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Het post intensive care-syndroom (PICS) / Germaine Hanquet / Brussels [Belgium] : KCE = Federaal Kenniscentrum voor de Gezondheidszorg = Centre Fédéral d'Expertise des Soins de Santé = Belgian Health Care Knowledge Centre (2020)
Het post intensive care-syndroom (PICS) : Samenvatting [printed text] / Germaine Hanquet, Author ; Nadia Benahmed, Author ; Diego Castanares-Zapatero , Author ; Marie Dauvrin , Author ; Anja Desomer, Author ; Jef Adriaenssens , Author ; Karin Rondia, Author . - Brussels [Belgium] : KCE = Federaal Kenniscentrum voor de Gezondheidszorg = Centre Fédéral d'Expertise des Soins de Santé = Belgian Health Care Knowledge Centre, 2020 . - 27 p. : ill., ; A4. - (COVID-19 – KCE CONTRIBUTIONS, ISSN 2684-5830) .
ISSN : D/2020/10.273/11 : € 0,00
Languages : Dutch (nla)
Descriptors: Classification
WX 218 Intensive care units. Critical care (General)
Indexation
Coronavirus Infections ; Physician's Practice Patterns ; Postintensive care syndrome [Supplementary Concept]Abstract: Door de COVID-pandemie zijn momenteel alle schijnwerpers gericht op de intensieve zorgen en de sterftecijfers. Maar zelfs bij hun thuiskomst is de lijdensweg voor vele patiënten nog niet afgelopen, en ook de huisartsen staan mogelijk voor een nieuwe uitdaging. De kans bestaat namelijk dat we zullen worden overspoeld door een golf van ‘post-intensieve zorgsyndromen’. Het fenomeen, dat bij het grote publiek en de zorgsector nog vrij onbekend is, kan zorgen voor fysieke, psychische en cognitieve problemen bij meer dan de helft van de mensen die op de intensieve zorgafdeling hebben verbleven voor een ernstig probleem (dus niet alleen bij COVID). Vandaag publiceert het Federaal Kenniscentrum voor de Gezondheidszorg (KCE) een rapport om het probleem, dat vaak wat op de achtergrond verdwijnt nadat een leven werd gered, onder de aandacht van de huisartsen te brengen. Het rapport bevat een aantal praktische tools om de eerste tekenen van PICS zo vroeg mogelijk te herkennen. Contents note: 1. INLEIDING 4 -- 1.1. WAT IS PICS? 4 -- 1.2. WAAROM DEZE STUDIE? 4 -- 1.3. INHOUD VAN DIT RAPPORT 5 -- 1.4. BEPERKINGEN 5 -- 2. DE ERVARINGEN VAN PATIËNTEN OP IC 6 -- 2.1. NABIJHEID VAN DE DOOD 6 -- 2.2. VERANDERDE PERCEPTIES 6 -- 2.3. TRANSFORMATIE VAN HET LICHAAM 6 -- 2.4. VERLIES VAN TIJDSBESEF 7 -- 2.5. COMMUNICATIE MET DE ZORGVERLENES 7 -- 2.6. BELANG VAN FAMILIELEDEN EN NAASTEN 7 -- 3. DE FYSIEKE SYMPTOMEN 8 -- GEKENDE RISICOFACTOREN 8 -- 4. PSYCHISCHE SYMPTOMEN EN POSTTRAUMATISCHE STRESS 9 -- 4.1. ANGST EN DEPRESSIE 9 -- 4.2. SYMPTOMEN EN POSTTRAUMATISCHE STRESSSTOORNIS 10 -- 4.3. GEKENDE RISICOFACTOREN 10 -- 5. COGNITIEVE SYMPTOMEN .11 -- BEKENDE RISICOFACTOREN 11 -- 6. PSYCHISCHE SYMPTOMEN BIJ DE NAASTEN (PICS-F) 12 -- BEKENDE RISICOFACTOREN 12 -- 7. DE BEHOEFTE AAN INFORMATIE 13 -- 7.1. WAT IS ER GEBEURD? 13 -- 7.2. WAT GAAT ER GEBEUREN? 