Info
🌱 來自: Huppert’s Notes
Post-Intensive Care Syndrome & Other Long-Term Physical and Cognitive Disability🚧 施工中
Post-Intensive Care Syndrome & Other Long-Term Physical and Cognitive Disability
• Definition: Generally defined as new or worsening cognitive, psychiatric, and/or physical function
- Cognitive: Memory, executive function
- Psychiatric: Depression, anxiety, PTSD
- Physical: ICU-acquired weakness is most common
• Risk factors:
- Pre-existing factors: Neuromuscular disorders, prior cognitive impairment, psychiatric disease, frailty, medical comorbidities
- ICU-specific factors: Mechanical ventilation, delirium, sepsis, ARDS
• Management:
- Daily sedation interruptions, delirium avoidance and management, early ambulation and physical therapy, nutritional optimization, avoidance of hypoglycemia and hypoxemia
- Post-discharge treatment with physical therapy and rehab, occupational therapy, social support, mental health services
• Clinical importance:
- Survivors of critical illness report lower quality of life (QOL) scores
- Family members of survivors report lower QOL scores
- Survivors of critical illness have higher likelihood of rehospitalization, higher unemployment rates, and higher overall mortality