Post-intensive Care Syndrome Follow-up System After Hospital Discharge: a Narrative Review

Overview

Journal J Intensive Care

Publisher Biomed Central

Specialty Critical Care

Date 2024 Jan 12

PMID 38217059

Authors

Nobuto Nakanishi

Keibun Liu

Junji Hatakeyama

Akira Kawauchi

Minoru Yoshida

Hidenori Sumita

Kyohei Miyamoto

Kensuke Nakamura

Affiliations

Soon will be listed here.

Abstract

Background: Post-intensive care syndrome (PICS) is the long-lasting impairment of physical functions, cognitive functions, and mental health after intensive care. Although a long-term follow-up is essential for the successful management of PICS, few reviews have summarized evidence for the efficacy and management of the PICS follow-up system.

Main Text: The PICS follow-up system includes a PICS follow-up clinic, home visitations, telephone or mail follow-ups, and telemedicine. The first PICS follow-up clinic was established in the U.K. in 1993 and its use spread thereafter. There are currently no consistent findings on the efficacy of PICS follow-up clinics. Under recent evidence and recommendations, attendance at a PICS follow-up clinic needs to start within three months after hospital discharge. A multidisciplinary team approach is important for the treatment of PICS from various aspects of impairments, including the nutritional status. We classified face-to-face and telephone-based assessments for a PICS follow-up from recent recommendations. Recent findings on medications, rehabilitation, and nutrition for the treatment of PICS were summarized.

Conclusions: This narrative review aimed to summarize the PICS follow-up system after hospital discharge and provide a comprehensive approach for the prevention and treatment of PICS.

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