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Published on: January 21, 2020
[Post-intensive care syndrome]
J Le Marec1, Y Jouan1, S Ehrmann2
1Inserm CIC 1415, réseau CRICS-TriggerSEP, service de médecine intensive-réanimation, CHRU de Tours, 2, boulevard Tonnellé, 37044 Tours cedex, France.
Abstract:
Post-intensive care syndrome is an entity defined in 2010 and covering any sequelae following an extended hospitalization in intensive care unit. It comprises psychological, cognitive and physical disorders (neuromyopathy, respiratory dysfunction, joint stiffness, among others). These sequelae have important consequences on autonomy and quality of life of these patients, as well as on their healthcare consumption and on mortality. Psychological sequelae can also be seen in hospitalized patients' relatives. Screening and management of these disorders is more and more frequent but no method has formally proven effective. The number of patients surviving an intensive care unit hospitalization is increasing, and management of post-intensive care syndrome is a major issue. It seems important that the internist be aware of this syndrome, given his pivotal role in global management of patients and frequent implication into care after the intensive care unit.
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