Approaches to Addressing Post-Intensive Care Syndrome among Intensive Care Unit Survivors. A Narrative Review

Addressing Post Intensive Care Syndrome 01 (APICS-01) study team

Research output: Contribution to journalArticle

Abstract

Critical illness can be lethal and devastating to survivors. Improvements in acute care have increased the number of intensive care unit (ICU) survivors. These survivors confront a range of new or worsened health states that collectively are commonly denominated post-intensive care syndrome (PICS). These problems include physical, cognitive, psychological, and existential aspects, among others. Burgeoning interest in improving long-term outcomes for ICU survivors has driven an array of potential interventions to improve outcomes associated with PICS. To date, the most promising interventions appear to relate to very early physical rehabilitation. Late interventions within aftercare and recovery clinics have yielded mixed results, although experience in heart failure programs suggests the possibility that very early case management interventions may help improve intermediate-term outcomes, including mortality and hospital readmission. Predictive models have tended to underperform, complicating study design and clinical referral. The complexity of the health states associated with PICS suggests that careful and rigorous evaluation of multidisciplinary, multimodality interventions-tied to the specific conditions of interest-will be required to address these important problems.

Original languageEnglish (US)
Pages (from-to)947-956
Number of pages10
JournalAnnals of the American Thoracic Society
Volume16
Issue number8
DOIs
StatePublished - Aug 1 2019

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Keywords

  • acute respiratory distress syndrome
  • critical care outcomes
  • long-term outcomes
  • post–intensive care syndrome

ASJC Scopus subject areas

  • Pulmonary and Respiratory Medicine

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