Acute Medicine & Surgery· 2019· Review
Post‐intensive care syndrome: its pathophysiology, prevention, and future directions
- 605citations
- 2019year
Short summary
Post-Intensive Care Syndrome (PICS) encompasses physical, cognitive, and mental impairments affecting ICU survivors, their families, and pediatric patients, with ICU-acquired weakness being a key physical manifestation.
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Key points
- PICS includes physical, cognitive, and mental impairments in ICU survivors.
- ICU-acquired weakness is a specific physical impairment within PICS.
- The ABCDEFGH bundle, early rehabilitation, and family intervention are key prevention strategies.
- PICS concepts extend to pediatric patients (PICS-p) and family members (PICS-F).
AI-generated from the title and abstract; the full text is not read.
Abstract
Expanding elderly populations are a major social challenge in advanced countries worldwide and have led to a rapid increase in the number of elderly patients in intensive care units (ICUs). Innovative advances in medical technology have enabled lifesaving of patients in ICUs, but there remain various problems to improve their long-term prognoses. Post-intensive care syndrome (PICS) refers to physical, cognition, and mental impairments that occur during ICU stay, after ICU discharge or hospital discharge, as well as the long-term prognosis of ICU patients. Its concept also applies to pediatric patients (PICS-p) and the mental status of their family (PICS-F). Intensive care unit-acquired weakness, a syndrome characterized by acute symmetrical limb muscle weakness after ICU admission, belongs to physical impairments in three domains of PICS. Prevention of PICS requires performance of the ABCDEFGH bundle, which incorporates the prevention of delirium, early rehabilitation, family intervention, and follow-up from the time of ICU admission to the time of discharge. Diary, nutrition, nursing care, and environmental management for healing are also important in the prevention of PICS. This review outlines the pathophysiology, prevention, and future directions of PICS.
The authors' abstract, as published at the source. Acute Medicine & Surgery, 2019 · DOI ↗
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Field: Critical Care and Intensive Care Medicine
Critical Care and Intensive Care MedicineMedicine