Post-intensive care syndrome (PICS) includes new impairments following ICU admission, affecting physical, cognitive, psychologic, and thromboinflammatory functions.
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The guideline emphasizes the need for domain-specific evaluations of PICS, including cognitive and physical assessments tailored to individual patient needs.
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Long-term outcomes for ICU survivors show significant cognitive impairment in 30% to 50% of patients and a mortality rate of 25% to 30% within one year.
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Patients with ICU stays over 48 hours should be referred to multidisciplinary PICS clinics, with follow-ups recommended at 2, 3, 6, and 12 months post-discharge.
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The recommendations are based on expert consensus, highlighting the importance of recognizing PICS to improve recovery and quality of life after ICU discharge.
Severe social jet lag among surgeons was associated with higher rates of major adverse events, independent of sleep duration, workload, and patient risk.