Other Titles

The Changing Trends in Post-Intensive Care Syndrome Among Survivors Transferred out of the Intensive Care Unit [Poster Title]

Abstract

Aim: Intensive care unit (ICU) survivors suffering from post-intensive care syndrome (PICS) have been recognized as post-intensive care comorbidities. However, there are rare literature exploring the changing trends of intensive care unit survivors. The purpose of this study was to explore the changing in PICS among survivors transferred out of the intensive care unit.

Methods: The study conducted a longitudinal design, participants were recruited from a medical center in Southern Kaohsiung, Taiwan. Following approval by the participant hospital’s institutional review board (EMRP-108-145). Inclusion criteria were patients who were diagnosed with critical illness and stay at ICU at least 7 days. Outcome measurement variables included the Post-Intensive Care Syndrome Scale (PICS), personal characteristics, and disease-related variables. The demographic and medical variables were collected from 104 ICU survivors at the day they were transferred to the ward. The baseline data were collected within one week (T1), one month (T1), and three months (T2) after they were transferred to the ward and after discharge.

Results: The PICS scores ranged from 0 to 54 (T1), 0 to 54 (T2), and 0 to 53 (T3) with a mean score of 22.17 (SD=14.56) at T1; 15.39(SD=15.40) at T2, and 8.56 (SD=11.87) at T3. The CESD mean scores showed that participants experienced PICS decreased at the one and three months after they were transferred to the ward and discharge. The generalized estimating equation analysis showed that time was significantly different, indicated that patients experienced PICS improvement after transferred out ICU. The results indicated the participants’ PICS scores decreased, and there was a significant trend from Time 1 to Time 3. These results showed that the 3-month PICS score was significantly lower than one-week by 27.03 points, and one-month PICS score was significantly lower than one-week by 12.58 points.

Conclusions: The study confirmed that the changing in PICS among survivors transferred out of the intensive care unit. This results recommend for the healthcare staff aware the PICS of ICU survivors, and embed the changing trends into discharge plan in care of ICU survivors.

Notes

References:

1. Brown SM, Bose S, Banner-Goodspeed V, et al. Addressing Post Intensive Care Syndrome 01 (APICS-01) study team. Approaches to addressing post-intensive care syndrome among intensive care unit (ICU) survivors: A narrative review [published online August 1, 2019]. Ann Am Thorac Soc. doi:10.1513/AnnalsATS.201812-913FR

2. Davidson, J. E. Harvey, M. A., Schuller, J., & Balck, G. (2013). Post-intensive care syndrome: What it is and how to help prevent it. American Nurse Today, 8(5), 32-36.

3. Elliott, D, et al. (2014). Exploring the scope of post-intensive care syndrome therapy and care: Engagement of non-critical care providers and survivors in a second stakeholders meeting. Critical Care Medicine, 42:2518-2526.

4. Jeong, Y. J. & Kang, J. (2019). Development and validation of a questionnaire to measure post-intensive care syndrome. Intensive Critical Care Nursing, 12, 102756. doi: 10.1016/j.iccn.2019.102756.

5. Lin, Y.H. (2020). Post-intensive care syndrome in intensive care patients and their families. The Journal of Nursing, 67(3), 30-37.

6. Ramnarain D, Rutten A, Van der Nat G, Van Gorp, J., Gnirrep, I., Voermans-Schellekens, S.,….Van der Lely, N. (2015). The impact of post intensive care syndrome in patients surviving the ICU: the downside of ICU treatment. Intensive Care Medicine Experimental, 3(Suppl 1):A530.

Description

The purpose of this study was to explore the changing in PICS among survivors transferred out of the intensive care unit. The study conducted a longitudinal design, 104 ICU survivors at the day they were transferred to the ward were included. The results indicated the participants’ PICS scores decreased by time, and there was a significant trend from Time 1 to Time 3. These results showed that the 3-month PICS score was significantly lower than one-week, and one-month

Author Details

Prof. Yu-Hua Lin, PhD; Wan-Hao Chang, MSN, RN; Tzu-Yu Tseng, RN

Sigma Membership

Lambda Beta at-Large

Type

Poster

Format Type

Text-based Document

Study Design/Type

Other

Research Approach

Other

Keywords:

Acute Care, Intensive Care Unit, ICU, Post-Intensive Care Syndrome, PICS

Conference Name

36th International Nursing Research Congress

Conference Host

Sigma Theta Tau International

Conference Location

Seattle, Washington, USA

Conference Year

2025

Rights Holder

All rights reserved by the author(s) and/or publisher(s) listed in this item record unless relinquished in whole or part by a rights notation or a Creative Commons License present in this item record.

Review Type

Abstract Review Only: Reviewed by Event Host

Acquisition

Proxy-submission

Click on the above link to access the poster.

Share

COinS
 

The Changing Trends in Post-Intensive Care Syndrome Among Survivors Transferred out of the ICU

Seattle, Washington, USA

Aim: Intensive care unit (ICU) survivors suffering from post-intensive care syndrome (PICS) have been recognized as post-intensive care comorbidities. However, there are rare literature exploring the changing trends of intensive care unit survivors. The purpose of this study was to explore the changing in PICS among survivors transferred out of the intensive care unit.

Methods: The study conducted a longitudinal design, participants were recruited from a medical center in Southern Kaohsiung, Taiwan. Following approval by the participant hospital’s institutional review board (EMRP-108-145). Inclusion criteria were patients who were diagnosed with critical illness and stay at ICU at least 7 days. Outcome measurement variables included the Post-Intensive Care Syndrome Scale (PICS), personal characteristics, and disease-related variables. The demographic and medical variables were collected from 104 ICU survivors at the day they were transferred to the ward. The baseline data were collected within one week (T1), one month (T1), and three months (T2) after they were transferred to the ward and after discharge.

Results: The PICS scores ranged from 0 to 54 (T1), 0 to 54 (T2), and 0 to 53 (T3) with a mean score of 22.17 (SD=14.56) at T1; 15.39(SD=15.40) at T2, and 8.56 (SD=11.87) at T3. The CESD mean scores showed that participants experienced PICS decreased at the one and three months after they were transferred to the ward and discharge. The generalized estimating equation analysis showed that time was significantly different, indicated that patients experienced PICS improvement after transferred out ICU. The results indicated the participants’ PICS scores decreased, and there was a significant trend from Time 1 to Time 3. These results showed that the 3-month PICS score was significantly lower than one-week by 27.03 points, and one-month PICS score was significantly lower than one-week by 12.58 points.

Conclusions: The study confirmed that the changing in PICS among survivors transferred out of the intensive care unit. This results recommend for the healthcare staff aware the PICS of ICU survivors, and embed the changing trends into discharge plan in care of ICU survivors.