{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,12]],"date-time":"2026-10-12T08:44:35Z","timestamp":1791794675431,"version":"4.3.4"},"reference-count":75,"publisher":"SAGE Publications","issue":"11","license":[{"start":{"date-parts":[[2026,3,18]],"date-time":"2026-03-18T00:00:00Z","timestamp":1773792000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Journal of Palliative Medicine"],"published-print":{"date-parts":[[2026,11,1]]},"abstract":"<jats:p>Intensive care unit (ICU) mortality rates have substantially declined over the past few decades. Accordingly, there has been an increase in the number of ICU survivors, who are often burdened by long-term sequelae and high morbidity following their discharge. The term postintensive care syndrome (PICS) was first coined in 2012 to describe this constellation of physical, psychological, and cognitive sequelae, which may persist long after acute care hospitalization and may also affect family members. In this context, the timely integration and delivery of palliative care has the potential to alleviate the suffering experienced by both ICU survivors and their families. In this article, an interdisciplinary team presents ten tips to describe PICS and enhance the quality of care for palliative care clinicians caring for people with PICS.<\/jats:p>","DOI":"10.1177\/10966218261419634","type":"journal-article","created":{"date-parts":[[2026,3,18]],"date-time":"2026-03-18T15:17:07Z","timestamp":1773847027000},"page":"1610-1618","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":2,"title":["Top Ten Tips Palliative Care Clinicians Should Know About Caring for People with Postintensive Care Syndrome"],"prefix":"10.1177","volume":"29","author":[{"given":"Alice","family":"Bottussi","sequence":"first","affiliation":[{"name":"Department of Anesthesia and Intensive Care, IRCCS San Raffaele Scientific Institute, Milan, Italy."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jacopo","family":"D\u2019Andria Ursoleo","sequence":"additional","affiliation":[{"name":"Department of Anesthesia and Intensive Care, IRCCS San Raffaele Scientific Institute, Milan, Italy."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Donald R.","family":"Sullivan","sequence":"additional","affiliation":[{"name":"Department of Medicine, Division of Pulmonary, Allergy, &amp; Critical Care Medicine, Oregon Health and Science University, Portland, Oregon, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rachel","family":"Kohn","sequence":"additional","affiliation":[{"name":"Division of Pulmonary and Critical Care Medicine, the Palliative and Advanced Illness Research Center, Department of Medicine, the Leonard Davis Institute of Health Economics, Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kimberley J.","family":"Haines","sequence":"additional","affiliation":[{"name":"Physiotherapy Department, Western Health, Department of Critical Care, The University of Melbourne, Melbourne, Australia."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Allison J.","family":"Applebaum","sequence":"additional","affiliation":[{"name":"Brookdale Department of Geriatrics and Palliative Medicine, Icahn School of Medicine at Mount Sinai, New York, New York, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sarah","family":"Byrne-Martelli","sequence":"additional","affiliation":[{"name":"Department of Supportive Oncology, Dana-Farber Cancer Institute, Boston, Massachusetts, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rachel","family":"Hadler","sequence":"additional","affiliation":[{"name":"Department of Anesthesiology, Emory Critical Care Center, Department of Family and Preventive Medicine, Emory University, Atlanta, Georgia, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Stephanie","family":"Hiser","sequence":"additional","affiliation":[{"name":"Department of Health, Human Function &amp; Rehabilitation Sciences, George Washington University, Washington, District of