beth
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- Aug 19, 2012
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Utafiti uliofanywa na Watafiti kutoka Ottawa umebaini kulazwa Chumba cha Uangalizi Maalum (ICU) huongeza hatari ya Mtu kutaka kujiua au kujidhuru baadaye.
Imeelezwa, kitendo hicho kinaweza kuwaathiri Wagonjwa kwani kukaa Hospitali wiki au miezi kadhaa kisha kupitia kupindi cha uponaji ili mwili upate nguvu huweza kuwa na athari kwenye Afya ya Akili.
Utafiti uligundua waliotoka ICU walikuwa na hatari kubwa ya kujiua kwa 22% na 15% ya kujidhuru wenyewe ikilinganishwa na Wagonjwa wengine ambao hawakuwa ICU.
Watafiti hao wamesema matokeo hayo yana umuhimu wakati huu ambapo mlipuko wa Ugonjwa wa COVID19 umeweka idadi kubwa ya watu katika uangalizi maalum.
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Being admitted to an intensive care unit increases a person’s later risk of suicide and self-harm, according to a newly published paper from Ottawa researchers.
While the overall risk of suicide and self-harm among ICU survivors is low, the findings have important implications during a pandemic that has put record numbers of people in intensive care, the study’s authors say.
The study, which was published this week in the British Medical Journal, found that ICU survivors had a 22 per cent higher risk of suicide than discharged hospital patients who had not been in ICU. It also found ICU survivors had a 15 per cent greater risk of self-harm than non-ICU hospital patients.
Lead author Dr. Shannon Fernando, a critical care fellow at The Ottawa Hospital and the University of Ottawa, said the research is drawing a lot of attention because ICUs have admitted unprecedented numbers of COVID-19 patients during the pandemic.
In Ontario, the number of people in intensive care have hit record highs in recent weeks. The findings suggest some of those survivors will be at increased risk of suicide and self-harm.
Fernando and other authors say the research specifically identified as at the highest risk people who are younger, who underwent invasive treatment such as being on a ventilator, and were of lower economic status, in additional to those with a previous history of mental illness.
Fernando said that profile captures many of those in ICUs in Ontario right now with severe COVID-19.
”The reason this has gotten so much attention is that for a lot of us it is a picture of the patient we are seeing through this third wave of COVID-19.”
Fernando has been working in recent weeks at the ICU at Lakeridge Health on the east side of Toronto, which has among the hardest-hit ICUs in the province. He said he has never seen anything like the impact of COVID-19 there.
Not only are ICU admissions at all time highs, but the patients on ventilators are younger than in previous waves.
“These tend to be patients from relatively lower socio-economic status who are essential workers who aren’t afforded sick time off,” he said.
“When you now look at the profile of the patient in the ICU, these findings, I think, have really important implications for the patients that we are caring for, even today.”
The team from The Ottawa Hospital, the Institut du Savoir Montfort, ICES and the University of Ottawa, looked at health records from all 423,000 ICU survivors in Ontario between 2009 and 2017 and matched them with non-ICU hospitalized patients who had similar risk factors.
In Ontario, the number of people in intensive care have hit record highs in recent weeks. The findings suggest some of those survivors will be at increased risk of suicide and self-harm.
Fernando and other authors say the research specifically identified as at the highest risk people who are younger, who underwent invasive treatment such as being on a ventilator, and were of lower economic status, in additional to those with a previous history of mental illness.
Fernando said that profile captures many of those in ICUs in Ontario right now with severe COVID-19.
”The reason this has gotten so much attention is that for a lot of us it is a picture of the patient we are seeing through this third wave of COVID-19.”
Fernando has been working in recent weeks at the ICU at Lakeridge Health on the east side of Toronto, which has among the hardest-hit ICUs in the province. He said he has never seen anything like the impact of COVID-19 there.
Not only are ICU admissions at all time highs, but the patients on ventilators are younger than in previous waves.
“These tend to be patients from relatively lower socio-economic status who are essential workers who aren’t afforded sick time off,” he said.
“When you now look at the profile of the patient in the ICU, these findings, I think, have really important implications for the patients that we are caring for, even today.”
The team from The Ottawa Hospital, the Institut du Savoir Montfort, ICES and the University of Ottawa, looked at health records from all 423,000 ICU survivors in Ontario between 2009 and 2017 and matched them with non-ICU hospitalized patients who had similar risk factors.
The team is conducting further research to better understand the healthcare experience of these higher-risk ICU patients after they leave hospital, including how soon they receive outpatient mental health care and whether they are re-hospitalized
Seventy to 80 per cent of patients in ICU now survive, said Fernando, but the experience leaves them with many challenges.
“Unfortunately, we know this experience can be traumatic for patients, and will define someone’s health for a long time.”
Being in hospital for weeks or months and then requiring intense rehabilitation to be their strength back, being off work can affect their mental health.
“While intuitively all these factors could lead to increased risks of self-harm and suicide, we didn’t have clear data until now,” said Fernando
Chanzo: ICU survivors are at a higher risk for suicide and self-harm, new research shows
