The most common extrapulmonary consequence is muscle weakness, associated with reduced muscle mass, strength and endurance. In patients evaluated using pulmonary tests, a mild restrictive pattern was observed (that became normal 6 months after discharge) as well as the presence of an alteration in carbon monoxide diffusion, which improved over time, but it was not responsible for the fatigue patients exhibited. The physical complications after the ICU discharge are frequent and they can be classified as pulmonary and extrapulmonary, and they are maybe the main determinants, among other results, of the place of referral after the ICU discharge. This syndrome affects both the patients who had the disease and their families, which has been referred to as family PICS, 4 and is defined as the psychological consequences of the family member or care giver of a critically ill patient.īelow we can find a description of the areas most impacted by the PICS that can be classified as physical (functional), mental, and neurocognitive. 2 PICS develops quickly following the critical disease and it can last for up to 5 years 3 or even more after the acute period of hospitalization. 1 These effects were called PICS, which stands for post-intensive care syndrome, at the Conference of the Medical Society of Critical Care held back in the year 2010. These survivors suffer from important functional, psychological, and neurocognitive effects that have an impact on their health-related quality of life. Over the last few years, the long-term consequences of critical disease have become more and more importance, due to the growing increase of life expectancy and the evolution of healthcare technologies that contribute to more patients being admitted to intensive care units (ICU) who survive the experience. Las medidas recomendadas para el seguimiento de pacientes permiten establecer los lineamientos básicos para la identificación y tratamiento precoz de las complicaciones asociadas al SPTI. Las recomendaciones incluidas en el programa de seguimiento según el sistema GRADE son: frecuencia de seguimiento, profesionales encargados del programa, dominios básicos a evaluar, herramientas recomendadas para su evaluación validadas al español y duración del programa. Se realizó una búsqueda bibliográfica, junto con reuniones y foros de discusión. MétodosĮl comité de Seguimiento y Rehabilitación luego de la Enfermedad Crítica de la Sociedad Argentina de Terapia Intensiva (SATI) convocó a diferentes comités para la redacción del presente documento. El objetivo de este estudio es la estandarización de medidas básicas de resultado incluidas en un programa de seguimiento de pacientes en riesgo de presentar SPTI. The measures herein suggested for patient follow-up after ICU discharge will facilitate a basic approach to diagnosis and management of the long-term complications associated to PICS.Įl seguimiento de pacientes al alta de la unidad de cuidados intensivos (UCI) permite el reconocimiento precoz de las complicaciones asociadas al síndrome post terapia intensiva (SPTI). After comprehensive evaluation, the recommendations according to the GRADE system included in the follow-up program were: frequency of controlled visits, appointed healthcare professionals, basic domains of assessment and recommended tools of evaluation, validated in Spanish, and entire duration of the program. A thorough search of the literature on the issue, together with pre-scheduled meetings and web-based discussion encounters were carried out. The Rehabilitation and Patient Follow-up Committee of the Argentine Society of Intensive Care Medicine (Sociedad Argentina de Terapia Intensiva, SATI) requested the collaboration of different committees to design the present document. The aim of this project is to standardize outcome variables in a follow-up program for patients at risk of suffering PICS. Patient follow-up after intensive care unit (ICU) discharge allows the early recognition of complications associated to post-intensive care syndrome (PICS).
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