Guideline on multimodal rehabilitation for patients with post-intensive care syndrome

Renner, Caroline and Jeitziner, Marie-Madlen and Albert, Monika and Brinkmann, Sabine and Diserens, Karin and Dzialowski, Imanuel and Heidler, Maria-Dorothea and Lück, Martina and Nusser-Müller-Busch, Ricki and Sandor, Peter S. and Schäfer, Andreas and Scheffler, Bettina and Wallesch, Claus and Zimmermann, Gudrun and Nydahl, Peter. (2023) Guideline on multimodal rehabilitation for patients with post-intensive care syndrome. Critical Care, 27. p. 301.

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Intensive Care Unit (ICU) survivors often experience several impairments in their physical, cognitive, and psychological health status, which are labeled as post-intensive care syndrome (PICS). The aim of this work is to develop a multidisciplinary and -professional guideline for the rehabilitative therapy of PICS.; A multidisciplinary/-professional task force of 15 healthcare professionals applied a structured, evidence-based approach to address 10 scientific questions. For each PICO-question (Population, Intervention, Comparison, and Outcome), best available evidence was identified. Recommendations were rated as "strong recommendation", "recommendation" or "therapy option", based on Grading of Recommendations, Assessment, Development and Evaluation principles. In addition, evidence gaps were identified.; The evidence resulted in 12 recommendations, 4 therapy options, and one statement for the prevention or treatment of PICS.; early mobilization, motor training, and nutrition/dysphagia management should be performed. Delirium prophylaxis focuses on behavioral interventions. ICU diaries can prevent/treat psychological health issues like anxiety and post-traumatic stress disorders. Early rehabilitation approaches as well as long-term access to specialized rehabilitation centers are recommended. Therapy options include additional physical rehabilitation interventions. Statement: A prerequisite for the treatment of PICS are the regular and repeated assessments of the physical, cognitive and psychological health in patients at risk for or having PICS.; PICS is a variable and complex syndrome that requires an individual multidisciplinary, and multiprofessional approach. Rehabilitation of PICS should include an assessment and therapy of motor-, cognitive-, and psychological health impairments.
Faculties and Departments:03 Faculty of Medicine > Departement Public Health > Institut für Pflegewissenschaft
UniBasel Contributors:Jeitziner, Marie-Madlen
Item Type:Article, refereed
Article Subtype:Research Article
Publisher:BioMed Central
Note:Publication type according to Uni Basel Research Database: Journal article
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edoc DOI:
Last Modified:07 Aug 2023 07:16
Deposited On:07 Aug 2023 07:16

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