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Post-Intensive Care Syndrome: Physical Impairments and Function.

Lindsey E Fresenko1, Zoe Calulo Rivera2, Selina M Parry2

  • 1Department of Physical Therapy, College of Health Sciences, University of Kentucky, 900 South Limestone Street, Lexington, KY 40536, USA; Department of Exercise & Rehabilatation Sciences, College of Health and Human Sciences, The University of Toledo, 2801 Bancroft Street, Toledo, OH 43606, USA.

Critical Care Clinics
|November 15, 2024
PubMed
Summary

Patients surviving critical illness face lasting physical problems from Post Intensive Care Syndrome. Early screening and assessment of physical impairments after ICU discharge can guide targeted treatments for better recovery and quality of life.

Keywords:
ICU acquired weaknessMobilityPhysical functionPost intensive care syndromeRehabilitation

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Area of Science:

  • Critical care medicine
  • Rehabilitation science
  • Patient outcomes research

Background:

  • Survivors of critical illness often experience persistent physical impairments, a key component of Post Intensive Care Syndrome (PICS).
  • These physical deficits significantly affect daily activities, quality of life, and societal participation.
  • Understanding risk factors is crucial for predicting functional outcomes.

Purpose of the Study:

  • To highlight the risk of persistent physical impairments in critical illness survivors.
  • To emphasize the impact of these impairments on functional status and quality of life.
  • To advocate for early and serial assessment to guide interventions.

Main Methods:

  • Review of existing literature on Post Intensive Care Syndrome and physical impairments.
  • Analysis of patient and illness-related factors predicting physical functional outcomes.
  • Discussion of clinical screening and assessment strategies.

Main Results:

  • Patient and illness-specific risk factors are linked to physical functional outcomes.
  • Early identification of impairments allows for targeted therapeutic strategies.
  • Serial assessment post-ICU discharge is recommended.

Conclusions:

  • Persistent physical impairments are a significant concern for critical illness survivors.
  • Targeted interventions based on early and serial assessments are essential.
  • Proactive management can improve functional recovery and quality of life for PICS patients.