Post Intensive Care Syndrome (PICS): an overview of the definition, etiology, risk factors, and possible counseling and treatment strategies

被引:42
作者
Ramnarain, Dharmanand [1 ,2 ,3 ]
Aupers, Emily [1 ]
den Oudsten, Brenda [2 ]
Oldenbeuving, Annemarie [1 ]
de Vries, Jolanda [2 ,4 ]
Pouwels, Sjaak [1 ]
机构
[1] Elisabeth Tweesteden Hosp, Dept Intens Care Med, Tilburg, Netherlands
[2] Tilburg Univ, Ctr Res Psychol & Somat Dis Corps, Dept Med & Clin Psychol, Tilburg, Netherlands
[3] Saxenburg Medisch Cent Hardenberg, Dept Intens Care Med, Hardenberg, Netherlands
[4] ADRZ Admiraal Ruyter Ziekenhuis, Board, Goes, Netherlands
关键词
Post-intensive care syndrome; family; PICS; PICS-F; risk factors; ICU survivors; psychosomatic impairments; SARS-Cov-2; Covid-19; POSTTRAUMATIC-STRESS-DISORDER; QUALITY-OF-LIFE; MECHANICALLY VENTILATED PATIENTS; TERM COGNITIVE IMPAIRMENT; CRITICALLY-ILL PATIENTS; RESPIRATORY-DISTRESS-SYNDROME; ACUTE LUNG INJURY; CRITICAL ILLNESS; UNIT SURVIVORS; FUNCTIONAL DISABILITY;
D O I
10.1080/14737175.2021.1981289
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
Introduction Post-intensive care syndrome (PICS) has only recently been recognized as a new clinical entity in patients surviving their intensive care unit (ICU) stay due to critical illness. With increasing survival rates of ICU patients worldwide, there is a rising interest regarding post-ICU recovery. Areas covered First, based on the current literature a definition is provided of PICS, including the domains of impairments that comprise PICS along with the etiology and risk factors. Second, preventive measures and possible treatment strategies integrated in the follow-up care are described. Third, the authors will discuss the current SARS-Cov-2 pandemic and the increased risk of PICS in these post-ICU patients and their families. Expert opinion PICS is a relatively new entity, which not only encompasses various physical, cognitive, and psychological impairments but also impacts global health due to long-lasting detrimental socioeconomic burdens. Importantly, PICS also relates to caregivers of post-ICU patients. Strategies to reduce this burden will not only be needed within the ICU setting but will also have to take place in an interdisciplinary, multifaceted approach in primary care settings. Additionally, the SARS-Cov-2 pandemic has a high burden on post-ICU patients and their relatives.
引用
收藏
页码:1159 / 1177
页数:19
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