Prevalence and Risk Factors of Post-intensive Care Syndrome Among Patients in Alexandria Main University Hospital

Document Type : Preliminary preprint short reports of original research

Authors

1 Department of Critical Care Medicine, Faculty of Medicine, Alexandria University

2 Department of Critical Care, Faculty of Medicine, Alexandria University

Abstract

Introduction:
Post-intensive care syndrome is the term used to characterize the residual disability following a critical illness. This includes cognitive, psychological, and physical functioning deficits in the intensive care unit survivor. As a result, the survivor's family members' psychological well-being may be negatively impacted; this is known as PICS-Family.
PICS is characterized as new or worsening impairment resulting from a critical illness that persists beyond discharge from the acute care setting in the physical (ICU-acquired neuromuscular weakness), cognitive (thinking & judgement), or mental health state.
PICS symptoms can appear in critically sick studied cases at any moment; they might appear as early as forty-eight hours after ICU admission, be concealed by sedation throughout the ICU stay, or even appear later throughout in-patient rehabilitation or after the studied case has been released home. Furthermore, distinct symptoms may appear concurrently or at different stages of the life-threatening condition.
Rehabilitation guidelines for PICS prevention recommend the use of ergometers (bed cycling and Wheelchair cycle) in addition to the standard physical therapy to improve muscle strength and cardiovascular fitness and Electrical stimulation of the ventral thigh musculature can be used to strengthen the muscles.

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