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[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.
Post-intensive care syndrome (PICS) encompasses long-term physical, cognitive, and psychological issues after critical illness. Effective screening and management strategies for PICS remain a significant challenge for healthcare providers.
Area of Science:
- Critical Care Medicine
- Internal Medicine
- Patient Outcomes
Background:
- Post-intensive care syndrome (PICS) describes sequelae following intensive care unit (ICU) hospitalization.
- PICS includes psychological, cognitive, and physical impairments affecting patient autonomy and quality of life.
- Relatives of ICU patients may also experience psychological distress.
Purpose of the Study:
- To highlight the growing importance of PICS management.
- To emphasize the internist's role in post-ICU patient care.
- To underscore the need for effective PICS screening and management methods.
Main Methods:
- Review of PICS definition and associated disorders.
- Discussion of PICS impact on patients and healthcare systems.
- Exploration of current screening and management approaches.
Main Results:
- PICS presents with diverse physical, cognitive, and psychological symptoms.
- Sequelae significantly impact patient autonomy, quality of life, and healthcare costs.
- No universally effective screening or management method has been formally established.
Conclusions:
- The increasing number of ICU survivors makes PICS a critical issue.
- Internists play a key role in managing patients after ICU stays.
- Further research is needed to develop and validate effective PICS interventions.
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