TY - JOUR
T1 - Post-intensive care syndrome and its new challenges in coronavirus disease 2019 (Covid-19) pandemic
T2 - A review of recent advances and perspectives
AU - Nakanishi, Nobuto
AU - Liu, Keibun
AU - Kawakami, Daisuke
AU - Kawai, Yusuke
AU - Morisawa, Tomoyuki
AU - Nishida, Takeshi
AU - Sumita, Hidenori
AU - Unoki, Takeshi
AU - Hifumi, Toru
AU - Iida, Yuki
AU - Katsukawa, Hajime
AU - Nakamura, Kensuke
AU - Ohshimo, Shinichiro
AU - Hatakeyama, Junji
AU - Inoue, Shigeaki
AU - Nishida, Osamu
N1 - Publisher Copyright:
© 2021 by the authors. Licensee MDPI, Basel, Switzerland.
PY - 2021/9/1
Y1 - 2021/9/1
N2 - Intensive care unit survivors experience prolonged physical impairments, cognitive im-pairments, and mental health problems, commonly referred to as post-intensive care syndrome (PICS). Previous studies reported the prevalence, assessment, and prevention of PICS, including the ABCDEF bundle approach. Although the management of PICS has been advanced, the outbreak of coronavirus disease 2019 (COVID-19) posed an additional challenge to PICS. The prevalence of PICS after COVID-19 extensively varied with 28–87% of cases pertaining to physical impairments, 20–57% pertaining to cognitive impairments, and 6–60% pertaining to mental health problems after 1–6 months after discharge. Each component of the ABCDEF bundle is not sufficiently provided from 16% to 52% owing to the highly transmissible nature of the virus. However, new data are emerging about analgesia, sedation, delirium care, nursing care, early mobilization, nutrition, and family support. In this review, we summarize the recent data on PICS and its new challenge in PICS after COVID-19 infection.
AB - Intensive care unit survivors experience prolonged physical impairments, cognitive im-pairments, and mental health problems, commonly referred to as post-intensive care syndrome (PICS). Previous studies reported the prevalence, assessment, and prevention of PICS, including the ABCDEF bundle approach. Although the management of PICS has been advanced, the outbreak of coronavirus disease 2019 (COVID-19) posed an additional challenge to PICS. The prevalence of PICS after COVID-19 extensively varied with 28–87% of cases pertaining to physical impairments, 20–57% pertaining to cognitive impairments, and 6–60% pertaining to mental health problems after 1–6 months after discharge. Each component of the ABCDEF bundle is not sufficiently provided from 16% to 52% owing to the highly transmissible nature of the virus. However, new data are emerging about analgesia, sedation, delirium care, nursing care, early mobilization, nutrition, and family support. In this review, we summarize the recent data on PICS and its new challenge in PICS after COVID-19 infection.
KW - ABCDEF bundle
KW - COVID-19
KW - Cognitive impairments
KW - Delirium
KW - Family
KW - Mental health problems
KW - Nutrition
KW - Nutrition COVID-19
KW - PICS
KW - Physical impairments
KW - Rehabilitation
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U2 - 10.3390/jcm10173870
DO - 10.3390/jcm10173870
M3 - Review article
AN - SCOPUS:85113791963
SN - 2077-0383
VL - 10
JO - Journal of Clinical Medicine
JF - Journal of Clinical Medicine
IS - 17
M1 - 3870
ER -