Long-term cognitive, psychological, and physical sequelae can occur in patients after a critical illness and are collectively termed post–intensive care syndrome (PICS). Given the various symptoms that may occur, assessing for PICS is difficult and the syndrome can often go unrecognized.
Wang and colleagues tested the use of a clinical tool that captures all 3 domains of PICS, called the Healthy Aging Brain Care Monitor Self Report (HABC-M SR), with adult patients in a critical care recovery center (CRRC). They found the following:
When compared with standardized assessment tools measuring each domain individually, the HABC-M SR showed good reliability and validity.
Although considerably younger (mean age, 52.3 vs 72.7 years), patients in the CRRC reported greater severity of PICS symptoms than patients seen in primary care reported.
The authors recommend that clinicians consider neuropsychological testing in younger intensive care unit survivor patients. Although...