Post Intensive Care Syndrome (PICS): An overview of the definition, etiology, risk factors, and possible counseling and treatment strategies — Tilburg University Research Portal
D. Ramnarain, E. Aupers, B.L. den Oudsten, A. Oldenbeuving, J. de Vries, S. Pouwels*
Post-intensive care syndrome (PICS) has only recently been recognized as a new clinical entity in patients surviving their intensive care unit (ICU) stay due to critical illness. With increasing survival rates of ICU patients worldwide, there is a rising interest regarding post-ICU recovery.
First, based on the current literature a definition is provided of PICS, including the domains of impairments that comprise PICS along with the etiology and risk factors. Second, preventive measures and possible treatment strategies integrated in the follow-up care are described. Third, the authors will discuss the current SARS-Cov-2 pandemic and the increased risk of PICS in these post-ICU patients and their families.
PICS is a relatively new entity, which not only encompasses various physical, cognitive, and psychological impairments but also impacts global health due to long-lasting detrimental socioeconomic burdens. Importantly, PICS also relates to caregivers of post-ICU patients. Strategies to reduce this burden will not only be needed within the ICU setting but will also have to take place in an interdisciplinary, multifaceted approach in primary care settings. Additionally, the SARS-Cov-2 pandemic has a high burden on post-ICU patients and their relatives.
psychosomatic impairments
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Ramnarain, D., Aupers, E., den Oudsten, B. L., Oldenbeuving, A., de Vries, J., & Pouwels, S. (2021). Post Intensive Care Syndrome (PICS): An overview of the definition, etiology, risk factors, and possible counseling and treatment strategies. Expert Review of Neurotherapeutics, 21(10), 1159-1177 . https://doi.org/10.1080/14737175.2021.1981289
Ramnarain, D. ; Aupers, E. ; den Oudsten, B.L. ; Oldenbeuving, A. ; de Vries, J. ; Pouwels, S. / Post Intensive Care Syndrome (PICS) : An overview of the definition, etiology, risk factors, and possible counseling and treatment strategies. In: Expert Review of Neurotherapeutics. 2021 ; Vol. 21, No. 10. pp. 1159-1177 .
@article{c17783c3c59d4f94829d1496501e7771,
title = "Post Intensive Care Syndrome (PICS): An overview of the definition, etiology, risk factors, and possible counseling and treatment strategies",
abstract = "IntroductionPost-intensive care syndrome (PICS) has only recently been recognized as a new clinical entity in patients surviving their intensive care unit (ICU) stay due to critical illness. With increasing survival rates of ICU patients worldwide, there is a rising interest regarding post-ICU recovery.Areas coveredFirst, based on the current literature a definition is provided of PICS, including the domains of impairments that comprise PICS along with the etiology and risk factors. Second, preventive measures and possible treatment strategies integrated in the follow-up care are described. Third, the authors will discuss the current SARS-Cov-2 pandemic and the increased risk of PICS in these post-ICU patients and their families.Expert opinionPICS is a relatively new entity, which not only encompasses various physical, cognitive, and psychological impairments but also impacts global health due to long-lasting detrimental socioeconomic burdens. Importantly, PICS also relates to caregivers of post-ICU patients. Strategies to reduce this burden will not only be needed within the ICU setting but will also have to take place in an interdisciplinary, multifaceted approach in primary care settings. Additionally, the SARS-Cov-2 pandemic has a high burden on post-ICU patients and their relatives.",
keywords = "ACUTE LUNG INJURY, CRITICAL ILLNESS, CRITICALLY-ILL PATIENTS, Covid-19, FUNCTIONAL DISABILITY, ICU survivors, MECHANICALLY VENTILATED PATIENTS, PICS, PICS-F, POSTTRAUMATIC-STRESS-DISORDER, Post-intensive care syndrome, QUALITY-OF-LIFE, RESPIRATORY-DISTRESS-SYNDROME, SARS-Cov-2, TERM COGNITIVE IMPAIRMENT, UNIT SURVIVORS, family, psychosomatic impairments, risk factors",
author = "D. Ramnarain and E. Aupers and {den Oudsten}, B.L. and A. Oldenbeuving and {de Vries}, J. and S. Pouwels",
note = "Funding This paper was not funded. .",
Ramnarain, D, Aupers, E, den Oudsten, BL, Oldenbeuving, A, de Vries, J & Pouwels, S 2021, 'Post Intensive Care Syndrome (PICS): An overview of the definition, etiology, risk factors, and possible counseling and treatment strategies', Expert Review of Neurotherapeutics, vol. 21, no. 10, pp. 1159-1177 . https://doi.org/10.1080/14737175.2021.1981289
Post Intensive Care Syndrome (PICS) : An overview of the definition, etiology, risk factors, and possible counseling and treatment strategies. / Ramnarain, D.; Aupers, E.; den Oudsten, B.L.; Oldenbeuving, A.; de Vries, J.; Pouwels, S.
