Vol. 3 No. 3 (2024): simul-action for elevation
Articles

Post Intensive Care Syndrome in patients affected by COVID-19

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  • Sara Ciuffi,
  • Beatrice Meucci,
  • Yari Longobucco,
  • Camilla Elena Magi,
  • Carla Amato,
  • Khadija El Aoufy,
  • Paolo Iovino,
  • Alberto Lucchini,
  • Carolinna Forciniti,
  • Pasquale Iozzo,
  • Laura Rasero,
  • Stefano Bambi
Sara Ciuffi
RN, CCN, Surgical Intensive Care Unit. Villa Donatello Hospital, Sesto Fiorentino, Florence, Italy
Beatrice Meucci
RN, MSN, PhD Candidate, Neurosurgical Intensive Care Unit. Careggi University Hospital, Florence, Italy
Yari Longobucco
RN, MSN, PhD. Assistant Professor in Nursing Sciences, Department of Health Sciences. University of Florence, Florence, Italy
Camilla Elena Magi
RN, MSN, PhD Candidate. Research Fellow in Nursing Sciences, Department of Health Sciences. University of Florence, Florence, Italy
Carla Amato
RN, MSN, PhD Candidate. Research Fellow in Nursing Sciences. Department of Health Sciences. University of Florence, Florence, Italy
Khadija El Aoufy
RN, MSN, PhD Candidate. Research Fellow in Nursing Sciences. Department of Health Sciences. University of Florence, Florence, Italy
Paolo Iovino
RN, MSN, PhD. Assistant Professor in Nursing Sciences. Department of Health Sciences. University of Florence, Florence, Italy
Alberto Lucchini
RN, Nurse Coordinator, Adult and Pediatric General ICU, Fondazione IRCCS San Gerardo dei Tintori, University of Milano-Bicocca, Italy
Carolinna Forciniti
RN, MSN, Medical & Surgical Intensive Care Unit. Careggi University Hospital, Florence, Italy
Pasquale Iozzo
RN, MSN, PhD Candidate, Emergency Department Palermo University Hospital, Palermo, Italy
Laura Rasero
RN, MSN, Associate Professor in Nursing Sciences. Department of Health Sciences. University of Florence, Florence, Italy
Stefano Bambi
RN, CCN, MSN, PhD. Associate Professor in Nursing Sciences. Department of Health Sciences. University of Florence, Florence, Italy
DOI: https://doi.org/10.36253/if-2410

Published 2024-09-30

Keywords

  • Post Intensive Care Syndrome,
  • COVID-19,
  • ABCDE Bundle,
  • Prevention,
  • Nursing

Copyright (c) 2024 Sara Ciuffi, Beatrice Meucci, Yari Longobucco, Camilla Elena Magi, Carla Amato, Khadija El Aoufy, Paolo Iovino, Alberto Lucchini, Carolinna Forciniti, Pasquale Iozzo, Laura Rasero, Stefano Bambi

Creative Commons License

This work is licensed under a Creative Commons Attribution 4.0 International License.

Abstract

Despite improvements in survival rates within the ICU over the years, a substantial number of patients continue to struggle with prolonged return to their initial levels of functionality. The physical, psychological, cognitive, and social alterations that persist beyond hospital discharge due to a critical illness are collectively termed “Post Intensive Care Syndrome” (PICS). This term encompasses patients recovering from critical illnesses and their family members (PICS-F). Considering the potential consequences for COVID-19 patients after discharge from the ICU, this paper aimed to describe the characteristics and frequency of PICS in this specific population. Owing to the recent emergence of COVID-19, evidence is still lacking in scientific literature. Among patients admitted to the ICUs with COVID-19, there is a notably high incidence of alterations in at least one dimension (physical, psychological, cognitive, and social). These observed alterations appear to be comparable to those found in non-COVID-19 patients. However, owing to the limited number of studies in the current literature, this cannot be definitively demonstrated. Similar to non-COVID-19 patients, the implementation of the ABCDEF bundle should be considered for COVID-19 patients to prevent PICS. The published literature underscores the profound impact of COVID-19 on patients admitted to ICUs, resulting in significant alterations in the physical, psychological, and cognitive dimensions of post-intensive care syndrome. However, clinical heterogeneity was present in the reported data, and various assessment scales were employed in different studies for each domain. To address this issue, adoption of standardized assessment tools as part of post-ICU follow-ups at consistent intervals for all patients is recommended.

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