Columbia, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jennifer M.","family":"Maguire","sequence":"additional","affiliation":[{"name":"Division of Pulmonary and Critical Care Medicine, Department of Medicine, University of North Carolina School of Medicine, Chapel Hill, North Carolina, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mallory","family":"McCall","sequence":"additional","affiliation":[{"name":"Division of Internal Medicine and Palliative Care, Duke University, Durham, North Carolina, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ankita","family":"Mehta","sequence":"additional","affiliation":[{"name":"Department of Geriatrics and Palliative Medicine, Icahn School of Medicine at Mount Sinai, New York, New York, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dorothy W.","family":"Tolchin","sequence":"additional","affiliation":[{"name":"Department of Physical Medicine and Rehabilitation, Mass General Brigham, Harvard Medical School, Boston, Massachusetts, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Eduardo","family":"Bruera","sequence":"additional","affiliation":[{"name":"Department of Palliative, Rehabilitation and Integrative Medicine, The University of Texas MD Anderson Cancer Center, Houston, Texas, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sebastiano","family":"Mercadante","sequence":"additional","affiliation":[{"name":"Pain Relief and Supportive Care, Casa di Cura La Maddalena SpA, Palermo, Italy."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Benjamin","family":"Tolchin","sequence":"additional","affiliation":[{"name":"Department of Neurology, Yale School of Medicine, New Haven, Connecticut, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Louis P.","family":"Voigt","sequence":"additional","affiliation":[{"name":"Department of Anesthesiology, Pain, and Critical Care Medicine, Memorial Sloan Kettering Cancer Center, New York, New York, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"William E.","family":"Rosa","sequence":"additional","affiliation":[{"name":"Department of Psychiatry and Behavioral Sciences, Memorial Sloan Kettering Cancer Center, New York, New York, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fabrizio","family":"Monaco","sequence":"additional","affiliation":[{"name":"Cardiothoracic and Vascular Anesthesia and Intensive Care, IRCCS Azienda Ospedaliero-Universitaria Sant\u2019Orsola, Bologna, Italy."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,3,18]]},"reference":[{"key":"e_1_3_2_2_2","doi-asserted-by":"publisher","DOI":"10.1513\/AnnalsATS.201512-841OC"},{"key":"e_1_3_2_3_2","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa022450"},{"key":"e_1_3_2_4_2","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa1011802"},{"key":"e_1_3_2_5_2","doi-asserted-by":"publisher","DOI":"10.1513\/AnnalsATS.201405-201CME"},{"key":"e_1_3_2_6_2","doi-asserted-by":"publisher","DOI":"10.1002\/ams2.415"},{"key":"e_1_3_2_7_2","doi-asserted-by":"publisher","DOI":"10.1097\/CCM.0b013e318232da75"},{"key":"e_1_3_2_8_2","doi-asserted-by":"publisher","DOI":"10.1097\/CCM.0b013e318236ebf9"},{"key":"e_1_3_2_9_2","doi-asserted-by":"publisher","DOI":"10.1186\/s13643-024-02542-z"},{"key":"e_1_3_2_10_2","doi-asserted-by":"publisher","DOI":"10.1097\/CCM.0000000000001531"},{"key":"e_1_3_2_11_2","doi-asserted-by":"publisher","DOI":"10.1097\/CCM.0000000000000148"},{"key":"e_1_3_2_12_2","doi-asserted-by":"publisher","DOI":"10.1097\/ALN.0000000000000874"},{"key":"e_1_3_2_13_2","doi-asserted-by":"publisher","DOI":"10.1056\/NEJM199208203270804"},{"key":"e_1_3_2_14_2","volume-title":"StatPearls [Internet].","author":"Smith S","year":"2023","unstructured":"Smith S, , Rahman O. PostIntensive Care Syndrome. In: StatPearls [Internet]. StatPearls Publishing; 2023."