Abstract
Background
Patients transferred from the respiratory intensive care unit (ICU) can experience
post–intensive care syndrome (PICS), which comprises cognitive, psychological, and
physical disorders that seriously affect the quality of life. Therefore, it was necessary
to explore the incidence of and the risk factors for PICS among respiratory ICU patients.
Objectives
This study evaluated PICS among respiratory ICU patients and explored the risk factors
for PICS.
Methods
This cross-sectional, prospective study was performed at one hospital in China. Using
convenience sampling, 125 respiratory ICU patients from August 2018 to June 2019 were
recruited for the study. The Mini-Mental State Examination, Confusion Assessment Method
for the Intensive Care Unit, Hospital Anxiety and Depression Scale, Medical Research
Council Scale, activities of daily living scale, Pittsburgh Sleep Quality Index, and
the 14-item fatigue scale were used to comprehensively assess the patients' cognitive
status, psychological status, and physiological status when entering the ICU and 2
weeks after leaving the ICU. Factors affecting PICS were measured using researcher-created
questionnaires of patients’ general information and disease-related information.
Results
Fifteen patients were lost to follow-up. Fifty-nine patients had PICS (incidence rate,
53.6%). Logistic regression showed that risk factors for PICS were age, invasive mechanical
ventilation, noninvasive ventilator-assisted ventilation, and coronary heart disease
(P < 0.05).
Conclusion
The PICS incidence was high. Older age, longer invasive mechanical ventilation times,
longer noninvasive ventilator times, and coronary heart disease were risk factors
for PICS. ICU medical workers in China should pay more attention on PICS, know the
risk factors, and implement preventive measures.
Keywords
To read this article in full you will need to make a payment
Purchase one-time access:
Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online accessOne-time access price info
- For academic or personal research use, select 'Academic and Personal'
- For corporate R&D use, select 'Corporate R&D Professionals'
Subscribe:
Subscribe to Australian Critical CareAlready a print subscriber? Claim online access
Already an online subscriber? Sign in
Register: Create an account
Institutional Access: Sign in to ScienceDirect
References
- Three-year outcomes for Medicare beneficiaries who survive intensive care.JAMA. 2010; 303: 849-856
- The application effect of transitional care transferred from ICU to respiratory medicine in patients with severe COPD.Chin J Nurs. 2015; 10: 121-123
- Clinical practice and research progress of ICU transition nursing care.Chin J Nurs. 2016; 2: 211-215
- Improving long-term outcomes after discharge from intensive care unit: report from a stakeholders’ conference.Crit Care Med. 2012; 40: 502-509
- Implementing a mobility program to minimize post-intensive care syndrome.AACN Adv Crit Care. 2016; 27: 187-203
- Post-intensive care syndrome: a concept analysis.Int J Nurs Stud. 2021; 11: 10-14
- Exploring the scope of post-intensive care syndrome therapy and care: engagement of non-critical care providers and survivors in a second stakeholders meeting.Crit Care Med. 2014; 42: 2518-2526
- Developing a Diary program to minimize patient and family post-intensive care syndrome.AACN Adv Crit Care. 2016; 27: 212-220
- Post-intensive care syndrome: its pathophysiology, prevention, and future directions.Acute Med Surg. 2019; 6: 233-246
- Risk factors for post-intensive care syndrome: a systematic review and meta-analysis.Aust Crit Care. 2020; 33: 287-294
- Post-intensive care syndrome: an overview.J Transl Int Med. 2017; 5: 90-92
- Status of intervention research on post-ICU syndrome.Chin J Nurs. 2015; 5: 1369-1374
- The current status of post-ICU syndrome research abroad.Chin J Nurs. 2016; 51: 84-89
- What is post-intensive care syndrome (PICS)?.Am J Respir Crit Care Med. 2020; 201: 15-16
- Application of multidisciplinary cooperative transitional nursing in the prevention of post-ICU syndrome.Nurs Pract Res. 2017; 14: 36-37
- Research progress of post-ICU syndrome assessment tools.J Nurs Manag. 2018; 18: 107-111
- Delirium in mechanically ventilated patients: validity and reliability of the confusion assessment method for the intensive care unit (CAM-ICU).JAMA. 2001; 286: 2703-2710
- A preliminary study on the reliability and validity of the Chinese version of the Simple Intelligence Mental State Checklist in stroke patients.Fujian University of Traditional Chinese Medicine, Fujian2015: 1-32
- Evaluation of doctor-patient anxiety and depression status and its impact on hospital satisfaction.The Third Hospital of Shanxi Medical University, Shanxi2011: 1-5
- Reliability and validity analysis of Pittsburgh sleep quality index.Chongqing Med. 2014; 43: 260-263
- Characteristics of fatigue, depression, anxiety and life events in patients with chronic fatigue syndrome and their correlation analysis.Chin J Behav Med Sci. 2000; 3: 84-86
IBM Corp. Released 2017. IBM SPSS Statistics for Windows, Version 25.0. Armonk, NY: IBM Corp.
- Poor functional status immediately after discharge from an intensive care unit.Disabil Rehabil. 2008; 30: 1812-1818
- Persistent neuromuscular and neurophysiologic abnormalities in long-term survivors of prolonged critical illness.Crit Care Med. 2003; 31: 1012-1016
- Sleep and psychological health during early recovery from critical illness: an observational study.J Psychosom Res. 2013; 75: 539-545
- Psychiatric morbidity in survivors of the acute respiratory distress syndrome: a systematic review.PsychosoMed. 2008; 70: 512-519
- The adult respiratory distress syndrome cognitive outcomes study: long-term neuropsychological function in survivors of acute lung injury.Am J Respir Crit Care Med. 2012; 185: 1307-1315
- Clinical practice guidelines for the management of pain, agitation, and delirium in adult patients in the intensive care unit.Crit Care Med. 2013; 41: 263-306
- Investigating risk factors for psychological morbidity three months after intensive care: a prospective cohort study.Crit Care. 2012; 16: R192
- Application of humanistic care in patients with post-ICU syndrome in neurology.Chin J Pract Nerv Dis. 2018; 21: 440-443
- Physiological and psychological characteristics of elderly patients with coronary heart disease and their influence on prognosis.Gansu Med. 2011; 6: 383-384
- Home and community-based physical therapist management of adults with post-intensive care syndrome.Phys Ther. 2020; 100: 1062-1073
Article info
Publication history
Published online: September 11, 2022
Accepted:
July 31,
2022
Received in revised form:
July 31,
2022
Received:
March 23,
2022
Publication stage
In Press Corrected ProofIdentification
Copyright
© 2022 Australian College of Critical Care Nurses Ltd. Published by Elsevier Ltd. All rights reserved.