[Emphasis on Post-ICU Syndrome]

Zhonghua Yi Xue Za Zhi. 2023 Jul 11;103(26):1961-1965. doi: 10.3760/cma.j.cn112137-20230320-00446.
[Article in Chinese]

Abstract

With the development of technology and medicine, the mortality rate of intensive care unit (ICU) has declined significantly, and more and more professionals in the medical field are also aware that the disability rate of ICU survivors remains high. More than 70% of ICU survivors have Post-ICU Syndrome (PICS), which is mainly manifested by cognitive, physical, and mental dysfunction, which seriously affects the quality of life of survivors and their caregivers. The COVID-19 pandemic has brought a series of problems such as shortage of medical staff, restricted family visits, and lack of personalized care, which have brought unprecedented challenges to the prevention of PICS and the care of patients with severe COVID-19. In the future, the treatment of ICU patients should change from reducing short-term mortality to improving long-term quality of life of patients, from disease-centered to health-centered, and to practice " the health promotion, the prevention, the diagnosis, the control, the treatment, and the rehabilitation " six-in-one concept to promote comprehensive health care with pulmonary rehabilitation.

科技和医学的发展,使重症监护病房(ICU)住院患者的死亡率显著下降,越来越多的医务界同仁同时也意识到ICU幸存者的致残率居高不下。超过70%的ICU幸存者存在以认知功能,躯体功能和精神功能障碍为主要表现的ICU经历综合征(PICS),严重影响患者及其照护者的生活质量。新型冠状病毒感染疫情所带来的医务人员紧缺、限制家属探视、缺少个性化护理等一系列问题,为重症新型冠状病毒感染患者PICS的预防和患者的照护带来了前所未有的挑战。未来ICU患者的救治应从单纯关注ICU内的死亡率向提升患者长期生活质量转变,从以疾病为中心向以健康为中心转变,践行“促-防-诊-控-治-康”六位一体理念,以呼吸康复促进全方位健康照护。.

Publication types

  • English Abstract

MeSH terms

  • COVID-19 / complications
  • Critical Care* / methods
  • Critical Care* / trends
  • Critical Illness*
  • Humans
  • Intensive Care Units / statistics & numerical data
  • Quality of Life

Supplementary concepts

  • postintensive care syndrome