Why PTSD May Plague Many Hospitalized Covid-19 Survivors — Smithsonian Magazine

Scientists warn about the likelihood of post-traumatic stress disorder for patients discharged from the intensive care unit.

Covid-19 isn’t the first epidemic to cause a domino effect of persisting psychiatric health problems across a population. The current pandemic has been compared to the severe adult respiratory syndrome (SARS) outbreak in 2003 and the Middle East respiratory syndrome (MERS) outbreak in 2014 in Saudi Arabia—both diseases caused by coronaviruses. In an analysis of international studies from the SARS and MERS outbreaks, researchers found that among recovered patients, the prevalence of PTSD was 32.2 percent, depression was 14.9 percent and anxiety disorders was 14.8 percent.

Why PTSD May Plague Many Hospitalized Covid-19 Survivors — Science | Smithsonian Magazine

The entire article is worth reading. And from The BMJ probable PTSD in hospital workers too.

Nearly half of intensive care unit (ICU) and anaesthetic staff surveyed for a study reported symptoms consistent with a probable diagnosis of post-traumatic stress disorder (PTSD), severe depression, anxiety, or problem drinking.1

The preprint, produced by researchers at King’s College London, aimed to get a picture of the rates of probable mental health disorders in ICU and anaesthetic staff in six English hospitals during June and July 2020.

BMJ 2021; 372 doi: https://doi.org/10.1136/bmj.n108 (Published 13 January 2021) BMJ 2021;372:n108

PTSD May Raise Risk of Heart Disease

Through a median of 13 years of follow-up, twins who had PTSD at baseline had a significantly higher rate of incident coronary heart disease compared with those without PTSD (22.6% versus 8.9%), according to Viola Vaccarino, MD, PhD, of Emory University in Atlanta, and colleagues.

The difference was not due to established risk factors, since the association remained significant after adjustment for sociodemographic factors, service in Southeast Asia, lifestyle factors, coronary heart disease risk factors, major depression, and other psychiatric diagnoses (OR 2.1, 95% CI 1.1-3.9), the researchers reported online in the Journal of the American College of Cardiology.

via PTSD May Raise Risk of Heart Disease.

PTSD Ups Risk for Developing CVD, DM

Patients diagnosed with post-traumatic stress disorder are more likely to develop insulin resistance and metabolic syndrome compared with those that are not diagnosed with the disorder, increasing their risk for developing cardiovascular disease or diabetes.

Ebrahimi and colleagues utilized VA electronic medical data to identify the incidence of insulin resistance (defined as triglyceride over HDL cholesterol ratio ≥3.8) and metabolic syndrome in 207,954 patients (mean age 60 years; 14.93% men).

via Patients with PTSD at risk for developing CVD, diabetes | Endocrinology.