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Post-intensive care syndrome : ウィキペディア英語版
Post-intensive care syndrome
Post-intensive care syndrome (PICS) describes a collection of health disorders that are common among patients who survive critical illness and intensive care.〔Medicine SoCC. Post-Intensive Care Syndrome. Patients and Families 2013; http://www.myicucare.org/Adult-Support/Pages/Post-intensive-Care-Syndrome.aspx. Accessed July 30, 2014.〕 The range of symptoms that PICS describes falls under three broad categories: physical dysfunction, cognitive dysfunction, and mental health problems. A patient with PICS may suffer from symptoms from all three categories or just one.
Improvements in survival after a critical illness have led to research focused on long-term outcomes for these patients. This improved survival has also led to the discovery of significant functional disabilities that many survivors of critical illness suffer.〔Needham DM, Davidson J, Cohen H, et al. Improving long-term outcomes after discharge from intensive care unit: report from a stakeholders' conference. Critical care medicine. Feb 2012;40(2):502-509.〕 Because the majority of literature in critical care medicine is focused on short-term outcomes (e.g. survival), current understanding of PICS is relatively limited.〔Kress JP. Sedation and mobility: changing the paradigm. Critical care clinics. Jan 2013;29(1):67-75.〕 Recent research suggests that there is significant overlap among the three broad categories of symptoms. In addition, sedation and prolonged immobilization seem to be common themes among patients who suffer from PICS.
The term PICS is relatively new and arose, at least in part, to raise awareness of the important long-term dysfunctions resulting from treatment in the intensive care unit (ICU). Awareness of these long-term functional disabilities is growing, and research is ongoing to further clarify the spectrum of disabilities and to find more effective ways to prevent these long-term complications and to more effectively treat functional recovery.〔Medicine SoCC. Post-Intensive Care Syndrome. Patients and Families 2013; http://www.myicucare.org/Adult-Support/Pages/Post-intensive-Care-Syndrome.aspx. Accessed July 30, 2014.〕 Increased awareness in the medical community has also highlighted the need for more hospital and community-based resources to more effectively identify and treat patients with suffering from PICS after surviving a critical illness.
== Conditions ==

The most recognized form of the syndrome is the physical dysfunction commonly known as ICU-acquired weakness. The other physical, cognitive, and mental health impairments are less well recognized and need further research to be better understood.

抄文引用元・出典: フリー百科事典『 ウィキペディア(Wikipedia)
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