While the total population burden of Post Intensive Care Syndrome ( #PICS) will rise steeply because of #COVID19, I am less sure about the individual attack rate

To the extent that #PICS is an in—ICU psychological phenomenon, the isolation and degradation of SAT practice during #COVID19 will make it worse

To the extent that #PICS is a in-hospital mobility phenomenon, the overwhelmed physical therapy resources + challenges of infection control precautions during # #COVID19 will make it worse

To the extent that #PICS is driven by financial toxicity and inadequate social safety net, the post- #COVID19 jury is still out

But to the extent #PICS is driven by multi-system organ failure, there are reasons for optimism about a lower #COVID19 individual attack rate

To the extent #PICS is driven by preventable medical errors and dropped-balls during the transition home period, there are opportunities now to prepare for that for #COVID19

To the extent #PICS is driven by social isolation + the lack of others understanding the existence of critical care / #ARDS / #sepsis then there is hope for #COVID19 survivors if we prepare a system for them