Long-term complications of critical care

  title={Long-term complications of critical care},
  author={Sanjay V Desai and Tyler J. Law and Dale M. Needham},
  journal={Critical Care Medicine},
Objectives:As critical care advances and intensive care unit mortality declines, the number of survivors of critical illness is increasing. These survivors frequently experience long-lasting complications of critical care. As a result, it is important to understand these complications and implement evidence-based practices to minimize them. Data Sources:Database searches and review of relevant medical literature. Data Synthesis:Critical illness and intensive care unit care influence a wide… 

Post–Intensive Care Syndrome: Preventing Complications and Improving Long-Term Outcomes

  • E. Scruth
  • Medicine
    Clinical nurse specialist CNS
  • 2014
The criterion standard of care in the intensive care unit (ICU) has always been measured in terms of mortality. As healthcare changes, we will see a shift to include preventing complications related

The Post-Intensive Care Syndrome in Children

  • Ayfer Ekim
  • Medicine
    Comprehensive child and adolescent nursing
  • 2018
Increasing awareness by pediatric nurses about the magnitude and effects of complications after discharge from the intensive care unit will be the first step to protect survivors from new problems, to provide assistance for ongoing problems, and to develop follow-up strategies.

Post-intensive care syndrome: An overview

All critical care survivors should be evaluated for PICS and those having signs and symptoms of it should be managed by a multidisciplinary team which includes critical care physician, neuro-psychiatrist, physiotherapist and respiratory therapist, with the use of pharmacological and non-apharmacological interventions.

What Follows Survival of Critical Illness? Physical Therapists' Management of Patients With Post–Intensive Care Syndrome

Physical therapist practice in the management of ICU survivors, the importance of long-term follow-up after ICU discharge, and how APTA is taking steps to address the major areas of focus identified by the SCCM Task Force to improve long- term outcomes afterICU discharge are described.

The Post-Intensive Care Syndrome (PICS) : Impact of ICU-stay on functioning and implications for rehabilitation care

The course and prognosis of functioning in ICU survivors is explored, and means for early identification of post-intensive care syndrome are investigated, to improve the quality of survivorship.

Post Intensive Care Syndrome

The PICS-pediatric (PICS-p) framework includes the fourth domain of social health applicable to all family members of the PICU patient, the most common of which are sleep deprivation, anxiety, depression, and complicated grief.

Post-Intensive Care Syndrome and Chronic Critical Illness: A Tale of Two Syndromes

A constellation of findings further degrades outcomes in a group whose triumph in a high-intensity care center may not match their trajectory upon repatriation home after surviving critical illness as an inpatient.

Long-Term Functional Outcomes After Sepsis for Adult and Pediatric Critical Care Patients—Protocol for a Systematic Review

This systematic review will define the long-term impact of sepsis survivorship and contribute to informing patient, clinician and stakeholder decisions and guide further research and resource management.

The role of rehabilitation in improving short and long term outcomes for survivors of critical illness

This thesis aims to evaluate the role of rehabilitation in improving outcomes for patients admitted to critical care by evaluating the impact of a structured approach to rehabilitation within critical care, identifying the key components required and potential barriers to implementation.

Improving long-term outcomes after discharge from intensive care unit: Report from a stakeholders' conference*

Improving care for intensive care survivors and their families requires collaboration between practitioners and researchers in both the inpatient and outpatient settings, and three major themes emerged from the conference.



Legacy of intensive care unit-acquired weakness.

  • M. Herridge
  • Medicine, Psychology
    Critical care medicine
  • 2009
Early quality-of-life literature that supports significant physical dysfunction after intensive care unit treatment and more recent longitudinal studies up to 5 yrs afterintensive care unit discharge, which clearly implicate nerve and muscle dysfunction as contributors to this reported disability are highlighted.

Surviving Intensive Care: a report from the 2002 Brussels Roundtable

Key to taking advantage of such opportunities is the need for a global awareness of critical illness as an entity that begins and ends outside the ICU 'box'.

Delirium as a predictor of long-term cognitive impairment in survivors of critical illness

In this study of mechanically ventilated medical intensive care unit patients, duration of delirium was independently associated with long-term cognitive impairment, a common public health problem amongintensive care unit survivors.

Two-year outcomes, health care use, and costs of survivors of acute respiratory distress syndrome.

Survivors of ARDS continued to have functional impairment and compromised health-related quality of life 2 yr after discharge from the ICU.

Chronic critical illness.

The constellation of clinical features that characterize chronic critical illness are described, including ventilator liberation, mortality, and physical and cognitive function, and areas for future study of the comparative effectiveness of different treatment venues and approaches are highlighted.

One-year outcomes in survivors of the acute respiratory distress syndrome.

The absence of systemic corticosteroid treatment, the absence of illness acquired during the intensive care unit stay, and rapid resolution of lung injury and multiorgan dysfunction were associated with better functional status during the one-year follow-up.

Long-term mortality and quality of life in sepsis: A systematic review*

Patients with sepsis have ongoing mortality beyond short-term end points, and survivors consistently demonstrate impaired quality of life, and the use of 28-day mortality as an end point for clinical studies may lead to inaccurate inferences.

Critical Illness Neuromyopathy and Muscle Weakness in Patients in the Intensive Care Unit

Although emerging data have demonstrated the safety, feasibility, and benefit of early mobility in critically ill patients, randomized controlled trials are needed to thoroughly evaluate its potential benefits on patients' muscle strength, physical function, and quality of life.

Depression in general intensive care unit survivors: a systematic review

Depressive symptoms are common in general ICU survivors and negatively impact HRQOL and future studies should address how factors related to individual patients, critical illness and post-ICU recovery are associated with depression.

Rehabilitation after critical illness: summary of NICE guidance

The most recent recommendations from the National Institute for Health and Clinical Excellence on rehabilitation after critical illness for adult general critical care patients are summarized.