13 -- 7.3. EN WAT WETEN DE MENSEN DIE MIJ VERZORGEN? .14 -- 8. TOOLS VOOR DETECTIE 15 -- 8.1. EVALUATIE VAN DE FYSIEKE SYMPTOMEN 16 -- 8.2. DETECTIE VAN PSYCHISCHE SYMPTOMEN 17 -- 8.3. DETECTIE VAN COGNITIEVE SYMPTOMEN .17 -- 9. MOGELIJKE INTERVENTIES 19 -- 9.1. NEUROMUSCULAIRE REVALIDATIE 19 -- 9.1.1. M-Nomenclatuur (kinesitherapie) 19 -- 9.1.2. K-nomenclatuur (fysische geneeskunde): 19 -- 9.2. COGNITIEVE REVALIDATIE .20 -- 9.3. INTERVENTIES VOOR DE GEESTELIJKE GEZONDHEID .21 -- 9.4. POST- IC CONSULTATIES .23 -- 9.5. DAGBOEKEN .24 -- 9.6. ZELFHULPGROEPEN 25 -- 9.7. INTERVENTIES VOOR PICS-F 26 -- 9.8. TERUGKEER NAAR HET WERK 26 -- 10. CONCLUSIE 27 Link for e-copy: https://kce.fgov.be/sites/default/files/atoms/files/Synthese_PICS_NL_.pdf Format of e-copy: PDF (0,62 Mb) Record link: https://kce.docressources.info/index.php?lvl=notice_display&id=4680
Post-intensive care syndrome [printed text] / Jean-Charles Preiser ; Margaret S. Herridge ; Elie Azoulay . - 2019 . - 337 p. : ill., ; 26 cm.
ISBN : 978-3-030-24250-3 : € 52,00
Academic
Languages : English (eng)
Descriptors: Classification
WX 218 Intensive care units. Critical care (General)
Indexation
Intensive Care ; Medical Care ; Rehabilitation ; TherapyAbstract: Academic Link for e-copy: http://files.kce.be/ebook/Post-Intensive+Care+Syndrome.pdf Record link: https://kce.docressources.info/index.php?lvl=notice_display&id=4601 Post intensive care syndrome in the aftermath of COVID-19 / Germaine Hanquet / Brussels [Belgium] : KCE = Federaal Kenniscentrum voor de Gezondheidszorg = Centre Fédéral d'Expertise des Soins de Santé = Belgian Health Care Knowledge Centre (2020)
Post intensive care syndrome in the aftermath of COVID-19 [printed text] / Germaine Hanquet, Author ; Nadia Benahmed, Author ; Diego Castanares-Zapatero , Author ; Marie Dauvrin , Author ; Anja Desomer, Author ; Jef Adriaenssens , Author ; Karin Rondia, Author . - Brussels [Belgium] : KCE = Federaal Kenniscentrum voor de Gezondheidszorg = Centre Fédéral d'Expertise des Soins de Santé = Belgian Health Care Knowledge Centre, 2020 . - 136 p. : ill., ; A4. - (COVID-19 – KCE CONTRIBUTIONS, ISSN 2684-5830) .
ISSN : D/2020/10.273/13 : € 0,00
Languages : English (eng) Dutch (nla)
Descriptors: Classification
WX 218 Intensive care units. Critical care (General)
Indexation
Coronavirus Infections ; Physician's Practice Patterns ; Postintensive care syndrome [Supplementary Concept]Abstract: The post-intensive care syndrome (PICS) is not specific to COVID-19. In the months after discharge, it can occur in more than half of the patients that have stayed in intensive care for a serious pathology. Given the current COVID-19 pandemic, it is very likely that its incidence will increase in the coming months.
PICS can cause three types of symptoms: physical (extreme muscle weakness), psychological (anxiety, depression, post-traumatic stress disorder), and cognitive (memory loss, loss of verbal fluency, attention and executive functioning disorders). Psychological symptoms can also be observed in the relatives of the patients (PICS-F for ‘Family’).
