Instruments to assess post-intensive care syndrome assessment: a scoping review and modified Delphi method study

Nobuto Nakanishi, Keibun Liu, Akira Kawauchi, Masatsugu Okamura, Kohei Tanaka, Sho Katayama, Yuki Mitani, Kohei Ota, Shunsuke Taito, Kenichi Fudeyasu, Yuki Masuka, Shodai Yoshihiro, Shu Utsumi, Mitsuaki Nishikimi, Mamoru Masuda, Yuki Iida, Yusuke Kawai, Junji Hatakeyama, Toru Hifumi, Takeshi UnokiDaisuke Kawakami, Kengo Obata, Hajime Katsukawa, Hidenori Sumita, Tomoyuki Morisawa, Masahiro Takahashi, Norihiko Tsuboi, Ryo Kozu, Shunsuke Takaki, Junpei Haruna, Yoshihisa Fujinami, Nobuyuki Nosaka, Kyohei Miyamoto, Kensuke Nakamura, Yutaka Kondo, Shigeaki Inoue, Osamu Nishida

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1 Citation (Scopus)

Abstract

Background: The assessment of post-intensive care syndrome (PICS) is challenging due to the numerous types of instruments. We herein attempted to identify and propose recommendations for instruments to assess PICS in intensive care unit (ICU) survivors. Methods: We conducted a scoping review to identify PICS follow-up studies at and after hospital discharge between 2014 and 2022. Assessment instruments used more than two times were included in the modified Delphi consensus process. A modified Delphi meeting was conducted three times by the PICS committee of the Japanese Society of Intensive Care Medicine, and each score was rated as not important (score: 1–3), important, but not critical (4–6), and critical (7–9). We included instruments with ≥ 70% of respondents rating critical and ≤ 15% of respondents rating not important. Results: In total, 6972 records were identified in this scoping review, and 754 studies were included in the analysis. After data extraction, 107 PICS assessment instruments were identified. The modified Delphi meeting reached 20 PICS assessment instrument recommendations: (1) in the physical domain: the 6-min walk test, MRC score, and grip strength, (2) in cognition: MoCA, MMSE, and SMQ, (3) in mental health: HADS, IES-R, and PHQ-9, (4) in the activities of daily living: the Barthel Index, IADL, and FIM, (5) in quality of life: SF-36, SF-12, EQ-5D-5L, 3L, and VAS (6), in sleep and pain: PSQI and Brief Pain Inventory, respectively, and (7) in the PICS-family domain: SF-36, HADS, and IES-R. Conclusion: Based on a scoping review and the modified Delphi method, 20 PICS assessment instruments are recommended to assess physical, cognitive, mental health, activities of daily living, quality of life, sleep, and pain in ICU survivors and their families.

Original languageEnglish
Article number430
JournalCritical Care
Volume27
Issue number1
DOIs
Publication statusPublished - 12-2023

All Science Journal Classification (ASJC) codes

  • Critical Care and Intensive Care Medicine

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