{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,13]],"date-time":"2026-09-13T04:20:38Z","timestamp":1789273238235,"version":"build-2803163510"},"reference-count":85,"publisher":"MDPI AG","issue":"17","license":[{"start":{"date-parts":[[2024,9,5]],"date-time":"2024-09-05T00:00:00Z","timestamp":1725494400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"National Heart, Lung and Blood Institute","award":["R01-HL153311"],"award-info":[{"award-number":["R01-HL153311"]}]},{"name":"National Heart, Lung and Blood Institute","award":["R01-HL151850"],"award-info":[{"award-number":["R01-HL151850"]}]},{"name":"National Heart, Lung and Blood Institute","award":["5T35HL007616"],"award-info":[{"award-number":["5T35HL007616"]}]},{"name":"NIH","award":["R01-HL153311"],"award-info":[{"award-number":["R01-HL153311"]}]},{"name":"NIH","award":["R01-HL151850"],"award-info":[{"award-number":["R01-HL151850"]}]},{"name":"NIH","award":["5T35HL007616"],"award-info":[{"award-number":["5T35HL007616"]}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["JCM"],"abstract":"<jats:p>Background: Post-intensive care syndrome (PICS) affects many critical care survivors and family members. Nevertheless, the relationship between PICS-relevant domains in cardiac arrest (CA) survivors and psychological distress in their family members (henceforth, PICS-F) remains underexplored. Methods: We enrolled consecutive CA patients admitted between 16 August 2021 and 28 June 2023 to an academic medical center, along with their close family members, in prospective studies. Survivors\u2019 PICS domains were: physical dependence (Physical Self-Maintenance Scale, PSMS), cognitive impairments (Modified Telephone Interview for Cognitive Status, TICS-M), and post-traumatic stress disorder (PTSS) symptoms (PTSD Checklist\u2014PCL 5), as well as PICS-F (PCL-5 Total Score). Hierarchical multivariate linear regressions examined associations between PICS-F and survivors\u2019 PICS domains. Results: Of 74 dyads (n = 148), survivors had a mean (SD) age of 56 \u00b1 16 years, with 61% being male and with a median hospital stay of 28 days. Family members (43% spouses) were slightly younger (52 \u00b1 14 years), predominantly female (72%), and of minority race\/ethnicity (62%). A high prevalence of PICS assessed 28.5 days (interquartile range 10\u201363) post-CA was observed in survivors (78% physical dependence, 54% cognitive impairment, 30% PTSS) and in family members (30% PTSS). Survivor PTSS was significantly associated with family member distress (\u03b2 = 0.3, p = 0.02), independent of physical dependence (\u03b2 = 0.0, p = 0.9), cognitive impairment (\u03b2 = \u22120.1, p = 0.5), family member characteristics, and duration of hospitalization. Conclusions: Both CA survivors and their family members showed substantial evidence of likely PICS. Survivor PTSS is notably associated with family member distress, highlighting the need for dyadic interventions to enhance psychosocial outcomes.<\/jats:p>","DOI":"10.3390\/jcm13175266","type":"journal-article","created":{"date-parts":[[2024,9,5]],"date-time":"2024-09-05T06:44:29Z","timestamp":1725518669000},"page":"5266","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":6,"title":["Associations between Post-Intensive Care Syndrome Domains in Cardiac Arrest Survivors and Their Families One Month Post-Event"],"prefix":"10.3390","volume":"13","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5388-0369","authenticated-orcid":false,"given":"Danielle A.","family":"Rojas","sequence":"first","affiliation":[{"name":"Department of Neurology, Columbia University Irving Medical Center, New York, NY 10032, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4413-1777","authenticated-orcid":false,"given":"George E.","family":"Sayde","sequence":"additional","affiliation":[{"name":"Department of Psychiatry, Columbia University Irving Medical Center, New York, NY 10032, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0006-1319-677X","authenticated-orcid":false,"given":"Jason S.","family":"Vega","sequence":"additional","affiliation":[{"name":"Department of Neurology, Columbia University Irving Medical Center, New York, NY 10032, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Isabella M.","family":"Tincher","sequence":"additional","affiliation":[{"name":"Department of Neurology, Columbia University Irving Medical Center, New York, NY 10032, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mina","family":"Yuan","sequence":"additional","affiliation":[{"name":"Vagelos College of Physicians and Surgeons, Columbia University, New York, NY 10032, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0004-4087-4105","authenticated-orcid":false,"given":"Kristin","family":"Flanary","sequence":"additional","affiliation":[{"name":"Cardiac Arrest Family Member Stakeholder & Advocate, Glaucomflecken LLC, Eugene, OR 97401, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jeffrey L.","family":"Birk","sequence":"additional","affiliation":[{"name":"Center for Behavioral Cardiovascular Health, Columbia University Irving Medical Center, New York, NY 10032, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sachin","family":"Agarwal","sequence":"additional","affiliation":[{"name":"Department of Neurology, Columbia University Irving Medical Center, New York, NY 10032, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2024,9,5]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"90","DOI":"10.1515\/jtim-2016-0016","article-title":"Post-intensive Care Syndrome: An Overview","volume":"5","author":"Rawal","year":"2017","journal-title":"J. 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