Since PICS is not well known outside the limited circle of intensivists, KCE conducted a rapid review of the literature for primary caretakers to identify the main risk factors and the evidence for possible interventions. We have also identified a series of 6 practical tools. They will enable general practitioners to detect this syndrome, which they will no doubt soon observe, in a quick and reliable way.Contents note: LIST OF FIGURES 5 -- LIST OF TABLES 6 -- LIST OF ABBREVIATIONS 7 -- 1 CHAPTER 1: WHAT IS THE POST-INTENSIVE CARE SYNDROME? 13 -- 1.1 ICU-ACQUIRED WEAKNESS .13 -- 1.2 MENTAL HEALTH PROBLEMS .14 -- 1.2.1 Anxiety and depression 14 -- 1.2.2 PTSD .14 -- 1.3 COGNITIVE IMPAIRMENT 15 -- 1.4 CONSEQUENCES ON FAMILY MEMBERS 16 -- 1.5 QUALITY OF LIFE AND RETURN TO WORK 17 -- 2 CHAPTER 2: RISK FACTORS AND PREDICTORS OF PICS-RELATED DISORDERS 19 -- 2.1 RISK FACTORS FOR PICS-RELATED DISORDERS 20 -- 2.1.1 Pre-ICU risk factors 21 -- 2.1.2 Factors during ICU stay 21 -- 2.1.3 Post-ICU factors 21 -- 2.1.4 Discussion 23 -- 2.2 PREDICTORS FOR PICS-RELATED DISORDERS 23 -- 2.2.1 Predictors for physical outcomes .23 -- 2.2.2 Predictors for psychological outcomes .24 -- 2.2.3 Predictors for cognitive impairment 25 -- 2.2.4 Predictors for global outcomes .26 -- 2.2.5 Discussion 26 -- 3 CHAPTER 3: DETECTION OF PICS-RELATED DISORDERS IN PRIMARY CARE SETTING 27 -- 3.1 INTRODUCTION .27 -- 3.2 METHODS .27 -- 3.2.1 Literature search strategy 27 -- 3.2.2 Search results 28 -- 3.2.3 Selection criteria for screening tools at GP level .28 -- 3.3 DETECTION OF PICS IN PRIMARY CARE SETTING 29 -- 3.3.1 Selection of detection tools for GP level 29 -- 3.3.2 Physical function 30 -- 3.3.3 Mental health domain 32 -- 3.3.4 Cognitive disorders .34 -- 3.4 APPLICABILITY IN BELGIAN CLINICAL PRACTICE .36 -- 4 CHAPTER 4: EFFECTIVENESS OF INTERVENTIONS: REVIEW OF EVIDENCE 38 -- 4.1 INTRODUCTION .38 -- 4.2 METHOD .38 -- 4.2.1 Literature search 38 -- 4.2.2 Selection criteria 38 -- 4.2.3 Data collection and analysis 38 -- 4.3 RESULTS 40 -- 4.3.1 Search results 40 -- 4.3.2 Description of included studies .40 -- 4.3.3 Exercises and physical rehabilitation .41 -- 4.3.4 Follow-up consultations 49 -- 4.3.5 Mental health interventions .55 -- 4.3.6 Cognitive interventions .61 -- 4.3.7 Peer support groups 62 -- 4.3.8 PICS-F 62 -- 4.4 DISCUSSION 66 -- 4.5 CONCLUSIONS 72 -- 5 CHAPTER 5: AANPAK VAN PICS IN BELGIË: HUIDIGE STAND VAN ZAKEN 74 -- 5.1 WERKMETHODE 74 -- 5.2 LOCOMOTORISCHE ASPECTEN 75 -- 5.2.1 Verstrekkingen door kinesitherapeuten binnen de M-nomenclatuur .75 -- 5.2.2 Verstrekkingen binnen het kader van de fysische geneeskunde en -- revalidatie 76 -- 5.2.3 Revalidatieconventies 79 -- 5.3 COGNITIEVE ASPECTEN 80 -- 5.3.1 Bilan van de cognitieve functies 80 -- 5.3.2 Cognitieve revalidatie 81 -- 5.4 ASPECTEN VAN GEESTELIJKE GEZONDHEID EN PSYCHIATRIE 82 -- 5.4.1 Angst en depressie .82 -- 5.4.2 Posttraumatisch stresssyndroom 83 -- 5.4.3 Praatgroepen in intensieve zorgeenheden en patiëntverenigingen 83 -- 5.5 SOCIALE ASPECTEN .84 -- 5.6 DE POST-INTENSIEVE ZORG CONSULTATIES 86 -- 6 CHAPTER 6: WHAT IS THE PERSPECTIVE OF PICS PATIENTS IN BELGIUM AND IN SIMILAR SETTINGS, ACCORDING TO THE LITÉRATURE? 