?? Paper of the day
Prashant Nasa
ICU Physician - Co-editor: Rational use of IV Fluids in Critically ill (link in bio)- PROVE Network - Delphi Methodology - Fluid and Oxygen are Drugs - X: @drnasap
Post-intensive care syndrome follow-up system after hospital discharge: a narrative review
Published in Journal of Intensive Care
Summary:
The article provides a comprehensive review of Post-intensive Care Syndrome (PICS) follow-up systems after hospital discharge, including assessment methods, management, and efficacy of interventions.
??takeaways:
1?? PICS is a long-lasting impairment of physical, cognitive, and mental health functions after intensive care, with a significant impact on ICU survivors' quality of life and ability to return to work.
2??The PICS follow-up system includes PICS follow-up clinics, home visitations, telephone or mail follow-ups, and telemedicine, and a multidisciplinary team approach is crucial for effective management.
3?? The efficacy of PICS follow-up clinics and interventions is still under debate, with limited scientific evidence supporting their impact on functional impairment outcomes.
Counter arguments:
1. Limited scientific evidence exists to support the effectiveness of PICS follow-up clinics in improving functional impairment outcomes.
2. The timing and choice of assessment instruments for PICS evaluation lack standardization, presenting challenges for standardized follow-up protocols and assessments.