Post‐intensive care syndrome: Time for a robust outcome measure?

Yuan, Chu; Timmins, Fiona; Thompson, David R.

doi:10.1111/nicc.12700

Cited by 5 publications

(3 citation statements)

References 19 publications

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“…Rationale To determine the presence and effects of PICS, many different assessments are available at the body function level to assess physical, cognitive, and psychological functions, as well as at the activity and participation level. Different approaches to assess the long-term outcome of critically ill patients include diagnostic follow-up studies [ 23 , 24 ], Delphi consensus statements including former critically ill patients and relatives [ 12 , 25 ], patient questionnaires [ 26 ], combined assessments pre-, peri-, and post ICU [ 27 ]. To prevent, reduce, or treat the typical symptoms of PICS, those at risk for the development of PICS should be identified as early as possible in the ICU or in early rehabilitation by means of sensorimotor, cognitive, and psychological assessments.…”

Section: Resultsmentioning

confidence: 99%

Guideline on multimodal rehabilitation for patients with post-intensive care syndrome

Renner,

Jeitziner,

Albert

et al. 2023

Crit Care

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Background Intensive Care Unit (ICU) survivors often experience several impairments in their physical, cognitive, and psychological health status, which are labeled as post-intensive care syndrome (PICS). The aim of this work is to develop a multidisciplinary and -professional guideline for the rehabilitative therapy of PICS. Methods A multidisciplinary/-professional task force of 15 healthcare professionals applied a structured, evidence-based approach to address 10 scientific questions. For each PICO-question (Population, Intervention, Comparison, and Outcome), best available evidence was identified. Recommendations were rated as “strong recommendation”, “recommendation” or “therapy option”, based on Grading of Recommendations, Assessment, Development and Evaluation principles. In addition, evidence gaps were identified. Results The evidence resulted in 12 recommendations, 4 therapy options, and one statement for the prevention or treatment of PICS. Recommendations: early mobilization, motor training, and nutrition/dysphagia management should be performed. Delirium prophylaxis focuses on behavioral interventions. ICU diaries can prevent/treat psychological health issues like anxiety and post-traumatic stress disorders. Early rehabilitation approaches as well as long-term access to specialized rehabilitation centers are recommended. Therapy options include additional physical rehabilitation interventions. Statement: A prerequisite for the treatment of PICS are the regular and repeated assessments of the physical, cognitive and psychological health in patients at risk for or having PICS. Conclusions PICS is a variable and complex syndrome that requires an individual multidisciplinary, and multiprofessional approach. Rehabilitation of PICS should include an assessment and therapy of motor-, cognitive-, and psychological health impairments.

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Section: Resultsmentioning

confidence: 99%

Guideline on multimodal rehabilitation for patients with post-intensive care syndrome

Renner,

Jeitziner,

Albert

et al. 2023

Crit Care

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“…7,8 Therefore, a comprehensive and ICU-related scale is needed to evaluate PICS and regard it as a whole entity. [7][8][9] A search of the literature revealed that the Healthy Aging Brain Care Monitor Self-Report version (HABC-M SR) might be an appropriate tool. 10 The HABC-M SR is a 27-item scale comprising 6 questions on the cognitive domain, 11 questions on the physical domain and 10 questions on the psychological domain.…”

Section: Introductionmentioning

confidence: 99%

“…Numerous instruments from various disciplines are used for each of the three domains independently to evaluate PICS, which is time‐consuming and unspecific for ICU patients 7,8 . Therefore, a comprehensive and ICU‐related scale is needed to evaluate PICS and regard it as a whole entity 7–9 . A search of the literature revealed that the Healthy Aging Brain Care Monitor Self‐Report version (HABC‐M SR) might be an appropriate tool 10 …”

Section: Introductionmentioning

confidence: 99%

Screening for post‐intensive care syndrome: Validation of the Healthy Aging Brain Care Monitor Self‐Report Chinese version

