Postintensive care syndrome family: A comprehensive review.
Kasumi ShirasakiToru HifumiNobuto NakanishiNobuyuki NosakaKyohei MiyamotoMiyuki H KomachiJunpei HarunaShigeaki InoueNorio OtaniPublished in: Acute medicine & surgery (2024)
Families of critically ill patients are predisposed to tremendous burdens when their relatives are admitted to the intensive care unit (ICU). Postintensive care syndrome family (PICS-F) can be described as a devastated life, encompassing psychological, physical, and socioeconomical burdens that begin with the emotional impact experienced by the family when the patient is admitted to the ICU. PICS-F was primarily proposed as a clinically significant psychological impairment, but it needs to be extended beyond the psychological impairment of the family to include physical and socioeconomical impairments in the future. The prevalence of physiological problems including depression, anxiety and post-traumatic syndrome is 20-40%, and that of non-physiological problems including fatigue is 15% at 6 months after the ICU stay. Assessment of PICS-F was frequently conducted at 3- or 6-month points, although the beginning of the evaluation was based on different assessment points among each of the studies. Families of ICU patients need to be given and understand accurate information, such as the patient's diagnosis, planned care, and prognosis. Prevention of PICS-F requires a continuous bundle of multifaceted and/or multidisciplinary interventions including providing a family information leaflet, ICU diary, communication facilitators, supportive grief care, and follow-up, for the patient and families from during the ICU stay to after discharge from the ICU. This is the first comprehensive review of PICS-F to address the concept, risk factors, assessment tools, prevalence, and management to prevent PICS-F to facilitate acute care physicians' understanding of PICS-F.
Keyphrases
- intensive care unit
- mechanical ventilation
- risk factors
- case report
- healthcare
- mental health
- palliative care
- quality improvement
- sleep quality
- physical activity
- pain management
- ejection fraction
- end stage renal disease
- acute respiratory distress syndrome
- heart failure
- depressive symptoms
- aortic valve
- peritoneal dialysis
- high resolution
- atrial fibrillation
- social media