Updates on Post-Intensive Care Syndrome After Acute Respiratory Distress Syndrome: Epidemiology, Core Outcomes, Interventions, and Long-Term Follow-Up

Stephanie L Hiser¹, Arooj Fatima², Victor D Dinglas², Dale M Needham³

Affiliations

¹ Department of Health, Human Function, and Rehabilitation Sciences, The George Washington University, Washington, DC, USA; Department of Physical Medicine and Rehabilitation, Johns Hopkins University School of Medicine, Baltimore, MD, USA; Outcomes After Critical Illness and Surgery (OACIS) Group, Johns Hopkins University, Baltimore, MD, USA. Electronic address: stephanie.hiser@gwu.edu.
² Outcomes After Critical Illness and Surgery (OACIS) Group, Johns Hopkins University, Baltimore, MD, USA; Division of Pulmonary and Critical Care Medicine, Department of Medicine, Johns Hopkins University School of Medicine, 1830 East Monument Street, 5th floor, Baltimore, MD 21287, USA.
³ Department of Physical Medicine and Rehabilitation, Johns Hopkins University School of Medicine, Baltimore, MD, USA; Outcomes After Critical Illness and Surgery (OACIS) Group, Johns Hopkins University, Baltimore, MD, USA; Division of Pulmonary and Critical Care Medicine, Department of Medicine, Johns Hopkins University School of Medicine, 1830 East Monument Street, 5th floor, Baltimore, MD 21287, USA; School of Nursing, Johns Hopkins University, Baltimore, MD, USA.

PMID: 39443008
DOI: 10.1016/j.ccm.2024.08.013

Review

Updates on Post-Intensive Care Syndrome After Acute Respiratory Distress Syndrome: Epidemiology, Core Outcomes, Interventions, and Long-Term Follow-Up

Stephanie L Hiser et al. Clin Chest Med. 2024 Dec.

. 2024 Dec;45(4):917-927.

doi: 10.1016/j.ccm.2024.08.013. Epub 2024 Sep 20.

Authors

Stephanie L Hiser¹, Arooj Fatima², Victor D Dinglas², Dale M Needham³

Affiliations

¹ Department of Health, Human Function, and Rehabilitation Sciences, The George Washington University, Washington, DC, USA; Department of Physical Medicine and Rehabilitation, Johns Hopkins University School of Medicine, Baltimore, MD, USA; Outcomes After Critical Illness and Surgery (OACIS) Group, Johns Hopkins University, Baltimore, MD, USA. Electronic address: stephanie.hiser@gwu.edu.
² Outcomes After Critical Illness and Surgery (OACIS) Group, Johns Hopkins University, Baltimore, MD, USA; Division of Pulmonary and Critical Care Medicine, Department of Medicine, Johns Hopkins University School of Medicine, 1830 East Monument Street, 5th floor, Baltimore, MD 21287, USA.
³ Department of Physical Medicine and Rehabilitation, Johns Hopkins University School of Medicine, Baltimore, MD, USA; Outcomes After Critical Illness and Surgery (OACIS) Group, Johns Hopkins University, Baltimore, MD, USA; Division of Pulmonary and Critical Care Medicine, Department of Medicine, Johns Hopkins University School of Medicine, 1830 East Monument Street, 5th floor, Baltimore, MD 21287, USA; School of Nursing, Johns Hopkins University, Baltimore, MD, USA.

PMID: 39443008
DOI: 10.1016/j.ccm.2024.08.013

Abstract

Acute respiratory distress syndrome (ARDS) survivors often experience post-intensive care syndrome (PICS), is defined as new or worsened impairments in physical, cognitive and/or mental health status persisting beyond hospital discharge. These impairments negatively impact survivors' quality of life and their return to work or usual activities. Moreover, family members are also impacted as recognized by the term, PICS-Family (PICS-F). PICS poses an increased burden on the health care system and has a negative societal impact. There are ongoing efforts to understand risk factors for PICS-related impairments; design and evaluate interventions for specific impairments (including the use of an ARDS survivorship core outcome set); and refine and evaluate ICU recovery clinics to support and treat survivors and their families.

Keywords: Critical illness; Intensive care; Long-term outcomes; Post-intensive care syndrome.

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Disclosure None of the authors have any conflicts of interest to disclose.

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Updates on Post-Intensive Care Syndrome After Acute Respiratory Distress Syndrome: Epidemiology, Core Outcomes, Interventions, and Long-Term Follow-Up

Affiliations

Updates on Post-Intensive Care Syndrome After Acute Respiratory Distress Syndrome: Epidemiology, Core Outcomes, Interventions, and Long-Term Follow-Up

Authors

Affiliations

Abstract

Conflict of interest statement

Publication types

MeSH terms

Supplementary concepts

LinkOut - more resources

Full Text Sources