Postintensive care syndrome in COVID-19. Unicentric pilot study
Eva Mateo Rodríguez1, Francesc Puchades Gimeno2, Aida Ezzeddine Angulo3
1UCI de Anestesia, Servicio de Anestesiología, Consorci Hospital General Universitari de València, Valencia, España.
Medicina Clinica
|February 6, 2022
Summary
Nine out of ten COVID-19 survivors experienced Postintensive Care Syndrome (PICS) symptoms, including physical, cognitive, or psychiatric issues, weeks after hospital discharge. This highlights the long-term impact of critical illness on patient recovery.
Area of Science:
- Critical Care Medicine
- Infectious Diseases
- Neurology
Background:
- Postintensive Care Syndrome (PICS) encompasses physical, cognitive, and psychiatric impairments following critical illness.
- COVID-19 survivors admitted to intensive care units (ICUs) are at risk for developing PICS.
- Understanding PICS prevalence in COVID-19 patients is crucial for long-term patient management.
Purpose of the Study:
- To determine the prevalence of Postintensive Care Syndrome (PICS) in patients who were admitted to the ICU for COVID-19.
- To assess various PICS domains including quality of life, physical function, cognition, mental health, and pain.
Main Methods:
- A cohort of 29 COVID-19 patients admitted to the ICU were assessed 4-6 weeks post-discharge.
- Standardized assessments included EuroQol-5D-3L for quality of life, 6 MWT and "test up and go" for physical status, MUST for nutrition, MoCA for cognition, HADS and Davidson Trauma Scale for mental health, and pain scales.
- Data on ICU and mechanical ventilation duration, SOFA scores, and interventions like tracheostomy and pronation were collected.
Main Results:
- 90% of COVID-19 survivors studied exhibited at least one PICS alteration.
- 6 out of 19 patients (31.6%) presented with two or more affected areas.
- High rates of tracheostomy (52%) and pronation (93%) were noted in the ICU population.
Conclusions:
- The vast majority of COVID-19 survivors admitted to the ICU develop Postintensive Care Syndrome (PICS).
- PICS affects multiple domains, including physical, cognitive, and psychiatric health, persisting weeks after hospital discharge.
- Early and comprehensive assessment for PICS is essential for survivors of severe COVID-19.
Keywords:
COVID-19Chronic painCritical careCuidados intensivosDolor crónicoPost-intensive care síndromeRehabilitaciónRehabilitationSecuelasSequelaeSíndrome post cuidados intensivosMore Related Videos
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