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The long-term effects of surviving COVID-19 have become a new focus of attention for clinicians and researchers. This focus has been driven partly by concerns about late ill-effects of a previously unknown virus, but recognised generic patterns of chronic disease after critical illness also exist. These patterns are termed PICS, an acronym both for post-intensive care syndrome and for persistent inflammation, immunosuppression, and catabolism syndrome. We recommend unifying post-COVID-19 research aims with those of PICS research and propose a novel approach to its management by repurposing drugs that are approved, inexpensive, and safe.

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Even healthcare professionals may not be aware and prepared for a condition called Post-ICU Syndrome (PICS) that can occur in the aftermath of COVID-19. What about those who were hospitalized for COVID-19, treated in ICU, and are unaware of the possible long-term impact and rehabilitation phase? There is a tendency to think that once the patient is discharged from the hospital, has tested negative, and looks well, the problem is resolved. However, the struggle of COVID-19 survivors and family members or caregivers may not end there.

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As the new coronavirus continues to spread across the United States, some areas of the country are at or near the peak of new infections, according to many health experts. But wide areas of the country are predicted to see new infections continue to grow for quite some time, with a corresponding increase in hospitalizations, admission to hospital intensive care units (ICUs) and fatalities.

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Tens of thousands of Covid-19 survivors should be screened for post-traumatic stress disorder because of their experiences in fighting for their lives, mental health experts have urged.

Leading psychiatrists and psychologists want NHS bosses to ensure that all those who were admitted to hospital when they became seriously ill with the disease are assessed and checked regularly.

Survivors showing signs of PTSD would undergo treatment to prevent nightmares and flashbacks that could blight the rest of their lives.

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Since nearly half of all patients with severe respiratory failure who are placed on a ventilator die, we tend to declare victory if a COVID-19 patient comes off the machine alive. But the reality is that many survivors of severe respiratory failure and other forms of critical illness fare poorly, even if they do beat their underlying disease. Their likelihood of developing PTSD, depression or anxiety is similar to that of soldiers returning from combat.

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Patients will survive coronavirus—but that survival will likely come at a cost for some. Research on similar populations suggests that at least 50% of people who survive admission to an intensive care unit (ICU) can be left with what researchers now call “post-intensive care syndrome,” a constellation of emotional, cognitive, and physical symptoms that limit their functioning. Survivors of critical illness can often return to the world with memory problems and difficulty planning and processing that is similar to those with moderate traumatic brain injury or mild dementia. Other survivors experience post-traumatic stress disorder (PTSD), at an incidence ranging from 10% to 50%. Their caregivers, too, will often experience a cluster of adverse outcomes, including anxiety, PTSD, and depression.

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Oxford mental health researchers have published new guidelines and provide free resources for treating patients experiencing Post-Traumatic Stress Disorder (PTSD) following admission to an Intensive Care Unit (ICU) during the COVID-19 pandemic.

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Even after surviving COVID-19, many patients who were critically ill face long and arduous recoveries, often requiring extensive physical rehabilitation. The problems they encounter are wide-ranging. Some patients suffer muscle atrophy, kidney damage or reduced lung capacity, making it difficult for them to leave their homes or get out of bed. Many struggles with cognitive and psychological issues like memory loss, depression and anxiety. Among the most common problems they face are shortness of breath, fatigue, confusion and body aches.

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Post-intensive care syndrome (PICS) describes new or worsening physical, cognitive, or mental impairments in a patient following critical illness or intensive care. The COVID-19 pandemic will likely result in many more patients with PICS and its associated health and economic challenges. Screening and assessment tools done during hospitalization, at discharge, and post discharge should be utilized to facilitate services and strategies to improve PICS outcomes for patient and their families.

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THURSDAY, May 7, 2020 (HealthDay News) -- The ordeal faced by critically ill COVID-19 patients likely won't end even if they pull through and survive their life-threatening infection, experts fear.

Some of these survivors will be emotionally scarred by their time spent in an intensive care unit (ICU), and they are at increased risk of psychological problems, such as anxiety, depression and post-traumatic stress disorder (PTSD).

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Around a quarter of patients treated in intensive care units (ICUs) will develop symptoms of post-traumatic stress disorder (PTSD). Given the dramatic increase in ICU admissions during theCOVID-19 pandemic, clinicians are likely to see a rise in post-ICU PTSD cases in the coming months.Post-ICU PTSD can present various challenges to clinicians, and no clinical guidelines have beenpublished for delivering trauma-focused cognitive behavioural therapy with this population. In this article, we describe how to use cognitive therapy for PTSD (CT-PTSD), a first line treatment for PTSD recommended by the National Institute for Health and Care Excellence. Using clinical case examples, we outline the key techniques involved in CT-PTSD, and describe their application to treating patients with PTSD following ICU.

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Patients with COVID-19 who developed acute respiratory distress syndrome (ARDS) could have a greater risk of long-term health issues. Additionally, people requiring intensive care are at increased risk for mental health issues like post-traumatic stress disorder (PTSD), anxiety, and depression. Impaired lung function from SARS-CoV-2 infection can negatively affect other organs like the heart, kidneys, and brain, with significant health impacts that may last after getting over the infection.