I often discuss Post Intensive Care Syndrome on Twitter - called "PICS" but what is it? Let's briefly unpack it in a 🧵 1/7
Coined by a thoughtful clinician, pioneering researcher, and winsome colleague @DrDaleNeedham in 2012 in an article that has been cited over 2,000 times. It refers to a condition that affects millions of survivors of critical illness/intensive care. @CIBScenter 2/7
PICS is a phenomenon in which individuals develop new or worsening symptoms/difficulties after the #ICU in one or more of 3 key domains - cognitive, psychological, physical. 3/7.
Cognitive problems include deficits in attention, executive functioning, language, all aspects of memory, processing speed, visuo-spatial construction, etc. Impacting 1 in 3 people. 4/7
Psychological problems include anxiety, claustrophobia, depression, OCD, psychosis, and PTSD. Impacting 1 in 3 people. 5/7
Physical problems include loss of strength, mobility problems, polyneuropathy, profound deconditioning, to name a few. Impacting 1 in 3 people. 6/7
PICS is surely one of the most prevalent conditions that many doctors have never heard of. You owe it to your patients to learn about this condition, which can be prevented, managed, and treated. @CIBScenter @WesElyMD 7/7
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