Intensive Care Unit (ICU) Patients, Post-Intensive Care Syndrome (PICS), Symptom Burden
Conditions
Brief summary
The study aims to estimate the prevalence of post-intensive care syndrome (PICS) 12 months after ICU admission among adult ICU survivors in Denmark and to describe how this prevalence is distributed across the physical, cognitive, and mental health domains. By conducting follow-up assessments at 3, 6, and 12 months post-discharge, the study further seeks to determine the prevalence of PICS at each time point, characterise its temporal trajectory, and explore patients' symptom burden over time. Research question * What is the prevalence of PICS and its specific components (physical, cognitive, and mental health domains) among ICU survivors 12 months after ICU admission? * How do the components of PICS evolve during the follow-up period (trajectory)? * What risk factors are associated with the development of PICS in ICU survivors? * Are there differences in PICS prevalence based on demographic or clinical characteristics (e.g., age, comorbidities, ICU length of stay)? The hypothesis is that the prevalence of post-intensive care syndrome (PICS) in a Danish cohort of adult ICU survivors at 12 months will be approximately one third, defined as impairment in at least one of the three PICS domains (physical, cognitive, or mental health), measured using validated instruments with pre-specified cut-offs.
Interventions
None listed
Sponsors
Study design
Eligibility
Inclusion criteria
* Adult patients ≥ 18 years of age * Admitted to the intensive care unit for ≥48 hours * Acutely admitted to the intensive care unit
Exclusion criteria
* Patients with limited treatment * Foreign patients * Pregnant women * Patient with impaired cognitive function (e.g. dementia, intellectual disability) * Patient without Danish citizenship * Patient with limited proficiency in the Danish language
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Presence of PICS at 12 months after ICU admission | 12 months after ICU admission | Presence of PICS at 12 months after ICU admission, defined as impairment in at least one of the three domains (physical, cognitive or mental health) measured with validated instruments and pre-specified cut-off values. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Prevalence of PICS at 3 and 6 months | Data will be collected at 3 and 6 months post-discharge | The proportion of participants meeting the PICS definition at 3 and 6 months post-discharge, using the same domain criteria as for the 12-month primary outcome. |