"My (critically ill) patient has only a pneumonia" - the risk of oversimplification and the evidence of post-ICU syndrome

Abstract

reV assoc Med bras 2016; 62(1):29-31 29 COMMENTARY "My (critically ill) patient has only a pneumonia" -the risk of oversimplification and the evidence of post-ICU syndrome "Meu paciente (criticaMente doente) teM apenas uMa pneuMonia" -o risco da siMplificaÇÃo excessiVa e os indícios de síndroMe pós-terapia intensiVa

Validation into Spanish of a Scale to Detect the Post-intensive Care Syndrome

“…In this sense, some authors have described how critical patients are prone to experiencing limitations in functional activities that involve body movement and suffering persistent disabilities with BADL affectation is related to PICS. (2,3,9,10) The results of the present study showed that the HABC-M is a reliable instrument in the PICS context and the findings evidenced in the Spanish version denoted internal consistency between good and excellent, compared with prior studies. The correlations found did not differ from previous studies, which shows the diversity of items among subscales and their importance in the construct.…”

“…In this sense, some authors have described how critical patients are prone to experiencing limitations in functional activities that involve body movement and suffering persistent disabilities with BADL affectation is related to PICS. 2 , 3 , 9 , 10…”

“… 1 Survivors of critical diseases are considered fragile individuals due to complications derived from care in ICU, which are related with physical deconditioning, locomotion problems, falls, pain, altered sleep, anxiety, depression, post-traumatic stress disorder, cognitive impairment associated with delirium, mild Alzheimer's, attention deficit, among others. 2 - 6 These complications were defined by the Society of Critical Care Medicine (SCCM) as Post-intensive Care Syndrome (PICS), being a condition that affects between 50% and 70% of patients admitted to ICU. 6 - 8 …”

“…(1) Survivors of critical diseases are considered fragile individuals due to complications derived from care in ICU, which are related with physical deconditioning, locomotion problems, falls, pain, altered sleep, anxiety, depression, post-traumatic stress disorder, cognitive impairment associated with delirium, mild Alzheimer's, attention deficit, among others. (2)(3)(4)(5)(6) These complications were defined by the Society of Critical Care Medicine (SCCM) as Post-intensive Care Syndrome (PICS), being a condition that affects between 50% and 70% of patients admitted to ICU. (6)(7)(8) In 2012, the SCCM defined PICS as one of the new physical, cognitive, and mental health problems related with critical illness and/or its worsening, which persist upon discharge in survivors and involve body, thoughts, feelings, mind and can affect the family.…”