post-intensive care syndrome–family(English)

• approximately 1.4 million older adults in the USA survive an episode of critical illness each year. As the intensive care unit (ICU) population ages and survival rates from critical illness improve, a growing number of older patients are suffering from long-term cognitive, psychological, and physical impairments. This syndrome describes the psychological symptoms that affect the family members of patients hospitalized in the intensive care unit or recently discharged, and geriatric psychiatrists should be concerned for several reasons. First, ICU hospitalization in older adults is associated with higher rates of cognitive and physical impairment, compared to older adults hospitalized in non-ICU settings or dwelling in the community. This confers a special burden on the caregivers of these older ICU survivors compared to other geriatric populations. Second, as caregivers themselves age, caring for this unique burden can be more challenging compared to other geriatric populations. Third, evidence for models of care centered on patients with multimorbidity and their caregivers is limited
• ARDS, ICEQ, ICU, PICS, QOL, PTSD
• Intensive care medicine, Aging, Anxiety/fear, Cognitive function, Post-traumatic state, Depression, Sleep medicine
• https://dx.doi.…agp.2018.12.002