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

IF 3.8 2区医学 Q1 CRITICAL CARE MEDICINE

Journal of Intensive Care Pub Date : 2024-01-12 DOI:10.1186/s40560-023-00716-w

Nobuto Nakanishi, Keibun Liu, Junji Hatakeyama, Akira Kawauchi, Minoru Yoshida, Hidenori Sumita, Kyohei Miyamoto, Kensuke Nakamura

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引用次数: 0

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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出院后重症监护综合征随访系统：叙述性综述。

背景：重症监护后综合征（PICS）是指重症监护后身体功能、认知功能和心理健康的长期损害。尽管长期随访对成功治疗重症监护后综合征至关重要，但很少有综述总结重症监护后综合征随访系统的疗效和管理证据：PICS 随访系统包括 PICS 随访诊所、家访、电话或邮件随访以及远程医疗。第一家 PICS 随访诊所于 1993 年在英国成立，随后得到广泛应用。目前还没有关于 PICS 随访诊所疗效的一致结论。根据最近的证据和建议，PICS 随访门诊需要在出院后三个月内开始。多学科团队方法对于从包括营养状况在内的各方面损伤治疗 PICS 非常重要。我们根据最近的建议对 PICS 随访中的面对面评估和电话评估进行了分类。总结了治疗 PICS 的药物、康复和营养方面的最新研究成果：本综述旨在总结出院后的 PICS 随访系统，为预防和治疗 PICS 提供全面的方法。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Intensive Care Medicine-Critical Care and Intensive Care Medicine

CiteScore

11.90

自引率

1.40%

发文量

审稿时长

15 weeks

期刊介绍： "Journal of Intensive Care" is an open access journal dedicated to the comprehensive coverage of intensive care medicine, providing a platform for the latest research and clinical insights in this critical field. The journal covers a wide range of topics, including intensive and critical care, trauma and surgical intensive care, pediatric intensive care, acute and emergency medicine, perioperative medicine, resuscitation, infection control, and organ dysfunction. Recognizing the importance of cultural diversity in healthcare practices, "Journal of Intensive Care" also encourages submissions that explore and discuss the cultural aspects of intensive care, aiming to promote a more inclusive and culturally sensitive approach to patient care. By fostering a global exchange of knowledge and expertise, the journal contributes to the continuous improvement of intensive care practices worldwide.