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Society of Critical Care Medicine recommendations for screening high risk patients for post-intensive care syndrome

Society of Critical Care Medicine recommendations for screening high risk patients for post-intensive care syndrome
Functional domain Before critical illness During critical illness After critical illness
Cognition
  • Pre-existing cognitive dysfunction
  • Incidence and duration of delirium
  • Sedation (benzodiazepines)
  • Sepsis
  • Shock
  • Hypoxia
  • Acute respiratory distress syndrome
  • Life support*
 
Mental health
  • Pre-existing mental health problems (anxiety, depression, or posttraumatic stress disorder)
  • Memories of frightening experiences in ICU
  • Early symptoms of anxiety, depression, or posttraumatic stress disorder
Physical
  • Pre-existing functional disability
  • Frailty
  • Pre-existing cognitive impairment
   

ICU: intensive care unit.

* Life support (eg, invasive mechanical ventilation) was identified as a key risk factor for post-ICU problems (weak recommendation, 72% agreement).
From: Mikkelsen ME, Still M, Anderson BJ, et al. Society of Critical Care Medicine's International Consensus Conference on Prediction and Identification of Long-Term Impairments After Critical Illness. Crit Care Med 2020; 48:1670. DOI: 10.1097/CCM.0000000000004586. Copyright © 2020 Society of Critical Care Medicine. Reproduced with permission from Wolters Kluwer Health. Unauthorized reproduction of this material is prohibited.
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