairment after ALI, as well as risk factors for these conditions. METHODS: This prospective, longitudinal cohort study recruited patients from 13 intensive care units in 4 hospitals, with follow-up 3, 6, 12, and 24 months after ALI. The outcomes were Hospital Anxiety and Depression Scale depression score ≥8 ("depressive symptoms") in patients without a history of depression prior to ALI, and ≥2 dependencies in instrumental activities of daily living ("impaired physical function") in patients without baseline impairment. MEASUREMENTS AND MAIN RESULTS: During 2-year follow-up of 186 ALI survivors, the cumulative incidences of depressive symptoms and impaired physical function were 40% and 66%, respectively, with greatest incidence by 3-month follow-up; modal durations were >21 months for each outcome. Risk factors for incident depressive symptoms were education ≤12 years, baseline disability or unemployment, higher baseline medical comorbidity, and lower blood glucose in the intensive care unit. Risk factors for incident impaired physical function were longer intensive care unit stay and prior depressive symptoms. CONCLUSIONS: Incident depressive symptoms and impaired physical function are common and long-lasting during the first 2 years after ALI. Interventions targeting potentially modifiable risk factors (e.g., substantial depressive symptoms in early recovery) should be evaluated to improve ALI survivors' long-term outcomes.<p />  <p>Language: en</p>
LA  - en
SN  - 1073-449X
UR  - http://dx.doi.org/10.1164/rccm.201103-0503OC
ID  - ref1
ER  -