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Postintensive Care Syndrome-Family Associated With COVID-19 Infection

Kasumi Shirasaki1, Toru Hifumi1, Shutaro Isokawa1

  • 1Department of Emergency and Critical Care Medicine, St. Luke's International Hospital, Tokyo, Japan.

Critical Care Explorations
|July 7, 2022
PubMed

Insights

Postintensive care syndrome in family (PICS-F) affected one-third of relatives of COVID-19 patients. Lower family satisfaction with ICU care predicted PICS-F, suggesting satisfaction may help prevent it.

Area of Science:

  • Critical Care Medicine
  • Psychiatry
  • Public Health

Background:

  • Postintensive Care Syndrome in Family (PICS-F) encompasses psychological distress in relatives of ICU patients.
  • The COVID-19 pandemic has heightened concerns regarding PICS-F prevalence and risk factors.

Purpose of the Study:

  • To determine the prevalence of PICS-F among family members of COVID-19 patients.
  • To identify risk factors associated with PICS-F development during the COVID-19 era.

Main Methods:

  • A single-center retrospective study was conducted.
  • Data were collected via questionnaires and telephone calls from family members of COVID-19 patients admitted to the ICU.

Main Results:

  • PICS-F occurred in 33% of family members, with anxiety, depression, and PTSD noted in 24%, 26%, and 4% respectively.
  • Family Satisfaction with the ICU Survey (FS-ICU) scores were independently associated with PICS-F development (OR, 0.941; 95% CI, 0.891-0.983; p = 0.005).

Conclusions:

  • Approximately one-third of family members experienced PICS-F.
  • FS-ICU scores may serve as a predictor for PICS-F.
  • Enhancing family satisfaction with ICU care could potentially prevent PICS-F.

Keywords:
COVID-19critical carefamilyintensive care unitpostintensive care syndromequestionnaire

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