Survivors of critical illnesses aren’t the only ones who can be affected. Loved ones supporting those recovering from critical illnesses can also develop some of the same mental and psychological symptoms of PICS, called post-intensive care syndrome-family, or PICS-F.
Post-Intensive Care Syndrome (PICS) Symptoms
Signs and symptoms of PICS can develop during an ICU stay and may persist after going home. Symptoms can last for weeks, months or even years.
Post-Intensive Care Syndrome (PICS) Causes
PICS is a complex condition that can result from a combination of stressors the body can undergo when fighting against critical illness or injury during a patient's stay in an intensive care unit (ICU). While the exact causes of PICS are not fully understood, contributing factors can include:
- Critical illness
- Invasive medical interventions
- Sedation and medications
- Delirium
- Sleep deprivation
- Immobility
- Muscle atrophy
- Psychological stress
- Extended ICU stay
- Age
- Preexisting conditions
Post-Intensive Care Syndrome (PICS) Diagnosis
PICS is a complex condition, and not all individuals treated in the ICU will develop PICS. The diagnosis of PICS is often based on someone having persistent symptoms after being discharged from the ICU and excluding other potential causes.
To be diagnosed with PICS, critical care patients will undergo a comprehensive assessment by health care professionals, including physical, functional and mental health assessments, as well as any additional diagnostic testing.
Post-Intensive Care Syndrome (PICS) Treatments
Once diagnosed, treatment and management strategies for PICS may involve physical therapy, occupational therapy, cognitive rehabilitation, counseling or therapy for psychological symptoms, and ongoing medical monitoring and support. The goal is to address the specific needs of each patient and improve their overall quality of life post-ICU.
Clinic appointments are available for current Houston Methodist patients who have experienced critical illness/injury and are eligible for follow-up as determined by the critical care recovery team.
Additional Resources
Find patient and family resources provided by the Society of Critical Care Medicine.