The Lifetime Effects of Injury: Postintensive Care Syndrome and Posttraumatic Stress Disorder

Meghan B Lane-Fall; Catherine M Kuza; Samir Fakhry; Lewis J Kaplan

doi:10.1016/j.anclin.2018.09.012

The Lifetime Effects of Injury: Postintensive Care Syndrome and Posttraumatic Stress Disorder

Anesthesiol Clin. 2019 Mar;37(1):135-150. doi: 10.1016/j.anclin.2018.09.012. Epub 2018 Dec 19.

Authors

Meghan B Lane-Fall¹, Catherine M Kuza², Samir Fakhry³, Lewis J Kaplan⁴

Affiliations

¹ Department of Anesthesiology and Critical Care, Perelman School of Medicine, University of Pennsylvania, 423 Guardian Drive, 309 Blockley Hall, Philadelphia, PA 19104, USA; Leonard Davis Institute of Health Economics, University of Pennsylvania, 3641 Locust Walk # 210, Philadelphia, PA 19104, USA. Electronic address: [email protected].
² Department of Anesthesiology and Critical Care, Keck School of Medicine of the University of Southern California, Los Angeles County Health System, 1450 San Pablo Street, Suite 3600, Los Angeles, CA 90033, USA.
³ Department of Surgery, Synergy Surgicalists, Inc, Reston Hospital Center, 1850 Town Center Parkway Suite 309, Reston, VA 20190, USA.
⁴ Surgical Services, Department of Surgery, Division of Trauma, Surgical Critical Care and Emergency Surgery, Hospital of the University of Pennsylvania, Veteran's Administration Medical Center, Corporal Michael J Crescenz VA Medical Center, Perelman School of Medicine, University of Pennsylvania, 3900 Woodland Avenue, Philadelphia, PA 19104, USA.

PMID: 30711227
DOI: 10.1016/j.anclin.2018.09.012

Abstract

Postintensive care syndrome (PICS) is a heterogeneous syndrome marked by physical, cognitive, and mental health impairments experienced by critical care survivors. It is a syndrome that bears significant human and health care costs. Additional research is needed to identify risk factors and diagnostic, preventative, and treatment strategies for PICS. Trauma intensive care unit patients are particularly vulnerable to posttraumatic stress disorder, which shares some of the adverse long-term consequences of PICS and also requires additional research into effective preventative and management strategies.

Keywords: Outcomes; PICS; PTSD; Trauma.

Publication types

Review

MeSH terms

Critical Care / psychology*
Humans
Intensive Care Units
Risk Factors
Stress Disorders, Post-Traumatic / etiology*
Stress Disorders, Post-Traumatic / psychology*
Survivors / psychology
Syndrome
Wounds and Injuries / complications*
Wounds and Injuries / psychology*
Wounds and Injuries / therapy