Antidepressant Use and Depressive Symptoms in Intensive Care Unit Survivors

J Hosp Med. 2017 Sep;12(9):731-734. doi: 10.12788/jhm.2814.

Abstract

Nearly 30% of intensive care unit (ICU) survivors have depressive symptoms 2-12 months after hospital discharge. We examined the prevalence of depressive symptoms and risk factors for depressive symptoms in 204 patients at their initial evaluation in the Critical Care Recovery Center (CCRC), an ICU survivor clinic based at Eskenazi Hospital in Indianapolis, Indiana. Thirty-two percent (N = 65) of patients had depressive symptoms on initial CCRC visit. For patients who are not on an antidepressant at their initial CCRC visit (N = 135), younger age and lower education level were associated with a higher likelihood of having depressive symptoms. For patients on an antidepressant at their initial CCRC visit (N = 69), younger age and being African American race were associated with a higher likelihood of having depressive symptoms. Future studies will need to confirm these findings and examine new approaches to increase access to depression treatment and test new antidepressant regimens for post-ICU depression.

Publication types

  • Research Support, U.S. Gov't, P.H.S.
  • Research Support, N.I.H., Extramural

MeSH terms

  • Age Factors
  • Antidepressive Agents / therapeutic use*
  • Critical Care
  • Depression / drug therapy*
  • Depression / epidemiology
  • Depression / ethnology
  • Female
  • Humans
  • Indiana / epidemiology
  • Intensive Care Units*
  • Male
  • Middle Aged
  • Patient Discharge
  • Prevalence
  • Risk Factors
  • Survivors / psychology
  • Survivors / statistics & numerical data*
  • Time Factors

Substances

  • Antidepressive Agents