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Why is postintensive care syndrome important now? To improve the long-term prognosis for survivors of critical illness in the most rapidly aging country Shigeaki INOUE 1 1Department of Emergency and Critical Care Medicine Tokai University Hachioji Hospital pp.1-7
Published Date 2018/1/1
DOI https://doi.org/10.11477/mf.3102200470
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Over the last twenty-five years, significant improvements in intensive care have resulted in improved short-term mortality of critically ill patients. For critically ill patients who survive, however, long-term physical and mental status are often suboptimal, which may impair overall quality of life. Postintensive care syndrome (PICS) is defined as new or worsening impairments in physical, cognitive, or mental health status resulting from critical illness and persisting beyond hospitalization in ICU survivors. The families who take care of ICU survivors are also susceptible to similar long-term mental sequelae (PICS-F). In rapidly aging countries, PICS is seen in an increasing number of geriatric critically ill patients, and therefore, is an emerging social concern in the 21st century. Since PICS was proposed in 2010, risk factors associated with PICS have been identified and disease mechanisms postulated. In this article, the latest findings of the pathophysiology, diagnosis, prevention and management of PICS are summarized.


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電子版ISSN 2186-7852 印刷版ISSN 1883-4833 メディカル・サイエンス・インターナショナル

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