Increasing role of post-intensive care syndrome in quality of life of intensive care unit survivors.

Irini Patsaki, Stavros Dimopoulos
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Abstract

In this editorial we comment on the detrimental consequences that post-intensive care syndrome (PICS) has in the quality of life of intensive care unit (ICU) survivors, highlighting the importance of early onset of multidisciplinary rehabilitation from within the ICU. Although, the syndrome was identified and well described early in 2012, more awareness has been raised on the long-term PICS related health problems by the increased number of coronavirus disease 2019 ICU survivors. It is well outlined that the syndrome affects both the patient and the family and is described as the appearance or worsening of impairment in physical, cognitive, or mental health as consequence of critical illness. PICS was described in order: (1) To raise awareness among clinicians, researchers, even the society; (2) to highlight the need for a multilevel screening of these patients that starts from within the ICU and continues after discharge; (3) to present preventive strategies; and (4) to offer guidelines in terms of rehabilitation. An early multidisciplinary approach is the key element form minimizing the incidence of PICS and its consequences in health related quality of life of both survivors and their families.

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重症监护后综合征对重症监护室幸存者生活质量的影响越来越大。
在这篇社论中,我们评论了重症监护室(ICU)术后综合征(PICS)对重症监护室(ICU)幸存者生活质量的不利影响,并强调了在重症监护室内尽早开展多学科康复治疗的重要性。尽管该综合征早在 2012 年就已被发现并进行了详细描述,但随着 2019 年冠状病毒病重症监护室幸存者人数的增加,人们对与 PICS 相关的长期健康问题有了更多的认识。据概述,该综合征对患者和家属都有影响,被描述为危重病导致的身体、认知或精神健康损害的出现或恶化。描述 PICS 的目的是:(1) 提高临床医生、研究人员甚至社会的认识;(2) 强调从重症监护室内开始到出院后继续对这些患者进行多层次筛查的必要性;(3) 提出预防策略;(4) 提供康复指南。早期的多学科方法是最大限度降低 PICS 发病率及其对幸存者及其家人与健康相关的生活质量造成影响的关键因素。
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