Department of Health, Human Function, and Rehabilitation Sciences, The George Washington University, Washington, DC, USA; Department of Physical Medicine and Rehabilitation, Johns Hopkins University School of Medicine, Baltimore, MD, USA; Outcomes After Critical Illness and Surgery (OACIS) Group, Johns Hopkins University, Baltimore, MD, USA.
Outcomes After Critical Illness and Surgery (OACIS) Group, Johns Hopkins University, Baltimore, MD, USA; Division of Pulmonary and Critical Care Medicine, Department of Medicine, Johns Hopkins University School of Medicine, 1830 East Monument Street, 5th floor, Baltimore, MD 21287, USA.
Clin Chest Med. 2024 Dec;45(4):917-927. doi: 10.1016/j.ccm.2024.08.013. Epub 2024 Sep 20.
Acute respiratory distress syndrome (ARDS) survivors often experience post-intensive care syndrome (PICS), is defined as new or worsened impairments in physical, cognitive and/or mental health status persisting beyond hospital discharge. These impairments negatively impact survivors' quality of life and their return to work or usual activities. Moreover, family members are also impacted as recognized by the term, PICS-Family (PICS-F). PICS poses an increased burden on the health care system and has a negative societal impact. There are ongoing efforts to understand risk factors for PICS-related impairments; design and evaluate interventions for specific impairments (including the use of an ARDS survivorship core outcome set); and refine and evaluate ICU recovery clinics to support and treat survivors and their families.
急性呼吸窘迫综合征(ARDS)幸存者常经历 ICU 后综合征(PICS),其定义为在出院后仍持续存在的新的或恶化的身体、认知和/或心理健康状态受损。这些损伤会降低幸存者的生活质量,并影响其重返工作岗位或日常活动。此外,正如术语 PICS-Family(PICS-F)所表明的那样,家庭成员也会受到影响。PICS 给医疗保健系统带来了更大的负担,并对社会产生了负面影响。目前正在努力了解与 PICS 相关损伤的风险因素;设计和评估针对特定损伤的干预措施(包括使用 ARDS 生存核心结局集);并完善和评估 ICU 康复诊所,以支持和治疗幸存者及其家属。