Patients' dreams in ICU: Recall at two years post discharge and comparison to delirium status during ICU admission: A multicentre cohort study

There are no files associated with this record.

Title Patients' dreams in ICU: Recall at two years post discharge and comparison to delirium status during ICU admission: A multicentre cohort study
Author Roberts, Brigit L.; Rickard, Claire; Rajbhandari, Dorrilyn; Reynolds, Pamela
Journal Name Intensive and Critical Care Nursing
Year Published 2006
Place of publication United Kingdom
Publisher Elsevier
Abstract Discharged intensive care unit (ICU) patients often recall experience vivid dreams, hallucinations or delusions. These may be persecutory in nature and are sometimes very frightening. It is possible that these memories stem from times when the patient was experiencing delirium, a common syndrome in the critically ill. Routine screening for delirium in ICU is becoming more prevalent, however, little has been published comparing the objective development of delirium (patient observations using screening tools) and patients' subjective recollection of dreams and unreal experiences in the ICU. This study describes the relationship between observed behaviour during ICU admission and the subjective memories of ICU experiences amongst 41 participants in three ICUs up to 24 months post discharge. Overall, 44% of patients (n=18) recalled dreams during their ICU admission. There was a trend to increased prevalence of dreaming (50% versus 39%) amongst the 18 patients who were delirious during their ICU admission than in the 23 non-delirious patients. Dreaming was significantly associated on logistic regression with increased length of stay (OR 1.39, 95% CI 1.08–1.79, p=0.01), but not delirium status (OR 1.56, 95% CI 0.45–5.41, p=0.49). A longer ICU stay was significantly associated with the experience of ICU dreaming. As many dreams are disturbing, we suggest providing information and counselling about delirium to patients who remain in ICU for longer periods.
Peer Reviewed Yes
Published Yes
Alternative URI http://dx.doi.org/10.1016/j.iccn.2006.02.002
Volume 22
Issue Number 5
Page from 264
Page to 273
ISSN 0964-3397
Date Accessioned 2007-05-10
Date Available 2009-11-13T06:35:43Z
Language en_AU
Research Centre Griffith Health Institute; Centre for Health Practice Innovation
Faculty Griffith Health Faculty
Subject PRE2009-Clinical Nursing: Secondary (Acute Care); PRE2009-Intensive Care
URI http://hdl.handle.net/10072/26662
Publication Type Journal Articles (Refereed Article)
Publication Type Code c1x

Show simple item record

Griffith University copyright notice