},{"key":"e_1_3_2_15_2","doi-asserted-by":"publisher","DOI":"10.1155\/2017\/6986983"},{"key":"e_1_3_2_16_2","doi-asserted-by":"publisher","DOI":"10.1097\/CCM.0b013e31818781f5"},{"key":"e_1_3_2_17_2","doi-asserted-by":"publisher","DOI":"10.1378\/chest.130.3.869"},{"key":"e_1_3_2_18_2","doi-asserted-by":"publisher","DOI":"10.1097\/CCM.0b013e31819287f7"},{"key":"e_1_3_2_19_2","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.n973"},{"key":"e_1_3_2_20_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.chstcc.2023.100003"},{"key":"e_1_3_2_21_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1600-0447.1983.tb09716.x"},{"key":"e_1_3_2_22_2","first-page":"399","volume-title":"Assessing Psychological Trauma and PTSD","author":"Weiss D","year":"1997","unstructured":"Weiss D, , Marmar C. The impact of event scale\u2014revised. In: Guilford Press, ed. Wilson JP, , Keane TM., Editors. Assessing Psychological Trauma and PTSD. 1997:399\u2013411."},{"key":"e_1_3_2_23_2","unstructured":"National Association of Community Health Centers [Internet]. The Protocol for Responding to and Assessing Patient Assets Risks and Experiences (PRAPARE) by National Association of Community Health Centers Association of Asian Pacific Community Health Organizations and Oregon Primary Care Association. 2013. Available from: https:\/\/www.nachc.org\/resource\/prapare\/ [Last accessed: October20 2025]."},{"key":"e_1_3_2_24_2","doi-asserted-by":"crossref","first-page":"e20240015en","DOI":"10.62675\/2965-2774.20240015-en","article-title":"Clinical trajectories of critically ill patients discharged directly from a critical unit to a postacute care facility: Retrospective cohort","volume":"36","author":"Ramos JGR","year":"2024","unstructured":"Ramos JGR, , Souza Neto MJd, , Rezende AS, et al. Clinical trajectories of critically ill patients discharged directly from a critical unit to a postacute care facility: Retrospective cohort. Crit Care Sci, 2024; 36:e20240015en; doi: 10.62675\/2965-2774.20240015-en","journal-title":"Crit Care Sci"},{"key":"e_1_3_2_25_2","doi-asserted-by":"publisher","DOI":"10.1097\/CCM.0000000000003367"},{"key":"e_1_3_2_26_2","doi-asserted-by":"publisher","DOI":"10.1001\/jamanetworkopen.2025.3443"},{"key":"e_1_3_2_27_2","doi-asserted-by":"publisher","DOI":"10.1002\/14651858.CD008808.pub2"},{"key":"e_1_3_2_28_2","doi-asserted-by":"publisher","DOI":"10.1164\/rccm.201411-2099CI"},{"key":"e_1_3_2_29_2","doi-asserted-by":"publisher","DOI":"10.1097\/CCM.0000000000003259"},{"key":"e_1_3_2_30_2","doi-asserted-by":"publisher","DOI":"10.1111\/nicc.12455"},{"key":"e_1_3_2_31_2","doi-asserted-by":"publisher","DOI":"10.1097\/CCM.0000000000003307"},{"key":"e_1_3_2_32_2","doi-asserted-by":"publisher","DOI":"10.1097\/CCM.0000000000004574"},{"key":"e_1_3_2_33_2","doi-asserted-by":"publisher","DOI":"10.1097\/CCM.0000000000006549"},{"key":"e_1_3_2_34_2","doi-asserted-by":"publisher","DOI":"10.1097\/CCM.0000000000004009"},{"key":"e_1_3_2_35_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00134-018-5260-3"},{"key":"e_1_3_2_36_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00134-018-5117-9"},{"key":"e_1_3_2_37_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.iccn.2022.103362"},{"key":"e_1_3_2_38_2","doi-asserted-by":"publisher","DOI":"10.1089\/jpm.2023.0034"},{"key":"e_1_3_2_39_2","doi-asserted-by":"publisher","DOI":"10.1002\/14651858.CD012701.pub2"},{"key":"e_1_3_2_40_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00540-024-03326-4"},{"key":"e_1_3_2_41_2","doi-asserted-by":"publisher","DOI":"10.1007\/978-3-030-68680-2_12"},{"key":"e_1_3_2_42_2","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.g1687"},{"key":"e_1_3_2_43_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.aucc.2023.04.005"},{"key":"e_1_3_2_44_2","doi-asserted-by":"publisher","DOI":"10.1186\/cc7769"},{"key":"e_1_3_2_45_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00134-019-05647-5"},{"key":"e_1_3_2_46_2","unstructured":"Organization CaAIR. Post-ICU clinic directory US: Critical and Acute Illness Recovery Organization; 2025. Available from: