A síndrome pós Terapia Intensiva em sobreviventes da Covid-19 é diferente em outros diagnósticos?

Abstract

Introduction: Post intensive care syndrome (PICS) can be diagnosed in critically ill survivors who have been exposed to hospitalization, immobility and multiple invasive interventions. These patients are affected in the physical, cognitive and psychological domains, which are not necessarily related to the underlying disease. Objective: To verify, through a systematic review, if there is a similarity between the manifestation of PICS in patients infected with the SARS-CoV-2 virus, who evolved to the most severe condition of COVID-19, and those who had other baseline diagnoses. Methods: This is a systematic review using the Prisma model (awaiting submission number at PROSPERO), a search was carried out in the following databases: Pubmed, Scopus, Web of Science, Embase, between March and June 2022 and updated on 01/31/2023. The studies were evaluated for quality methodological according to the Quality Assessment Tool for Observational Cohort and Cross-Sectional Studies. In this review, basic information was collected from each study, such as the author's name, year and country of study, population, study design, period of data collection in addition to the results, conclusion and various information about the physical, psychological and cognitive domains evaluated and tools used. Results: Some risk factors for the development of PICS, such as advanced age, time after discharge, absence of a spouse, frailty and incidence of post-ICU cognitive impairment, in addition to some factors that have a protective function for the emergence of such a syndrome, such as years of schooling and early active mobilization. The most evident PICS domain was the physical one, affecting most of the evaluated population. It was also possible to identify that there were similarities in the PICS manifestation either in the post-COVID-19 profile or with other underlying diseases. Conclusion: PICS manifestations in patients with COVID-19 or other critical underlying diseases happen in a similar way.