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In collaboration with its Nevada Patient and Family Advisory Council, Comagine Health has created this 8.5"x14" infographic poster or handout that describes Post-Intensive Care Syndrome (PICS).

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Course Description:
5 million people enter ICUs in the USA each year and over 80% of survivors of critical illness experience post-intensive care syndrome (PICS) – a constellation of cognitive, psychological, and physical symptoms including prolonged muscle weakness, reduced performance of activities of daily living, diminished ambulation and strength, post
traumatic stress disorder, and anxiety. These symptoms persist for months and years following hospital discharge. This session will examine the etiology of symptoms comprising PICS and discuss evidence-based tests and measures to objectively examine individuals with PICS. Outcomes from recent clinical trials of interventions for people with PICS will be analyzed and sample intervention programs will be described. This course will conclude with an exploration of challenges associated with the transitions of care experienced by individuals with PICS and offer some solutions.

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Power point's objective: Define the characteristics of Post-Intensive Care Syndrome (PICS); Identify the incidence, prevalence and risk factors of PICS; and Identify strategies for preventing and managing PICS.

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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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Summary: PICS is common and under-recognized• COVID-19 survivors seem to be at particularly high risk for PICS• Improving outcomes for our ICU survivors is both a challenge and imperative for the critical care community

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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.

Brief description of media:

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 should be utilized during hospitalization, at discharge, and post discharge to facilitate services and strategies to improve PICS outcomes for patients and their families.

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One thing that did not make to the spotlight in this COVID-19 pandemic is a question that what happens to the COVID-19 patients after they are discharged from the critical care? A common assumption around the world is that once a patient is discharged from the hospital and is tested negative the problem is resolved. This may be based on a relative lack of information and knowledge, even among the health care professionals, regarding a condition described as Post-Intensive Care Syndrome (PICS). PICS may be a next public health crisis that we may face when this acute form of COVID-19 crisis settles down a bit.

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According to a medical report by The Centers for Disease Control and Prevention (CDC), millions of patients are usually admitted to ICU annually in which a third of this population require a ventilator for breathing purposes. They are critically ill and after leaving the ICU, most of them develop health complications related to their injury, illness, ventilator and other treatments. In most cases, such issues are hardly treated and continue after a patient leaves the health sector. Notably, sepsis, delirium, and respiratory distress syndrome may increase the chances of a person experiencing these health issues. There has been an advancement of healthcare with a motive of improving outcomes for these patients as well as their recovery.

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Today, a patient was discharged after an extended stay in the hospital. As we do for many patients who have survived COVID-19, we celebrated the patient's discharge. Staff who had cared for the patient lined the halls — smiling, clapping and some even had tears in their eyes. There were balloons, and a celebratory song was played over the loudspeaker as the nurse wheeled the patient to their spouse, who was eager and ready to take their loved one home at last. As a hospital chaplain, I know the value of having a case like this patient, to the family, certainly, but also to the medical community. When illness feels overwhelming, having someone who was so sick recover so beautifully changes the mood of all those who worked with them. For many staff in our hospital, this patient was our miracle — that ray of hope that reminded us even the sickest person can get better.

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Many patients who have been in the intensive care unit often experience ‘post-intensive care syndrome’ when they return home. The phenomenon, which is still relatively unknown to the general public and the healthcare sector, can cause physical, psychological and cognitive problems. “It is a misunderstood aspect of the pandemic,” reports the Federal Health Care Knowledge Center (KCE).

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Post Intensive Care Syndrome (PICS) is a group of health problems that can include physical impairments, mental health issues, and cognitive difficulties following a critical illness or hospital stay. Critical diseases can consist of but are not limited to heart attacks, stroke, congestive heart failure, pneumonia, pulmonary embolism, motor vehicle accident, burns, and surgical problems. Nearly one million people are admitted to the ICU each year, with close to a third requiring ventilation. Sepsis, delirium, and acute respiratory distress syndrome increase the odds of being diagnosed with PICS.