Long-term outcomes after critical illness: recent insights

Anne-Françoise Rousseau, Hallie C Prescott, Stephen J Brett, Björn Weiss, Elie Azoulay, Jacques Creteur, Nicola Latronico, Catherine L Hough, Steffen Weber-Carstens, Jean-Louis Vincent, Jean-Charles Preiser, Anne-Françoise Rousseau, Hallie C Prescott, Stephen J Brett, Björn Weiss, Elie Azoulay, Jacques Creteur, Nicola Latronico, Catherine L Hough, Steffen Weber-Carstens, Jean-Louis Vincent, Jean-Charles Preiser

Abstract

Intensive care survivors often experience post-intensive care sequelae, which are frequently gathered together under the term "post-intensive care syndrome" (PICS). The consequences of PICS on quality of life, health-related costs and hospital readmissions are real public health problems. In the present Viewpoint, we summarize current knowledge and gaps in our understanding of PICS and approaches to management.

Keywords: Core set; Critically ill; Follow-up; ICU-acquired weakness; Intensive care unit; Muscle weakness; Post-intensive care syndrome; Post-traumatic stress disorder; Quality of care.

Conflict of interest statement

AFR has no conflicts of interests to declare. HCP is an Associate Editor of Critical Care and a panel member of the Surviving Sepsis Campaign guidelines. She has no other conflicts of interests to declare. SJB is an Associate Editor of Critical Care. He has no other conflicts of interests to declare. BW has no conflicts of interests to declare. EA is an Associate Editor of Critical Care. He has no other conflicts of interests to declare. JC has no conflicts of interests to declare. NL has no conflicts of interests to declare. CLH has no conflicts of interests to declare. SWC has no conflicts of interests to declare. JLV is Editor-in-Chief of Critical Care. He has no other conflicts of interests to declare. JCP is an Associate Editor of Critical Care. He has no other conflicts of interests to declare.

Figures

Fig. 1
Fig. 1
A proposed expanded definition of the post-intensive care syndrome (PICS), including contributing factors (on the left side of the figure) and consequences (on the right side of the figure), current (gray circles) and potential new (white circles) components. ICU-AW; intensive care unit acquired weakness

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