https:\/\/www.cairorecovery.com\/general-5-1"},{"key":"e_1_3_2_47_2","doi-asserted-by":"publisher","DOI":"10.1186\/s13054-022-04253-0"},{"key":"e_1_3_2_48_2","doi-asserted-by":"publisher","DOI":"10.1097\/CCM.0000000000000040"},{"key":"e_1_3_2_49_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpsychores.2021.110418"},{"key":"e_1_3_2_50_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.chest.2020.03.059"},{"key":"e_1_3_2_51_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(09)60658-9"},{"key":"e_1_3_2_52_2","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMe2212360"},{"key":"e_1_3_2_53_2","doi-asserted-by":"publisher","DOI":"10.1097\/CCM.0000000000006573"},{"key":"e_1_3_2_54_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.hrtlng.2024.10.015"},{"key":"e_1_3_2_55_2","doi-asserted-by":"publisher","DOI":"10.1164\/rccm.200703-456SO"},{"key":"e_1_3_2_56_2","doi-asserted-by":"publisher","DOI":"10.1586\/14737167.2014.906308"},{"key":"e_1_3_2_57_2","doi-asserted-by":"publisher","DOI":"10.3747\/co.27.6413"},{"key":"e_1_3_2_58_2","doi-asserted-by":"publisher","DOI":"10.1513\/AnnalsATS.202304-288OC"},{"key":"e_1_3_2_59_2","doi-asserted-by":"publisher","DOI":"10.1016\/S2213-2600(17)30383-1"},{"key":"e_1_3_2_60_2","unstructured":"ABIM Foundation website. American Board of Internal Medicine. Choosing wisely: An initiative of the ABIM Foundation. Available from: http:\/\/www.choosingwisely.org\/ [Last accessed: October15 2025]."},{"key":"e_1_3_2_61_2","doi-asserted-by":"publisher","DOI":"10.1513\/AnnalsATS.202004-364OC"},{"key":"e_1_3_2_62_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.chest.2024.02.015"},{"key":"e_1_3_2_63_2","doi-asserted-by":"publisher","DOI":"10.1513\/AnnalsATS.201904-332OC"},{"key":"e_1_3_2_64_2","doi-asserted-by":"publisher","DOI":"10.1513\/AnnalsATS.201309-308OT"},{"key":"e_1_3_2_65_2","doi-asserted-by":"publisher","DOI":"10.1002\/ams2.939"},{"key":"e_1_3_2_66_2","doi-asserted-by":"publisher","DOI":"10.34197\/ats-scholar.2022-0057VL"},{"key":"e_1_3_2_67_2","unstructured":"National Association of Community Health Centers [Internet]. 2013. The protocol for responding to and assessing patient assets risks and experiences (PRAPARE) by National Association of Community Health Centers Association of Asian Pacific Community Health Organizations and Oregon Primary Care Association. Available from: http:\/\/www.nachc.org\/prapare"},{"key":"e_1_3_2_68_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.chstcc.2024.100057"},{"key":"e_1_3_2_69_2","doi-asserted-by":"publisher","DOI":"10.1097\/CCM.0000000000005063"},{"key":"e_1_3_2_70_2","doi-asserted-by":"publisher","DOI":"10.1097\/CCE.0000000000000676"},{"key":"e_1_3_2_71_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.iccn.2023.103438"},{"key":"e_1_3_2_72_2","doi-asserted-by":"publisher","DOI":"10.1177\/10497323231164556"},{"key":"e_1_3_2_73_2","doi-asserted-by":"publisher","DOI":"10.4037\/ajcc2024438"},{"key":"e_1_3_2_74_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcrc.2018.11.026"},{"key":"e_1_3_2_75_2","doi-asserted-by":"publisher","DOI":"10.51893\/2021.2.sr1"},{"key":"e_1_3_2_76_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpainsymman.2022.12.007"}],"container-title":["Journal of Palliative Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/10966218261419634","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/10966218261419634","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/10966218261419634","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,10,12]],"date-time":"2026-10-12T07:45:42Z","timestamp":1791791142000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/10966218261419634"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,3,18]]},"references-count":75,"journal-issue":{"issue":"11","published-print":{"date-parts":[[2026,11,1]]}},"alternative-id":["10.1177\/10966218261419634"],"URL":"https:\/\/doi.org\/10.1177\/10966218261419634","relation":{},"ISSN":["1096-6218","1557-7740"],"issn-type":[{"value":"1096-6218","type":"print"},{"value":"1557-7740","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,3,18]]}}}