Internal Medicine Residency Program, University of South Dakota Sanford School of Medicine, Sioux Falls, South.
University of South Dakota Sanford School of Medicine.
S D Med. 2024 Jun;77(6):270-273.
Critical care advancements have allowed clinicians to discover the many functional disabilities that survivors suffer. Recent research has focused on improving the long-term outcomes of critical illness survivors and optimizing their functional recovery. Post-intensive care syndrome (PICS) describes the disability that remains in those surviving critical illness following discharge from the intensive care unit (ICU). This comprises impairment in cognition, neuropsychiatric health, and physical function of the ICU survivor. Consequent to this, the health of family members of the survivor may also be affected adversely, termed PICS-family. PICS is defined as a new or worsening impairment in physical (ICU-acquired neuromuscular weakness), cognitive (thinking and judgment), or mental health status arising after critical illness and persisting beyond discharge from the acute care setting.
重症监护的进步使临床医生能够发现幸存者所遭受的许多功能障碍。最近的研究集中在改善重症疾病幸存者的长期预后并优化其功能恢复。重症监护后综合征(PICS)描述了那些从重症监护病房(ICU)出院后仍患有重症疾病的患者的残疾。这包括 ICU 幸存者的认知、神经精神健康和身体功能受损。因此,幸存者的家庭成员的健康也可能受到不利影响,称为 PICS-家庭。PICS 定义为在重症疾病后出现并持续超过急性护理环境出院后,身体(ICU 获得性神经肌肉无力)、认知(思考和判断)或心理健康状况的新的或恶化的损害。