MBBS, Intensive Care Registrar, St@Vincent@s Hospital, Vic.
MBBS, Intensive Care Registrar, Box@Hill Hospital, Vic.
Aust J Gen Pract. 2021 Sep;50(9):647-649. doi: 10.31128/AJGP-07-20-55491.
Post-intensive care syndrome (PICS) refers to a constellation of cognitive, psychiatric and physical symptoms experienced by patients during and following a period of critical illness. As many as 50% of intensive care unit (ICU) survivors are affected, and symptoms can persist for months to years. When psychological symptoms are experienced by patients' loved ones, this is termed PICS-family (PICS-F).
The aim of this article is to summarise the key facets of PICS and PICS-F with a focus on incidence and pathophysiology. DISCUSSION: The amalgam of symptoms in PICS has a profound impact on the quality of life of affected ICU survivors. The number of patients with PICS is expected to rise considerably as a result of the COVID-19 pandemic. Primary care practitioners are ideally situated to assist in early diagnosis and treatment.
重症监护后综合征（PICS）是指患者在经历危重疾病期间和之后出现的一系列认知、精神和身体症状。多达 50%的重症监护病房（ICU）幸存者受到影响，症状可持续数月至数年。当患者的亲人出现心理症状时，这被称为重症监护后综合征家庭（PICS-F）。
本文旨在总结 PICS 和 PICS-F 的关键方面，重点关注发病率和病理生理学。
PICS 中的一系列症状对受影响的 ICU 幸存者的生活质量产生了深远的影响。由于 COVID-19 大流行，患有 PICS 的患者数量预计会大幅增加。初级保健医生最适合协助早期诊断和治疗。
