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Background <p>The long-term sequelae of intensive care treatment are summarized as postintensive care syndrome (PICS), which affects physical, cognitive and psychological health and can also impact children (PICS-p) and families (PICS-F).</p> Objective <p>Due to the heterogeneous long-term sequelae, an interdisciplinary treatment approach is necessary; however, current healthcare structures in the German-speaking region are not designed for transitional care, including a coordinated outpatient follow-up or care following neurological rehabilitation. The aim of this work is to identify challenges in PICS outpatient diagnostics, treatment and organization and to develop suggestions for improving care.</p> Material and methods <p>The Postintensive Care Syndrome Section of the German Interdisciplinary Association of Critical Care and Emergency Medicine (DIVI) provides an overview of the current challenges and addresses them from a&#xa0;healthcare perspective.</p> Results <p>Care for PICS patients in German-speaking countries is severely limited due to the absence of ICD-10&#xa0;codes and billing possibilities, a&#xa0;small number of specialized university outpatient clinics, and insufficient outpatient follow-up care. In particular, the period following rehabilitation is marked by a&#xa0;lack of adequate follow-up care and limited awareness within the outpatient sector.</p> Conclusion <p>Future efforts should focus on raising awareness among healthcare professionals about this complex syndrome and establishing a&#xa0;continuous interdisciplinary care pathway from intensive care units to rehabilitation and PICS outpatient clinics. Additionally, the introduction of ICD coding and the creation of reimbursable care structures are necessary.</p>

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Herausforderung Gesundheitssystem: PICS im Fokus

  • 期刊论文

  • 出版模式：

    开放获取

  • 发表日期：

    2025年11月25日

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  • Claudia Scheffzük,
  • Nathalie M. Malewicz-Oeck,
  • Caroline Renner,
  • Marion Wiegele,
  • Akos Tiboldi,
  • Sarah Goretzki,
  • Stefanie Hort,
  • Victoria Lieftüchter,
  • Nora Bruns,
  • Beatrice Oehler,
  • Peter K. Zahn,
  • Claudia Denke

摘要

Background

The long-term sequelae of intensive care treatment are summarized as postintensive care syndrome (PICS), which affects physical, cognitive and psychological health and can also impact children (PICS-p) and families (PICS-F).

Objective

Due to the heterogeneous long-term sequelae, an interdisciplinary treatment approach is necessary; however, current healthcare structures in the German-speaking region are not designed for transitional care, including a coordinated outpatient follow-up or care following neurological rehabilitation. The aim of this work is to identify challenges in PICS outpatient diagnostics, treatment and organization and to develop suggestions for improving care.

Material and methods

The Postintensive Care Syndrome Section of the German Interdisciplinary Association of Critical Care and Emergency Medicine (DIVI) provides an overview of the current challenges and addresses them from a healthcare perspective.

Results

Care for PICS patients in German-speaking countries is severely limited due to the absence of ICD-10 codes and billing possibilities, a small number of specialized university outpatient clinics, and insufficient outpatient follow-up care. In particular, the period following rehabilitation is marked by a lack of adequate follow-up care and limited awareness within the outpatient sector.

Conclusion

Future efforts should focus on raising awareness among healthcare professionals about this complex syndrome and establishing a continuous interdisciplinary care pathway from intensive care units to rehabilitation and PICS outpatient clinics. Additionally, the introduction of ICD coding and the creation of reimbursable care structures are necessary.