Post-intensive Care Syndrome

  • Toru Hifumi
  • Shigeaki Inoue


In 2010, post-intensive care syndrome (PICS) was agreed on as the recommended term to describe new or worsening physical, cognitive, or mental health status impairments that arise after a critical illness and persist beyond acute care hospitalization. One of the physical components of PICS that has been well discussed is intensive care unit-acquired weakness (ICU-AW). The diagnosis of ICU-AW is made using the Medical Research Council (MRC) scale, which ranges from 0 to 5, for grading the strength of various muscle groups in the upper and lower extremities; higher scores indicate greater muscle strength, and an MRC score of <48 is diagnostic of ICU-AW.


Post-intensive care syndrome ICU-acquired weakness Chronic critical illness Early rehabilitation ICU diary 


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Copyright information

© Springer Nature Singapore Pte Ltd. 2019

Authors and Affiliations

  • Toru Hifumi
    • 1
  • Shigeaki Inoue
    • 2
  1. 1.Emergency and Critical Care MedicineSt. Luke’s International HospitalTokyoJapan
  2. 2.Disaster and Emergency MedicineKobe University Graduate School of MedicineKobeJapan

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