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Letter to the Editor
Post-intensive care syndrome after SARS-CoV-2 pandemic
Síndrome post-cuidados intensivos después de la pandemia por SARS-CoV-2
A. González-Castroa,
Corresponding author
, A. Garcia de Lorenzob, P. Escudero-Achaa, J.C. Rodriguez-Borregana
a Servicio de Medicina Intensiva, Hospital Universitario Marqués de Valdecilla, Santander, Cantabria, Spain
b Servicio de Medicina Intensiva, Hospital Universitario La Paz/Carlos III, IdiPAZ, Madrid, Spain
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          "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Graphic representation of the possible time horizons as a result of the SARS-CoV-2 pandemic&#46; Reproduced with permission from Tseng V<span class="elsevierStyleSup">3</span>&#46;</p>"
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    "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">The worldwide SARS-CoV-2 pandemic is taking health systems to the edge of collapse and Intensive Care Units &#40;ICUs&#41; to work burdens that exceed their capacity&#46; In the first wave of the pandemic&#44; maximum priority has focused on keeping mortality as low as possible&#44; and in this regard critical care has become a crucial factor&#46;</p><p id="par0010" class="elsevierStylePara elsevierViewall">However&#44; the future of the SARS-CoV-2 pandemic comprises different horizons&#58; a second wave is to be expected because of resource restrictions in relation to non-SARS-CoV-2 urgent disease conditions&#44; with a rise in mortality due to a saturated system&#46;<a class="elsevierStyleCrossRef" href="#bib0005"><span class="elsevierStyleSup">1</span></a> Likewise&#44; although reasonably not on an immediate basis&#44; the pandemic will have an impact upon our more chronic patients&#44; who have suffered a decrease in their quality of care during this situation&#46; Lastly&#44; significantly higher levels of exhaustion&#44; psychological problems and posttraumatic stress are to be expected among our professionals&#44;<a class="elsevierStyleCrossRef" href="#bib0010"><span class="elsevierStyleSup">2</span></a> with the consequent impact upon work performance &#40;<a class="elsevierStyleCrossRef" href="#fig0005">Fig&#46; 1</a>&#41;&#46;<a class="elsevierStyleCrossRef" href="#bib0015"><span class="elsevierStyleSup">3</span></a></p><elsevierMultimedia ident="fig0005"></elsevierMultimedia><p id="par0015" class="elsevierStylePara elsevierViewall">In this general scenario&#44; the Departments of Intensive Care Medicine must stay alert to identify the &#8220;<span class="elsevierStyleItalic">tail of the first wave</span>&#8221;&#44; which will comprise a post-intensive care syndrome &#40;PICS&#41; of great magnitude and with special features&#46;</p><p id="par0020" class="elsevierStylePara elsevierViewall">Although the magnitude of the PICS in numerical terms cannot be predicted at this time&#44; it undoubtedly will be large&#46; Under normal circumstances&#44; PICS affects 30&#8211;50&#37; of our patients&#44;<a class="elsevierStyleCrossRef" href="#bib0020"><span class="elsevierStyleSup">4</span></a> and its sequelae may persist even beyond 5 years after hospital discharge&#44; particularly in the case of patients recovering from acute respiratory syndrome&#46;<a class="elsevierStyleCrossRef" href="#bib0025"><span class="elsevierStyleSup">5</span></a></p><p id="par0025" class="elsevierStylePara elsevierViewall">It is reasonable to assume that the characteristics of post-SARS-Cov-2 PICS will have a special affective component&#46; In this context&#44; family-PICS will be of specific relevance&#46; On a daily basis&#44; our &#8220;COVID hospitals&#8221; are witnessing the way in which the pandemic is causing important family ruptures&#44; impeding adequate care of the ill relative&#44; and with atypical situations of grief and burial of the victims&#46; If other conditions have shown us that up to 16&#37; of all patient relatives have been unable to reduce their levels of depression one year after discharge&#44;<a class="elsevierStyleCrossRef" href="#bib0030"><span class="elsevierStyleSup">6</span></a> will we be prepared for post-SARS-Cov-2 PICS&#63;</p></span>"
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ISSN: 21735727
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