Post-intensive care syndrome follow-up system after hospital discharge: a narrative review

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 e...

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Main Authors: Nobuto Nakanishi, Keibun Liu, Junji Hatakeyama, Akira Kawauchi, Minoru Yoshida, Hidenori Sumita, Kyohei Miyamoto, Kensuke Nakamura
Format: Article
Language:English
Published: BMC 2024-01-01
Series:Journal of Intensive Care
Subjects:
Online Access:https://doi.org/10.1186/s40560-023-00716-w
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author Nobuto Nakanishi
Keibun Liu
Junji Hatakeyama
Akira Kawauchi
Minoru Yoshida
Hidenori Sumita
Kyohei Miyamoto
Kensuke Nakamura
author_facet Nobuto Nakanishi
Keibun Liu
Junji Hatakeyama
Akira Kawauchi
Minoru Yoshida
Hidenori Sumita
Kyohei Miyamoto
Kensuke Nakamura
author_sort Nobuto Nakanishi
collection DOAJ
description 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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spelling doaj.art-a8855e13974044039020cdc7cb0c9dbc2024-01-14T12:13:27ZengBMCJournal of Intensive Care2052-04922024-01-0112111610.1186/s40560-023-00716-wPost-intensive care syndrome follow-up system after hospital discharge: a narrative reviewNobuto Nakanishi0Keibun Liu1Junji Hatakeyama2Akira Kawauchi3Minoru Yoshida4Hidenori Sumita5Kyohei Miyamoto6Kensuke Nakamura7Division of Disaster and Emergency Medicine, Department of Surgery Related, Kobe University Graduate School of MedicineCritical Care Research Group, The Prince Charles HospitalDepartment of Emergency and Critical Care Medicine, Osaka Medical and Pharmaceutical UniversityDepartment of Critical Care and Emergency Medicine, Japanese Red Cross Maebashi HospitalDepartment of Emergency and Critical Care Medicine, St. Marianna University School of MedicineClinic SumitaDepartment of Emergency and Critical Care Medicine, Wakayama Medical UniversityDepartment of Critical Care Medicine, Yokohama City University School of MedicineAbstract 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.https://doi.org/10.1186/s40560-023-00716-wPICSIntensive care unitAssessmentsRehabilitationNutrition
spellingShingle Nobuto Nakanishi
Keibun Liu
Junji Hatakeyama
Akira Kawauchi
Minoru Yoshida
Hidenori Sumita
Kyohei Miyamoto
Kensuke Nakamura
Post-intensive care syndrome follow-up system after hospital discharge: a narrative review
Journal of Intensive Care
PICS
Intensive care unit
Assessments
Rehabilitation
Nutrition
title Post-intensive care syndrome follow-up system after hospital discharge: a narrative review
title_full Post-intensive care syndrome follow-up system after hospital discharge: a narrative review
title_fullStr Post-intensive care syndrome follow-up system after hospital discharge: a narrative review
title_full_unstemmed Post-intensive care syndrome follow-up system after hospital discharge: a narrative review
title_short Post-intensive care syndrome follow-up system after hospital discharge: a narrative review
title_sort post intensive care syndrome follow up system after hospital discharge a narrative review
topic PICS
Intensive care unit
Assessments
Rehabilitation
Nutrition
url https://doi.org/10.1186/s40560-023-00716-w
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