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ID 112297
タイトル別表記
Post-Intensive Care Syndrome : its concept and prevention strategies. Focusing on sleep disturbance and delirium in the ICU
PICS の概念と対策 : 睡眠障害と譫妄への対策
著者
キーワード
Post-Intensive Care Syndrome(PICS)
Sleep disturbance
delirium
資料タイプ
学術雑誌論文
抄録
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.
掲載誌名
四国医学雑誌
ISSN
00373699
cat書誌ID
AN00102041
出版者
徳島医学会
74
3-4
開始ページ
89
終了ページ
100
並び順
89
発行日
2018-08-25
フルテキストファイル
言語
jpn
著者版フラグ
出版社版
部局
病院