Evidence map›Paper›PMID 31304024›Full record

ReviewAcute medicine & surgery2019

Post-intensive care syndrome: its pathophysiology, prevention, and future directions.

Shigeaki Inoue, Junji Hatakeyama, Yutaka Kondo, Toru Hifumi, Hideaki Sakuramoto, Tatsuya Kawasaki, Shunsuke Taito, Kensuke Nakamura, Takeshi Unoki, Yusuke Kawai and 4 more

Registry-linked trialOpen access · goldAbstract readReview
In one paragraph

Review in Acute medicine & surgery, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07510776 (UP STUDY - Decipher Persistent Critical Illness Through in Deep Clinical Phenotyping.), which is not on this map. Cited by 235 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
235citing papers in PubMed, 3 pooled it
45.5field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT07510776 recruitingnot on this mapstarted 2025, after this paper: background citation

UP STUDY - Decipher Persistent Critical Illness Through in Deep Clinical Phenotyping.

TypeobservationalSponsorLisbon Academic Medical Center - Centro Académico de Medicina de LisboaRan2025 to 2027Enrolled7,000ConditionsCritical Illness, Recovery Outcomes, Critical Care, Intensive Care, Critical Care
3 · Its place in the literature

Who cites it

235 citing papers in PubMed, 3 syntheses or guidelines pooled it, 583 citations in OpenAlex.

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175 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

14 authors at 13 institutions in 1 country.

Shigeaki InoueDepartment of Disaster and Emergency and Critical Care Medicine Kobe University Graduate School of Medicine Kobe Hyogo Japan.ORCID https://orcid.org/0000-0003-3907-8537
Junji HatakeyamaDepartment of Emergency and Critical Care Medicine Yokohama City Minato Red Cross Hospital Yokohama Kanagawa Japan.
Yutaka KondoDepartment of Emergency and Critical Care Medicine Juntendo University Urayasu Hospital Urayasu Chiba Japan.
Toru HifumiEmergency and Critical Care Medicine St. Luke's International Hospital Tokyo Japan.
Hideaki SakuramotoDepartment of Adult Health Nursing College of Nursing Ibaraki Christian University Hitachi Japan.
Tatsuya KawasakiDepartment of Pediatric Critical Care Shizuoka Children's Hospital Shizuoka Japan.
Shunsuke TaitoDepartment of Clinical Practice and Support Division of Rehabilitation Hiroshima University Hospital Hiroshima Japan.
Kensuke NakamuraDepartment of Emergency and Critical Care Medicine Hitachi General Hospital Hitachi Ibaraki Japan.
Takeshi UnokiDepartment of Adult Health Nursing School of Nursing Sapporo City University Sapporo Japan.ORCID https://orcid.org/0000-0002-7778-4355
Yusuke KawaiDepartment of Nursing Fujita Health University Hospital Toyoake Aichi Japan.
Yuji KenmotsuDepartment of Nursing Tokai University Hachioji Hospital Hachioji Tokyo Japan.
Masafumi SaitoDepartment of Disaster and Emergency and Critical Care Medicine Kobe University Graduate School of Medicine Kobe Hyogo Japan.
Kazuma YamakawaDivision of Trauma and Surgical Critical Care Osaka General Medical Center Osaka City Osaka Japan.
Osamu NishidaDepartment of Anesthesiology and Critical Care Medicine Fujita Health University School of Medicine Toyoake Aichi Japan.
Kobe University · JPFujita Health University · JPFujita Health University Hospital · JPHiroshima University Hospital · JPHitachi General Hospital · JPIbaraki Christian University · JPJuntendo University Urayasu Hospital · JPOsaka Prefectural Medical Center · JPSapporo City University · JPShizuoka Children's Hospital · JPSt. Luke's International Hospital · JPTokai University Hachioji Hospital · JPYokohama Municipal Minato Red Cross Hospital · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Expanding elderly populations are a major social challenge in advanced countries worldwide and have led to a rapid increase in the number of elderly patients in intensive care units (ICUs). Innovative advances in medical technology have enabled lifesaving of patients in ICUs, but there remain various problems to improve their long-term prognoses. Post-intensive care syndrome (PICS) refers to physical, cognition, and mental impairments that occur during ICU stay, after ICU discharge or hospital discharge, as well as the long-term prognosis of ICU patients. Its concept also applies to pediatric patients (PICS-p) and the mental status of their family (PICS-F). Intensive care unit-acquired weakness, a syndrome characterized by acute symmetrical limb muscle weakness after ICU admission, belongs to physical impairments in three domains of PICS. Prevention of PICS requires performance of the ABCDEFGH bundle, which incorporates the prevention of delirium, early rehabilitation, family intervention, and follow-up from the time of ICU admission to the time of discharge. Diary, nutrition, nursing care, and environmental management for healing are also important in the prevention of PICS. This review outlines the pathophysiology, prevention, and future directions of PICS.

Indexed as

Cognitive impairmentend‐of‐lifeICU‐acquired weaknessintensive care unitmental impairmentphysical impairmentPICS‐ppost‐intensive care syndrome

Identifiers

PMID31304024
PMCPMC6603316
OpenAlexW2941520576

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.