88 -- 6.1 INTRODUCTION .88 -- 6.2 METHOD .88 -- 6.3 PATIENTS’ EXPERIENCES OF THE ICU STAY 88 -- 6.3.1 Transformations of perception: unreal experiences and dreams 89 -- 6.3.2 Proximity to death 90 -- 6.3.3 Transformation and perception of the body in illness 91 -- 6.3.4 Transformation and perception of time .92 -- 6.3.5 Dependence on the critical care environment and technology 92 -- 6.3.6 Care, communication and relationships with healthcare professionals 93 -- 6.3.7 Support of family and friends and desire for contact .94 -- 6.3.8 Transfer from critical care and recovery from critical illness .95 -- 6.3.9 Key messages about patients’ experiences of ICU 97 -- 6.4 PATIENTS’ NEEDS IN THE MONTHS FOLLOWING DISCHARGE 97 -- 6.4.1 Informational needs 97 -- 6.4.2 Emotional needs 99 -- 6.4.3 Revalidation needs 101 -- 6.4.4 Appraisal needs .103 -- 6.4.5 Psychological needs by relatives (PICS-F) .103 -- 6.4.6 Key messages about patients’ needs in the months after discharge from the -- ICU 104 -- 6.5 PATIENTS’ EXPERIENCES AND PREFERENCES ABOUT PICS PREVENTION AND MANAGEMENT MEASURES 105 -- 6.5.1 Physical rehabilitation .105 -- 6.5.2 Information support 105 -- 6.5.3 Post-ICU clinics .106 -- 6.5.4 ICU Diaries 109 -- 6.5.5 Psychological support .111 -- 6.5.6 Peer support groups 112 -- 6.5.7 Visit by a case manager 113 -- 6.5.8 Key messages about patients’ experiences of different interventions for -- preventing/managing PICS 114 -- 7 CHAPTER 7: WHAT COULD BE THE ROLE OF GENERAL -- PRACTITIONERS ACCORDING TO THE LITERATURE? 115 -- 7.1 ACCESS TO INFORMATION ON THE ICU STAY .115 -- 7.2 GETTING EXPERIENCE AND SKILLS 115 -- 7.3 DEMYSTIFY WHAT HAPPENED 116 -- 7.4 SCHEDULE AFTERCARE PROGRAM AND ORGANIZE RESOURCES .116 -- 7.5 PERSPECTIVES 117 -- 8 GENERAL DISCUSSION 118 -- REFERENCES 121 Link for e-copy: https://kce.fgov.be/sites/default/files/atoms/files/PICS_scientific_report_NL.pd [...] Format of e-copy: PDF (2.1 Mb) Record link: https://kce.docressources.info/index.php?lvl=notice_display&id=4677 Post intensive care syndrome in the aftermath of COVID-19 / Germaine Hanquet / Brussels [Belgium] : KCE = Federaal Kenniscentrum voor de Gezondheidszorg = Centre Fédéral d'Expertise des Soins de Santé = Belgian Health Care Knowledge Centre (2020)
Post intensive care syndrome in the aftermath of COVID-19 [printed text] / Germaine Hanquet, Author ; Nadia Benahmed, Author ; Diego Castanares-Zapatero , Author ; Marie Dauvrin , Author ; Anja Desomer, Author ; Jef Adriaenssens , Author ; Karin Rondia, Author . - Brussels [Belgium] : KCE = Federaal Kenniscentrum voor de Gezondheidszorg = Centre Fédéral d'Expertise des Soins de Santé = Belgian Health Care Knowledge Centre, 2020 . - 136 p. : ill., ; A4. - (COVID-19 – KCE CONTRIBUTIONS, ISSN 2684-5830) .
€ 0,00
Languages : English (eng) French (fre)
Descriptors: Classification
WX 218 Intensive care units. Critical care (General)
Indexation
Coronavirus Infections ; Physician's Practice Patterns ; Postintensive care syndrome [Supplementary Concept]Abstract: The post-intensive care syndrome (PICS) is not specific to COVID-19. In the months after discharge, it can occur in more than half of the patients that have stayed in intensive care for a serious pathology. Given the current COVID-19 pandemic, it is very likely that its incidence will increase in the coming months.