Liang,

Wang,

et al. 2023

Nursing in Critical Care

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BackgroundThe Healthy Aging Brain Care Monitor Self‐Report (HABC‐M SR) is a tool to evaluate physical, mental and cognitive impairments. It has been validated in several countries for post‐intensive care syndrome (PICS) assessment, but there is no Chinese version yet.AimThe aim of this study is to translate and cross‐cultural adapt HABC‐M SR, and validate its psychological properties among Chinese ICU survivors.Study DesignThis is a cross‐sectional study. the HABC‐M SR was translated into Chinese and validated in intensive care unit survivors (n = 145). Measures of internal consistency, construct validity, concurrent validity, and content validity were evaluated.ResultsA 19‐item Chinese version of HABC‐M SR was yielded, with good reliability (Cronbach's α = 0.92) and validity (the variance was 64.4%, overall content validity was 0.91, and correlation coefficients were 0.62–0.90).ConclusionsThe 19‐item Chinese version HABC‐M SR is a reliable and valid tool for PICS assessing and may be regarded as a standard measurement.Relevance to Clinical PracticeThe Chinese version HABC‐M SR may help in selecting PICS high‐risk survivors for ICU follow‐up interventions. The HABC‐M SR can also be regarded as a standard specific PICS measurement, thus promote the comparability between studies and transformation of the clinical evidence.

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Navigating the Urgency: A Narrative Review on the Critical Demand for Robust Outcome Measures in Post-Intensive Care Syndrome (PICS)

Goel,

Arunmozhi

2024

Intensive Care Res

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Background Post intensive care syndrome (PICS) is a new emerging condition affecting more than 80% of the population discharged from Intensive care unit (ICU). It affects the individual with a myriad of symptoms degrading the individual’s quality of life (QoL). Most critical method to prevent this is early diagnosis through a reliable measure taking into account the multidimensional nature of PICS. Thus, this study aims to find out is there a need of a comprehensive assessment scale for PICS covering all the domains. Methods Data was searched on databases incorporating PubMed, Cochrane Library, Google Scholar and EBSCO, Psyc INFO, Web of Science, Scopus, Science Direct, Medline, CINAHL. 18,756 articles were retrieved. It was narrowed down to 20 articles which were finally reviewed. The review summarizing all the reasons why a comprehensive outcome measure is needed for PICS including all the aspects of the syndrome. Furthermore, the review delineates the potential advantages that a novel assessment tool could provide, enriching our comprehension and handling of the intricate ramifications of PICS. Results The review highlights several key findings that underscore the necessity of a thorough outcome measure for assessing PICS: (i) the multifaceted nature of symptoms; (ii) challenges related to underdiagnosis and misdiagnosis; (iii) inconsistencies in assessment measures; (iv) insufficient attention to social aspects; (v) confounding factors related to comorbidities; (vi) the diverse array of assessment measures presently employed. All this is currently contributing to a confusing assessment of PICS leading to increased population affected with multitude of symptoms experienced after ICU discharge. Conclusion The existing assessment instruments for PICS exhibit wide variability in complexity, difficult comparison and evidence integration, thereby complicating therapeutic decisions. The lack of a universally accepted measurement standard increases the challenge of diagnosing and preventing PICS. Additionally, some tools may inaccurately represent PICS characteristics, leading to inconsistent reporting. Thus, there is an urgent demand for a comprehensive, multidimensional tool to provide a valid diagnosis.

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Post‐intensive care syndrome: Time for a robust outcome measure?

Cited by 5 publications

References 19 publications

Guideline on multimodal rehabilitation for patients with post-intensive care syndrome

Guideline on multimodal rehabilitation for patients with post-intensive care syndrome

Screening for post‐intensive care syndrome: Validation of the Healthy Aging Brain Care Monitor Self‐Report Chinese version

Navigating the Urgency: A Narrative Review on the Critical Demand for Robust Outcome Measures in Post-Intensive Care Syndrome (PICS)

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