• Ir J Med Sci · Oct 2022

    Anxiety and depression in the first 24 h in COVID-19 patients who underwent non-invasive mechanical ventilation in the intensive care unit.

    • Ilke Kupeli, Merve Yazıcı Kara, Ipek Yakın, and Aysegul Cigdem Caglayan.
    • Department of Anesthesiology and Reanimation, Faculty of Medicine, Biruni University, Istanbul, Turkey. ilkeser2004@gmail.com.
    • Ir J Med Sci. 2022 Oct 1; 191 (5): 2291-2295.

    Background And AimsThe aim of this study was to investigate the degree of anxiety and depression in the first 24 h of people who were taken to the intensive care unit (ICU) due to COVID-19 and had to use unfamiliar devices in an unfamiliar environment.Material MethodSixty-two patients over 18 years of age, conscious and cooperative, who were admitted to the ICU with the diagnosis of COVID, were PCR (+), and needed non-invasive mechanical ventilation were included in the study. Age, gender, Acute Physiology and Chronic Health Evaluation (APACHE) II scores, and Hospital Anxiety Depression (HAD) A (anxiety), and HAD D (depression) scores of the patients were recorded, and the prevalence of anxiety and depression and independent factors affecting them were investigated.ResultsThe mean age of the patients was 57.1 ± 17.6 years, and the mean APACHE II was 29.3 ± 10.4. The average HAD A score was 10.5 ± 3.5 in all patients, while the HAD D score was 10.5 ± 3.3. The prevalence of anxiety was 37.1% (23 patients), and the prevalence of depression was 43.6% (27 patients). Age and APACHE II and anxiety/depression were negatively correlated, and when age and APACHE II scores increased, anxiety and depression decreased (p < 0.05).ConclusionIn COVID-19 patients who underwent non-invasive mechanical ventilation in the ICU, the rate of anxiety in the first 24 h of admission was 37.1% while for depression the rate was 43.6%. In addition, advanced age and high APACHE II scores were found to be associated with low anxiety and depression.Trial RegistrationClinicalTrials ID: NCT04715477 (January 20, 2021).© 2021. The Author(s), under exclusive licence to Royal Academy of Medicine in Ireland.

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