PICS can cause three types of symptoms: physical (extreme muscle weakness), psychological (anxiety, depression, post-traumatic stress disorder), and cognitive (memory loss, loss of verbal fluency, attention and executive functioning disorders). Psychological symptoms can also be observed in the relatives of the patients (PICS-F for ‘Family’).
Since PICS is not well known outside the limited circle of intensivists, KCE conducted a rapid review of the literature for primary caretakers to identify the main risk factors and the evidence for possible interventions. We have also identified a series of 6 practical tools. They will enable general practitioners to detect this syndrome, which they will no doubt soon observe, in a quick and reliable way.Contents note: LIST OF FIGURES 6 -- LIST OF TABLES 6 -- LIST OF ABBREVIATIONS 7 -- INTRODUCTION 9 -- POST-INTENSIVE CARE SYNDROME 9 -- PICS AND COVID-19 10 -- PICS AND GENERAL PRACTITIONERS .10 -- STUDY OBJECTIVE AND RESEARCH QUESTIONS 11 -- GENERAL METHODOLOGY 11 -- CONTENT OF THE REPORT .12 -- 1 CHAPTER 1: WHAT IS THE POST-INTENSIVE CARE SYNDROME? 13 -- 1.1 ICU-ACQUIRED WEAKNESS .13 -- 1.2 MENTAL HEALTH PROBLEMS .14 -- 1.2.1 Anxiety and depression 14 -- 1.2.2 PTSD .14 -- 1.3 COGNITIVE IMPAIRMENT 15 -- 1.4 CONSEQUENCES ON FAMILY MEMBERS 16 -- 1.5 QUALITY OF LIFE AND RETURN TO WORK 17 -- 2 CHAPTER 2: RISK FACTORS AND PREDICTORS OF PICS-RELATED DISORDERS 19 -- 2.1 RISK FACTORS FOR PICS-RELATED DISORDERS 20 -- 2.1.1 Pre-ICU risk factors 21 -- 2.1.2 Factors during ICU stay 21 -- 2.1.3 Post-ICU factors 21 -- 2.1.4 Discussion 23 -- 2.2 PREDICTORS FOR PICS-RELATED DISORDERS 23 -- 2.2.1 Predictors for physical outcomes .23 -- 2.2.2 Predictors for psychological outcomes .24 -- 2.2.3 Predictors for cognitive impairment 25 -- 2.2.4 Predictors for global outcomes .26 -- 2.2.5 Discussion 26 -- 3 CHAPTER 3: DETECTION OF PICS-RELATED DISORDERS IN PRIMARY CARE SETTING 27 -- 3.1 INTRODUCTION .27 -- 3.2 METHODS .27 -- 3.2.1 Literature search strategy 27 -- 3.2.2 Search results 28 -- 3.2.3 Selection criteria for screening tools at GP level .28 -- 3.3 DETECTION OF PICS IN PRIMARY CARE SETTING 29 -- 3.3.1 Selection of detection tools for GP level 29 -- 3.3.2 Physical function 30 -- 3.3.3 Mental health domain 32 -- 3.3.4 Cognitive disorders .34 -- 3.4 APPLICABILITY IN BELGIAN CLINICAL PRACTICE .36 -- 4 CHAPTER 4: EFFECTIVENESS OF INTERVENTIONS: REVIEW OF EVIDENCE 38 -- 4.1 INTRODUCTION .38 -- 4.2 METHOD .38 -- 4.2.1 Literature search 38 -- 4.2.2 Selection criteria 38 -- 4.2.3 Data collection and analysis 38 -- 4.3 RESULTS 40 -- 4.3.1 Search results 40 -- 4.3.2 Description of included studies .40 -- 4.3.3 Exercises and physical rehabilitation .41 -- 4.3.4 Follow-up consultations 49 -- 4.3.5 Mental health interventions .55 -- 4.3.6 Cognitive interventions .61 -- 4.3.7 Peer support groups 62 -- 4.3.8 PICS-F 62 -- 4.4 DISCUSSION 66 -- 4.5 CONCLUSIONS 72 -- 5 CHAPTER 5 : PRISE EN CHARGE DES PROBLÈMES LIÉS AU PICS EN BELGIQUE : ÉTAT DES LIEUX DES INITIATIVES EXISTANTES 74 -- 5.1 MÉTHODE DE TRAVAIL 74 -- 5.2 DIMENSION LOCOMOTRICE .75 -- 5.2.1 Soins dispensés par des kinésithérapeutes relevant de la nomenclature M 75 -- 5.2.2 Prestations dans le cadre de la médecine physique et réadaptation 77 -- 5.2.3 Conventions de revalidation 