• Nobuto Nakanishi, Keibun Liu, Akira Kawauchi, Masatsugu Okamura, Kohei Tanaka, Sho Katayama, Yuki Mitani, Kohei Ota, Shunsuke Taito, Kenichi Fudeyasu, Yuki Masuka, Shodai Yoshihiro, Shu Utsumi, Mitsuaki Nishikimi, Mamoru Masuda, Yuki Iida, Yusuke Kawai, Junji Hatakeyama, Toru Hifumi, Takeshi Unoki, Daisuke Kawakami, Kengo Obata, Hajime Katsukawa, Hidenori Sumita, Tomoyuki Morisawa, Masahiro Takahashi, Norihiko Tsuboi, Ryo Kozu, Shunsuke Takaki, Junpei Haruna, Yoshihisa Fujinami, Nobuyuki Nosaka, Kyohei Miyamoto, Kensuke Nakamura, Yutaka Kondo, Shigeaki Inoue, and Osamu Nishida.
• Division of Disaster and Emergency Medicine, Department of Surgery Related, Kobe University Graduate School of Medicine, 7-5-2 Kusunoki, Chuo-ward, Kobe, 650-0017, Japan.
• Crit Care. 2023 Nov 7; 27 (1): 430430.

BackgroundThe assessment of post-intensive care syndrome (PICS) is challenging due to the numerous types of instruments. We herein attempted to identify and propose recommendations for instruments to assess PICS in intensive care unit (ICU) survivors.MethodsWe conducted a scoping review to identify PICS follow-up studies at and after hospital discharge between 2014 and 2022. Assessment instruments used more than two times were included in the modified Delphi consensus process. A modified Delphi meeting was conducted three times by the PICS committee of the Japanese Society of Intensive Care Medicine, and each score was rated as not important (score: 1-3), important, but not critical (4-6), and critical (7-9). We included instruments with ≥ 70% of respondents rating critical and ≤ 15% of respondents rating not important.ResultsIn total, 6972 records were identified in this scoping review, and 754 studies were included in the analysis. After data extraction, 107 PICS assessment instruments were identified. The modified Delphi meeting reached 20 PICS assessment instrument recommendations: (1) in the physical domain: the 6-min walk test, MRC score, and grip strength, (2) in cognition: MoCA, MMSE, and SMQ, (3) in mental health: HADS, IES-R, and PHQ-9, (4) in the activities of daily living: the Barthel Index, IADL, and FIM, (5) in quality of life: SF-36, SF-12, EQ-5D-5L, 3L, and VAS (6), in sleep and pain: PSQI and Brief Pain Inventory, respectively, and (7) in the PICS-family domain: SF-36, HADS, and IES-R.ConclusionBased on a scoping review and the modified Delphi method, 20 PICS assessment instruments are recommended to assess physical, cognitive, mental health, activities of daily living, quality of life, sleep, and pain in ICU survivors and their families.© 2023. The Author(s).

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