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Post-intensive Care Syndrome.
Ann Geriatr Med Res. 2021 Jun; 25(2):72-78.AG

Abstract

The increasing survival rate after discharge from the intensive care unit (ICU) has revealed long-term impairments in the cognitive, psychiatric, and physical domains among survivors. However, clinicians often fail to recognize this post-ICU syndrome (PICS) and its debilitating effects on family members (PICS-F). This study describes two cases of PICS to illustrate the different impairments that may occur in ICU survivors. The PICS risk factors for each domain and the interactions among risk factors are also described. In terms of diagnostic evaluation, limited evidence-based or validated tools are available to assist with screening for PICS. Clinicians should be aware to monitor for its symptoms on the basis of cognitive, psychiatric, and physical domains. The Montreal Cognitive Assessment is recommended to screen for cognition, as it has a high sensitivity and can evaluate executive function. Mood disorders should also be screened. For mobile patients, a 6-minute walk test should be performed. PICS can be prevented by applying the ABCDEF bundle ABCDEF bundle in ICU described in this paper. Finally, the family members of patients in the ICU should be involved in patient care and a tactful communication approach is required to reduce the risk of PICS-F.

Authors+Show Affiliations

Geriatrics and Palliative Unit, Department of Internal Medicine, Raja Isteri Pengiran Anak Saleha (RIPAS) Hospital, Brunei Darussalam.Geriatrics and Palliative Unit, Department of Internal Medicine, Raja Isteri Pengiran Anak Saleha (RIPAS) Hospital, Brunei Darussalam.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

34120434

Citation

Ahmad, Muhammad Hanif, and Shyh Poh Teo. "Post-intensive Care Syndrome." Annals of Geriatric Medicine and Research, vol. 25, no. 2, 2021, pp. 72-78.
Ahmad MH, Teo SP. Post-intensive Care Syndrome. Ann Geriatr Med Res. 2021;25(2):72-78.
Ahmad, M. H., & Teo, S. P. (2021). Post-intensive Care Syndrome. Annals of Geriatric Medicine and Research, 25(2), 72-78. https://doi.org/10.4235/agmr.21.0048
Ahmad MH, Teo SP. Post-intensive Care Syndrome. Ann Geriatr Med Res. 2021;25(2):72-78. PubMed PMID: 34120434.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Post-intensive Care Syndrome. AU - Ahmad,Muhammad Hanif, AU - Teo,Shyh Poh, Y1 - 2021/06/25/ PY - 2021/05/10/received PY - 2021/06/11/accepted PY - 2021/6/15/pubmed PY - 2021/6/15/medline PY - 2021/6/14/entrez KW - Continuity of patient care KW - Critical care KW - Neurocognitive disorders KW - Patient care bundles KW - Physical and rehabilitation medicine SP - 72 EP - 78 JF - Annals of geriatric medicine and research JO - Ann Geriatr Med Res VL - 25 IS - 2 N2 - The increasing survival rate after discharge from the intensive care unit (ICU) has revealed long-term impairments in the cognitive, psychiatric, and physical domains among survivors. However, clinicians often fail to recognize this post-ICU syndrome (PICS) and its debilitating effects on family members (PICS-F). This study describes two cases of PICS to illustrate the different impairments that may occur in ICU survivors. The PICS risk factors for each domain and the interactions among risk factors are also described. In terms of diagnostic evaluation, limited evidence-based or validated tools are available to assist with screening for PICS. Clinicians should be aware to monitor for its symptoms on the basis of cognitive, psychiatric, and physical domains. The Montreal Cognitive Assessment is recommended to screen for cognition, as it has a high sensitivity and can evaluate executive function. Mood disorders should also be screened. For mobile patients, a 6-minute walk test should be performed. PICS can be prevented by applying the ABCDEF bundle ABCDEF bundle in ICU described in this paper. Finally, the family members of patients in the ICU should be involved in patient care and a tactful communication approach is required to reduce the risk of PICS-F. SN - 2508-4909 UR - https://www.unboundmedicine.com/medline/citation/34120434/Post_intensive_Care_Syndrome_ L2 - http://e-agmr.org/journal/view.php?doi=10.4235/agmr.21.0048 DB - PRIME DP - Unbound Medicine ER -
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