PREVALENCE AND MANIFESTATIONS OF POST-INTENSIVE CARE SYNDROME IN PATIENTS RECOVERING FROM CRITICAL ILLNESS AT A TERTIARY CARE HOSPITAL IN PAKISTAN
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Keywords
Critical illness, ICU, Post-Intensive Care Syndrome, Rehabilitation, Physical impairment, Psychological impairment
Abstract
Background: Post-Intensive Care Syndrome (PICS) is a collection of physical, cognitive, and psychological impairments that affect patients following critical illness and intensive care unit (ICU) admission. As survival rates improve, the burden of PICS on patient recovery and quality of life has become increasingly recognized.
Objective: The primary objective of this study was to assess the prevalence and manifestations of PICS in patients recovering from critical illness at a tertiary care hospital in Pakistan, focusing on physical, cognitive, and psychological impairments.
Study Setting & Design: This cross-sectional study was conducted at Jinnah International Hospital Abbottabad.
Methodology: A sample of 150 patients taken who had been discharged from the ICU after recovering from critical illness. A structured questionnaire was used to assess PICS components, including physical, cognitive, and psychological impairments. Patients were classified based on the severity of impairments. Data were analyzed using statistical methods to identify associations between ICU-related factors and the presence of PICS.
Results: The study found that 73.3% of patients experienced some form of physical impairment, 53.3% had cognitive impairments, and 66.7% showed psychological symptoms, with anxiety being the most common. Length of ICU stay, mechanical ventilation, and primary diagnosis were significantly associated with the prevalence of PICS.
Conclusion: PICS is highly prevalent among ICU survivors, with significant physical, cognitive, and psychological impacts. Early identification and targeted rehabilitation strategies are essential to improving long-term recovery.
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Azeeta Israr
FCPS Medicine Consultant Medicine Benazir Bhutto Shaheed Hospital Abbottabad
Umer Farooq
FCPS Medicine, Registrar Medicine Jinnah International Hospital Abbottabad
Arooj Zahra
FCPS Medicine SR HITECH -IMS Taxilla Medical Specialist Margalla Hospital PMO Taxilla
Kashif Iqbal
FCPS Medicine SR HITECH -IMS Taxilla Medical Specialist Margalla Hospital PMO Taxilla
Rabia Asghar
MBBS, House Job from Sheikh Zayed Hospital, Lahore
Attiqa Khan
MBBS, House Officer SKBZ CMH, Rawalakot