Nakanishi Nobuto, Liu Keibun, Hatakeyama Junji, Kawauchi Akira, Yoshida Minoru, Sumita Hidenori, Miyamoto Kyohei, Nakamura Kensuke
Division of Disaster and Emergency Medicine, Department of Surgery Related, Kobe University Graduate School of Medicine, 7-5-2 Kusunoki, Chuo-Ward, Kobe, 650-0017, Japan.
Critical Care Research Group, The Prince Charles Hospital, 627 Rode Rd, Chermside, QLD, 4032, Australia.
J Intensive Care. 2024 Jan 12;12(1):2. doi: 10.1186/s40560-023-00716-w.
Post-intensive care syndrome (PICS) is the long-lasting impairment of physical functions, cognitive functions, and mental health after intensive care. Although a long-term follow-up is essential for the successful management of PICS, few reviews have summarized evidence for the efficacy and management of the PICS follow-up system.
The PICS follow-up system includes a PICS follow-up clinic, home visitations, telephone or mail follow-ups, and telemedicine. The first PICS follow-up clinic was established in the U.K. in 1993 and its use spread thereafter. There are currently no consistent findings on the efficacy of PICS follow-up clinics. Under recent evidence and recommendations, attendance at a PICS follow-up clinic needs to start within three months after hospital discharge. A multidisciplinary team approach is important for the treatment of PICS from various aspects of impairments, including the nutritional status. We classified face-to-face and telephone-based assessments for a PICS follow-up from recent recommendations. Recent findings on medications, rehabilitation, and nutrition for the treatment of PICS were summarized.
This narrative review aimed to summarize the PICS follow-up system after hospital discharge and provide a comprehensive approach for the prevention and treatment of PICS.
重症监护后综合征（PICS）是重症监护后出现的身体功能、认知功能和心理健康的长期损害。尽管长期随访对于成功管理PICS至关重要，但很少有综述总结PICS随访系统的疗效和管理证据。
PICS随访系统包括PICS随访门诊、家访、电话或邮件随访以及远程医疗。首个PICS随访门诊于1993年在英国设立，此后其应用得以推广。目前关于PICS随访门诊疗效尚无一致的研究结果。根据近期的证据和建议，应在出院后三个月内开始参加PICS随访门诊。多学科团队方法对于从包括营养状况在内的各种损伤方面治疗PICS很重要。我们根据近期建议对PICS随访的面对面评估和基于电话的评估进行了分类。总结了近期关于治疗PICS的药物、康复和营养方面的研究结果。
本叙述性综述旨在总结出院后的PICS随访系统，并为PICS的预防和治疗提供全面方法。
