Beyond survival: understanding post-intensive care syndrome

被引:0
|
作者
Gupta, Lovish [1 ]
Subair, Maazen Naduthra [2 ]
Munjal, Jaskaran [3 ]
Singh, Bhupinder [4 ]
Bansal, Vasu [5 ]
Gupta, Vasu [6 ]
Jain, Rohit [7 ]
机构
[1] Maulana Azad Med Coll, New Delhi, India
[2] Sri Ramachandra Inst Higher Educ & Res, Chennai, India
[3] Shri Ram Murti Smarak Inst Med Sci, 13 KM,Nainital Rd, Bareilly 243202, Uttar Pradesh, India
[4] Howard Cty Ctr Lung & Sleep Med, Columbia, MD USA
[5] Dayanand Med Coll & Hosp, Dept Internal Med, Ludhiana, India
[6] Cleveland Clin Akron Gen, Dept Internal Med, Akron, OH USA
[7] Penn State Milton S Hershey Med Ctr, Hershey, PA USA
关键词
ABCDEF bundle; cognitive impairment; COVID-19; impaired muscle regeneration; intensive care unit; postintensive care syndrome; UNIT; RECOVERY; ASSOCIATION; SEPSIS;
D O I
10.4266/acc.2023.01158
中图分类号
R4 [临床医学];
学科分类号
1002 ; 100602 ;
摘要
Post-intensive care syndrome (PICS) refers to persistent or new onset physical, mental, and neurocognitive complications that can occur following a stay in the intensive care unit. PICS encompasses muscle weakness; neuropathy; cognitive deficits including memory, executive, and attention impairments; post-traumatic stress disorder; and other mood disorders. PICS can last long after hospital admission and can cause significant physical, emotional, and financial stress for patients and their families. Several modifiable risk factors, such as duration of sepsis, delirium, and mechanical ventilation, are associated with PICS. However, due to limited awareness about PICS, these factors are often overlooked. The objective of this paper is to highlight the pathophysiology, clinical features, diagnostic methods, and available preventive and treatment options for PICS.
引用
收藏
页码:226 / 233
页数:8
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