Survivorship After Critical Illness and Post-Intensive Care Syndrome

Leigh M Cagino; Katharine S Seagly; Jakob I McSparron

doi:10.1016/j.ccm.2022.05.009

Survivorship After Critical Illness and Post-Intensive Care Syndrome

Clin Chest Med. 2022 Sep;43(3):551-561. doi: 10.1016/j.ccm.2022.05.009.

Authors

Leigh M Cagino¹, Katharine S Seagly², Jakob I McSparron³

Affiliations

¹ Division of Pulmonary and Critical Care Medicine, University of Michigan, 2800 Plymouth Rd, NCRC-14 G100-01, Ann Arbor, MI 48109, USA. Electronic address: [email protected].
² Division of Rehabilitation Psychology and Neuropsychology, Department of Physical Medicine and Rehabilitation, University of Michigan, 325 E Eisenhower Parkway, Ann Arbor, MI 48108, USA.
³ Division of Pulmonary and Critical Care Medicine, University of Michigan, 1500 East Medical Center Drive, 3920F Taubman Center, Ann Arbor, MI 48109, USA.

PMID: 36116822
DOI: 10.1016/j.ccm.2022.05.009

Abstract

Improvements in critical care medicine have led to a marked increase in survivors of the intensive care unit (ICU). These survivors encounter many difficulties following ICU discharge. The term post -intensive care syndrome (PICS) provides a framework for identifying the most common symptoms which fall into three domains: cognitive, physical, and mental health. There are numerous risk factors for the development of PICS including premorbid conditions and specific elements of ICU hospitalizations. Management is complex and should take an individualized approach with interdisciplinary care. Future research should focus on prevention, identification, and treatment of this unique population.

Keywords: Post-intensive care unit syndrome; Recovery; Survivorship.

Publication types

Review

MeSH terms

Critical Care
Critical Illness* / psychology
Critical Illness* / therapy
Humans
Intensive Care Units
Survivorship*

Supplementary concepts

postintensive care syndrome