Updates on Post-Intensive Care Syndrome After Acute Respiratory Distress Syndrome : Epidemiology, Core Outcomes, Interventions, and Long-Term Follow-Up - 21/10/24

Doi : 10.1016/j.ccm.2024.08.013

Stephanie L. Hiser, PT, DPT, PhD ^a,^b,^c,^⁎ , Arooj Fatima, MD ^c,^d, Victor D. Dinglas, MPH ^c,^d, Dale M. Needham, MD, PhD ^b,^c,^d,^e
^a Department of Health, Human Function, and Rehabilitation Sciences, The George Washington University, Washington, DC, USA
^b Department of Physical Medicine and Rehabilitation, Johns Hopkins University School of Medicine, Baltimore, MD, USA
^c Outcomes After Critical Illness and Surgery (OACIS) Group, Johns Hopkins University, Baltimore, MD, USA
^d 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
^e School of Nursing, Johns Hopkins University, Baltimore, MD, USA

^∗Corresponding author. 2000 Pennsylvania Avenue Northwest, Suite 2000, Washington, DC 20006.2000 Pennsylvania Avenue Northwest, Suite 2000WashingtonDC20006

Résumé

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.

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Keywords : Critical illness, Intensive care, Long-term outcomes, Post-intensive care syndrome