Department of Psychiatry, Indiana University School of Medicine, Indianapolis, IN; Center of Health Innovation and Implementation Science, Center for Translational Science and Innovation, Indianapolis, IN; Sandra Eskenazi Center for Brain Care Innovation, Eskenazi Hospital, Indianapolis, IN.
Department of Internal Medicine, and Division of Pulmonary, Critical Care, Sleep and Occupational Medicine, Indiana University School of Medicine, Indianapolis, IN.
Am J Geriatr Psychiatry. 2018 Feb;26(2):212-221. doi: 10.1016/j.jagp.2017.05.016. Epub 2017 Jun 1.
Because of the aging of the intensive care unit (ICU) population and an improvement in survival rates after ICU hospitalization, an increasing number of older adults are suffering from long-term impairments because of critical illness, known as post-intensive care syndrome (PICS). This article focuses on PICS-related cognitive, psychological, and physical impairments and the impact of ICU hospitalization on families and caregivers. The authors also describe innovative models of care for PICS and what roles geriatric psychiatrists could play in the future of this rapidly growing population.
由于重症监护病房(ICU)人口老龄化以及 ICU 住院后生存率的提高,越来越多的老年人因危重病而遭受长期损伤,这种情况被称为重症监护后综合征(PICS)。本文主要关注 PICS 相关的认知、心理和身体损伤,以及 ICU 住院对家庭和护理人员的影响。作者还描述了 PICS 的创新护理模式,以及老年精神病学家在这一快速增长的人群中的未来可能扮演的角色。