79 -- 5.3 DIMENSION COGNITIVE 80 -- 5.3.1 Bilan des fonctions cognitives 80 -- 5.3.2 Revalidation cognitive 81 -- 5.4 DIMENSION SANTÉ MENTALE ET PSYCHIATRIE 82 -- 5.4.1 Anxiété et dépression 82 -- 5.4.2 Syndrome de stress post-traumatique 83 -- 5.4.3 Groupes de parole en unités de soins intensifs et associations de patients .84 -- 5.5 DIMENSION SOCIALE 85 -- 5.6 CONSULTATIONS POST-SOINS INTENSIFS 86 -- 6 CHAPTER 6: WHAT IS THE PERSPECTIVE OF PICS PATIENTS IN BELGIUM AND IN SIMILAR SETTINGS, ACCORDING TO THE LITÉRATURE? 88 -- 6.1 INTRODUCTION .88 -- 6.2 METHOD .88 -- 6.3 PATIENTS’ EXPERIENCES OF THE ICU STAY 88 -- 6.3.1 Transformations of perception: unreal experiences and dreams 89 -- 6.3.2 Proximity to death 90 -- 6.3.3 Transformation and perception of the body in illness 91 -- 6.3.4 Transformation and perception of time .92 -- 6.3.5 Dependence on the critical care environment and technology 92 -- 6.3.6 Care, communication and relationships with healthcare professionals 93 -- 6.3.7 Support of family and friends and desire for contact .94 -- 6.3.8 Transfer from critical care and recovery from critical illness .95 -- 6.3.9 Key messages about patients’ experiences of ICU 97 -- 6.4 PATIENTS’ NEEDS IN THE MONTHS FOLLOWING DISCHARGE 97 -- 6.4.1 Informational needs 97 -- 6.4.2 Emotional needs 99 -- 6.4.3 Revalidation needs 101 -- 6.4.4 Appraisal needs .103 -- 6.4.5 Psychological needs by relatives (PICS-F) .103 -- 6.4.6 Key messages about patients’ needs in the months after discharge from the ICU 104 -- 6.5 PATIENTS’ EXPERIENCES AND PREFERENCES ABOUT PICS PREVENTION AND MANAGEMENT MEASURES 105 -- 6.5.1 Physical rehabilitation .105 -- 6.5.2 Information support 105 -- 6.5.3 Post-ICU clinics .106 -- 6.5.4 ICU Diaries 109 -- 6.5.5 Psychological support .111 -- 6.5.6 Peer support groups 112 -- 6.5.7 Visit by a case manager 113 -- 6.5.8 Key messages about patients’ experiences of different interventions for preventing/managing PICS 114 -- 7 CHAPTER 7: WHAT COULD BE THE ROLE OF GENERAL -- PRACTITIONERS ACCORDING TO THE LITERATURE? 115 -- 7.1 ACCESS TO INFORMATION ON THE ICU STAY .115 -- 7.2 GETTING EXPERIENCE AND SKILLS 115 -- 7.3 DEMYSTIFY WHAT HAPPENED 116 -- 7.4 SCHEDULE AFTERCARE PROGRAM AND ORGANIZE RESOURCES .116 -- 7.5 PERSPECTIVES 117 -- 8 GENERAL DISCUSSION 118 -- REFERENCES 121 Link for e-copy: https://kce.fgov.be/sites/default/files/2021-11/PICS_scientific_report_FR.pdf Format of e-copy: PDF (2.1 Mb) Record link: https://kce.docressources.info/index.php?lvl=notice_display&id=4678 Post intensive care syndrome in the aftermath of COVID-19 / Germaine Hanquet / Brussels [Belgium] : KCE = Federaal Kenniscentrum voor de Gezondheidszorg = Centre Fédéral d'Expertise des Soins de Santé = Belgian Health Care Knowledge Centre (2020)
Post intensive care syndrome in the aftermath of COVID-19 : Appendices [printed text] / Germaine Hanquet, Author ; Nadia Benahmed, Author ; Diego Castanares-Zapatero , Author ; Marie Dauvrin , Author ; Anja Desomer, Author ; Jef Adriaenssens , Author ; Karin Rondia, Author . - Brussels [Belgium] : KCE = Federaal Kenniscentrum voor de Gezondheidszorg = Centre Fédéral d'Expertise des Soins de Santé = Belgian Health Care Knowledge Centre, 2020 . - 153 p. : ill., ; A4. - (COVID-19 – KCE CONTRIBUTIONS, ISSN 2684-5830) .
