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Post intensive care syndrome :Risk Factors and Prevention Strategies
Leslie A. Hoffman, RN, PhD, and Jane Guttendorf, DNP, RN, CRNP, ACNP-BC, CCRN
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Critical Care Physicians, General Medical Professionals, Nurses and/or Other Critical Care Medical Professionals
What is post intensive care syndrome (PICS)? Each year, approximately 800,000 patients in the United States develop an illness that results in admission to an ICU and need for mechanical ventilation. Most survive to hospital discharge. This transition, while positive, often begins a new, challenging phase of recovery. ICU survivors, particularly those who require prolonged mechanical ventilation, experience high mortality. Compromises in physical, psychological, and/or cognitive function are common. Both patients and family caregivers are at risk for symptoms of anxiety, depression, post traumatic stress disorder (PTSD), and sleep disorders. Studies suggest that as many as 40% of ICU survivors and family
members experience physical, psychological, and/or cognitive dysfunction. Termed post intensive care syndrome, this consequence is defined as “new or worsening impairment in physical, cognitive, or mental health status arising after critical illness and persisting beyond discharge from the acute care setting.”6 Both patients and family caregivers may be affected, a consequence termed PICS (patient) or PICS-F (family member) This review will discuss risk factors, clinical manifestations, and strategies for prevention and management of PICS.
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