Inoue Shigeaki, Nakanishi Nobuto, Amaya Fumimasa, Fujinami Yoshihisa, Hatakeyama Junji, Hifumi Toru, Iida Yuki, Kawakami Daisuke, Kawai Yusuke, Kondo Yutaka, Liu Keibun, Nakamura Kensuke, Nishida Takeshi, Sumita Hidenori, Taito Shunsuke, Takaki Shunsuke, Tsuboi Norihiko, Unoki Takeshi, Yoshino Yasuyo, Nishida Osamu
Department of Emergency and Critical Care Medicine Wakayama Medical University Wakayama Japan.
Division of Disaster and Emergency Medicine, Department of Surgery Kobe University Graduate School of Medicine Kobe Japan.
Acute Med Surg. 2024 Feb 20;11(1):e929. doi: 10.1002/ams2.929. eCollection 2024 Jan-Dec.
Post-intensive care syndrome comprises physical, cognitive, and mental impairments in patients treated in an intensive care unit (ICU). It occurs either during the ICU stay or following ICU discharge and is related to the patients' long-term prognosis. The same concept also applies to pediatric patients, and it can greatly affect the mental status of family members. In the 10 years since post-intensive care syndrome was first proposed, research has greatly expanded. Here, we summarize the recent evidence on post-intensive care syndrome regarding its pathophysiology, epidemiology, assessment, risk factors, prevention, and treatments. We highlight new topics, future directions, and strategies to overcome post-intensive care syndrome among people treated in an ICU. Clinical and basic research are still needed to elucidate the mechanistic insights and to discover therapeutic targets and new interventions for post-intensive care syndrome.
重症监护后综合征包括在重症监护病房(ICU)接受治疗的患者出现的身体、认知和精神障碍。它可发生在ICU住院期间或出院后,并且与患者的长期预后相关。同样的概念也适用于儿科患者,并且它会极大地影响家庭成员的心理状态。自首次提出重症监护后综合征以来的10年里,相关研究有了很大扩展。在此,我们总结了关于重症监护后综合征在病理生理学、流行病学、评估、危险因素、预防和治疗方面的最新证据。我们重点介绍了新的主题、未来方向以及在ICU接受治疗的人群中克服重症监护后综合征的策略。仍需要进行临床和基础研究以阐明其机制见解,并发现针对重症监护后综合征的治疗靶点和新的干预措施。