ISSN : D/2020/10.273/14 : € 0,00
Languages : English (eng)
Descriptors: Classification
WX 218 Intensive care units. Critical care (General)
Indexation
Coronavirus Infections ; Physician's Practice Patterns ; Postintensive care syndrome [Supplementary Concept]Abstract: The post-intensive care syndrome (PICS) is not specific to COVID-19. In the months after discharge, it can occur in more than half of the patients that have stayed in intensive care for a serious pathology. Given the current COVID-19 pandemic, it is very likely that its incidence will increase in the coming months.
PICS can cause three types of symptoms: physical (extreme muscle weakness), psychological (anxiety, depression, post-traumatic stress disorder), and cognitive (memory loss, loss of verbal fluency, attention and executive functioning disorders). Psychological symptoms can also be observed in the relatives of the patients (PICS-F for ‘Family’).
Since PICS is not well known outside the limited circle of intensivists, KCE conducted a rapid review of the literature for primary caretakers to identify the main risk factors and the evidence for possible interventions. We have also identified a series of 6 practical tools. They will enable general practitioners to detect this syndrome, which they will no doubt soon observe, in a quick and reliable way.Contents note: LIST OF TABLES 2 -- APPENDICES 3 -- APPENDIX 1. SEARCH STRATEGY FOR LITERATURE REVIEW . 3 -- APPENDIX 1.1. SEARCH TERMS FOR SYSTEMATIC LITERATURE REVIEWS ON PREVALENCE AND RISK FACTORS 3 -- APPENDIX 1.2. SEARCH TERMS FOR PRIMARY STUDIES ON PREDICTORS 4 -- APPENDIX 1.3. SEARCH TERMS FOR DETECTION OF PICS-RELATED DISORDERS 5 -- APPENDIX 1.4. SEARCH TERMS FOR THE EFFECTIVENESS OF INTERVENTIONS AND PATIENT EXPERIENCE 6 -- APPENDIX 2. DESCRIPTION OF SYSTEMATIC REVIEWS ON PREVALENCE AND RISK FACTORS, PER DIMENSION 8 -- APPENDIX 3.1. SELECTION PROCESS 9 -- APPENDIX 3.2. DETECTION TOOLS FOR PHYSICAL FUNCTION . 13 -- APPENDIX 3.3. DETECTION TOOLS FOR ANXIETY AND DEPRESSION 14 -- APPENDIX 3.4. DETECTION TOOLS FOR PTSD 16 -- APPENDIX 3.5. DETECTION TOOLS FOR COGNITION 19 -- APPENDIX 4. SUPPLEMENT OF CHAPTER 4 21 -- REFERENCES 147 Link for e-copy: https://kce.fgov.be/sites/default/files/atoms/files/COVID-19%20Contributions_%20 [...] Format of e-copy: PDF (985 KB) Record link: https://kce.docressources.info/index.php?lvl=notice_display&id=4681 Preventie van het Post-intensive care syndroom (PICS) / Jef Adriaenssens / Brussels [Belgium] : KCE = Federaal Kenniscentrum voor de Gezondheidszorg = Centre Fédéral d'Expertise des Soins de Santé = Belgian Health Care Knowledge Centre (2023)
PermalinkPrevention of post-intensive care syndrome (PICS) / Jef Adriaenssens / Brussels [Belgium] : KCE = Federaal Kenniscentrum voor de Gezondheidszorg = Centre Fédéral d'Expertise des Soins de Santé = Belgian Health Care Knowledge Centre (2023)
PermalinkPrevention of post-intensive care syndrome (PICS) / Jef Adriaenssens / Brussels [Belgium] : KCE = Federaal Kenniscentrum voor de Gezondheidszorg = Centre Fédéral d'Expertise des Soins de Santé = Belgian Health Care Knowledge Centre (2023)
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