In: Expert Review of Neurotherapeutics, Vol. 21, No. 10, 2021, p. 1159-1177 .
T1 - Post Intensive Care Syndrome (PICS)
T2 - An overview of the definition, etiology, risk factors, and possible counseling and treatment strategies
AU - Ramnarain, D.
AU - Aupers, E.
AU - Oldenbeuving, A.
N1 - Funding This paper was not funded. .
N2 - IntroductionPost-intensive care syndrome (PICS) has only recently been recognized as a new clinical entity in patients surviving their intensive care unit (ICU) stay due to critical illness. With increasing survival rates of ICU patients worldwide, there is a rising interest regarding post-ICU recovery.Areas coveredFirst, based on the current literature a definition is provided of PICS, including the domains of impairments that comprise PICS along with the etiology and risk factors. Second, preventive measures and possible treatment strategies integrated in the follow-up care are described. Third, the authors will discuss the current SARS-Cov-2 pandemic and the increased risk of PICS in these post-ICU patients and their families.Expert opinionPICS is a relatively new entity, which not only encompasses various physical, cognitive, and psychological impairments but also impacts global health due to long-lasting detrimental socioeconomic burdens. Importantly, PICS also relates to caregivers of post-ICU patients. Strategies to reduce this burden will not only be needed within the ICU setting but will also have to take place in an interdisciplinary, multifaceted approach in primary care settings. Additionally, the SARS-Cov-2 pandemic has a high burden on post-ICU patients and their relatives.
AB - IntroductionPost-intensive care syndrome (PICS) has only recently been recognized as a new clinical entity in patients surviving their intensive care unit (ICU) stay due to critical illness. With increasing survival rates of ICU patients worldwide, there is a rising interest regarding post-ICU recovery.Areas coveredFirst, based on the current literature a definition is provided of PICS, including the domains of impairments that comprise PICS along with the etiology and risk factors. Second, preventive measures and possible treatment strategies integrated in the follow-up care are described. Third, the authors will discuss the current SARS-Cov-2 pandemic and the increased risk of PICS in these post-ICU patients and their families.Expert opinionPICS is a relatively new entity, which not only encompasses various physical, cognitive, and psychological impairments but also impacts global health due to long-lasting detrimental socioeconomic burdens. Importantly, PICS also relates to caregivers of post-ICU patients. Strategies to reduce this burden will not only be needed within the ICU setting but will also have to take place in an interdisciplinary, multifaceted approach in primary care settings. Additionally, the SARS-Cov-2 pandemic has a high burden on post-ICU patients and their relatives.
KW - PICS-F
KW - UNIT SURVIVORS
KW - psychosomatic impairments
Ramnarain D, Aupers E, den Oudsten BL, Oldenbeuving A, de Vries J, Pouwels S. Post Intensive Care Syndrome (PICS): An overview of the definition, etiology, risk factors, and possible counseling and treatment strategies. Expert Review of Neurotherapeutics. 2021;21(10):1159-1177 . https://doi.org/10.1080/14737175.2021.1981289