ID 112297
Title Alternative
Post-Intensive Care Syndrome : its concept and prevention strategies. Focusing on sleep disturbance and delirium in the ICU
Author
Keywords
Post-Intensive Care Syndrome(PICS)
Sleep disturbance
delirium
Content Type
Journal Article
Description
Over the past few decades, advances of intensive care have resulted in improved short-term mortality of critically ill patients. However, many survivors experience impairment in cognition, mental health, and physical function, known as post-intensive care syndrome(PICS). The mental health of family members may also be adversely affected, which is termed PICS-Family(PICS-F). More than half of all ICU survivors suffer from at least one PICS-related impairment, and these effects can persist as long as five or more years. PICS may develop by severe underling disease, invasive treatments, medication and environmental factors in the ICU. Especially, sleep disturbance and delirium in the ICU are major exacerbation factors of PICS. Prevention and early intervention for patients with PICS are critical due to a typically poor natural course of this syndrome after clinically significant PICS.
In this topic, we review the definition, clinical manifestations and treatment of PICS. We focus on the treatment of sleep disturbance and ICU-acquired delirium in critically ill patients as preventive strategies of PICS.
Journal Title
Shikoku Acta Medica
ISSN
00373699
NCID
AN00102041
Publisher
徳島医学会
Volume
74
Issue
3-4
Start Page
89
End Page
100
Sort Key
89
Published Date
2018-08-25
FullText File
language
jpn
TextVersion
Publisher
departments
University Hospital