Hlophe S T, Masekela R
Department of Paediatrics and Child Health, Nelson R Mandela School of Clinical Medicine, University of KwaZulu-Natal, Durban, South Africa.
Afr J Thorac Crit Care Med. 2019 Dec 6;25(4). doi: 10.7196/AJTCCM.2019.v25i4.027. eCollection 2019.
Advances in critical care medicine have led to reduced mortality but increased morbidity. Post-intensive care unit syndrome (PICS) develops after critical illness and presents as cognitive, physical and/or psychosocial impairments. PICS is prevalent in 10 - 36% of patients after discharge from paediatric intensive care unit. Multiple risk factors are associated with PICS, but there is no single causal factor. Factors range from clinical illnesses to intensive care intervention. The care plan should be aimed at prevention, early identification and post-ICU management of PICS by a multidisciplinary team.
重症监护医学的进展降低了死亡率，但增加了发病率。重症监护后综合征（PICS）在危重病后出现，表现为认知、身体和/或心理社会障碍。PICS在儿科重症监护病房出院后的患者中患病率为10% - 36%。多种风险因素与PICS相关，但没有单一的因果因素。因素范围从临床疾病到重症监护干预。护理计划应旨在由多学科团队对PICS进行预防、早期识别和重症监护病房后管理。
