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Challenges and strategies in the care of older adults across the continuum of intensive and post-intensive care medicine. 老年人在重症监护和后重症监护医学连续体中的护理挑战和策略。
IF 38.9 1区 医学 Q1 CRITICAL CARE MEDICINE Pub Date : 2025-12-22 DOI: 10.1007/s00134-025-08253-w
Lauren E Ferrante,Hélène Vallet,Jim Q Ho,Nathan E Brummel
Older adults have composed more than half of ICU patient-days for the past 25 years, and these numbers are only expected to grow as the worldwide population of older adults doubles by 2050. For older adults, conditions such as frailty, disability in functional activities, and multimorbidity are more strongly associated with ICU and post-ICU outcomes than chronological age, and recent work shows that the prevalence of these conditions among older ICU patients is increasing over time. In response to this demographic shift, the science of aging-focused critical care has rapidly expanded over the past decade, and we now know more about how to care for older ICU patients than ever before. However, challenges in the care of older adults across the continuum of ICU and post-ICU care remain. In this narrative review, we discuss these challenges, propose strategies and future research to address them, and discuss best practices for the care of older ICU patients in the context of the state of the science.
在过去的25年里,老年人占ICU患者日的一半以上,随着全球老年人人口到2050年翻一番,这些数字预计只会增长。对于老年人来说,身体虚弱、功能活动障碍和多病等状况与ICU和ICU后预后的关系比实足年龄更密切,最近的研究表明,随着时间的推移,这些状况在ICU老年患者中的患病率正在增加。为了应对这种人口结构的转变,在过去的十年里,以老龄化为重点的重症监护科学迅速发展,我们现在比以往任何时候都更了解如何照顾老年ICU患者。然而,在整个ICU和ICU后护理的连续性老年人护理的挑战仍然存在。在这篇叙述性综述中,我们讨论了这些挑战,提出了解决这些挑战的策略和未来的研究,并讨论了在科学现状的背景下护理老年ICU患者的最佳实践。
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引用次数: 0
Author Correction: Current standard of care for septic shock 作者更正:感染性休克的现行护理标准
IF 38.9 1区 医学 Q1 CRITICAL CARE MEDICINE Pub Date : 2025-12-18 DOI: 10.1007/s00134-025-08262-9
Anthony Delaney, Marcio Borges-Sa, Michelle S. Chew, Jan J. De Waele, Jacob Dye, Ashish K. Khanna, Olfa Hamzaoui, Naomi Hammond, Glenn Hernandez, Margaret Herridge, Jeffrey Lipman, Flavia R. Machado, Armand Mekontso Dessap, Xavier Monnet, Sheila N. Myatra, Balasubramanian Venkatesh, Daniel De Backer
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引用次数: 0
CAP in the ICU: are they all in fact CAP? 重症监护室的CAP:他们都是CAP吗?
IF 38.9 1区 医学 Q1 CRITICAL CARE MEDICINE Pub Date : 2025-12-18 DOI: 10.1007/s00134-025-08234-z
J. P. Baptista, J. Cruz, L. Baptista, E. Trigo
No Abstract
没有抽象的
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引用次数: 0
Ghost cells in Clostridium perfringens liver abscess with massive hemolysis. 产气荚膜梭菌肝脓肿伴大量溶血的鬼影细胞。
IF 38.9 1区 医学 Q1 CRITICAL CARE MEDICINE Pub Date : 2025-12-17 DOI: 10.1007/s00134-025-08227-y
Yoshihiro Nagai,Seiya Nishiyama,Tadashi Kamio,Shinshu Katayama
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引用次数: 0
Weaning of neuromuscular patients: the reality is probably somewhere in between. Author's reply. 神经肌肉患者的断奶:现实可能介于两者之间。作者的回答。
IF 38.9 1区 医学 Q1 CRITICAL CARE MEDICINE Pub Date : 2025-12-17 DOI: 10.1007/s00134-025-08249-6
Arnaud W Thille,Louis Chamblet,Rémi Coudroy,Sylvain Le Pape
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引用次数: 0
Mortality trends in sepsis… or how to kill two birds with one stone? 败血症的死亡率趋势……或者如何一石二鸟?
IF 38.9 1区 医学 Q1 CRITICAL CARE MEDICINE Pub Date : 2025-12-16 DOI: 10.1007/s00134-025-08245-w
Michael Bauer, Pierre Tissières, Mervyn Singer
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引用次数: 0
A new era for ICU-acquired weakness research—from mechanisms to meaningful recovery 重症监护病房获得性弱点研究的新时代——从机制到有意义的恢复
IF 38.9 1区 医学 Q1 CRITICAL CARE MEDICINE Pub Date : 2025-12-16 DOI: 10.1007/s00134-025-08246-9
Simone Piva, Lies Langouche, Aabdi Mohammed
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引用次数: 0
Simultaneous polymicrobial obstructive pyelonephritis and gastrointestinal bleeding revealing ureteroenteric fistula 多微生物性梗阻性肾盂肾炎和胃肠道出血并发输尿管肠瘘
IF 38.9 1区 医学 Q1 CRITICAL CARE MEDICINE Pub Date : 2025-12-16 DOI: 10.1007/s00134-025-08196-2
Simon Herbel, Olivier Bonsack, Rana Aoun, Aurore Protat
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引用次数: 0
Individualized PEEP in acute brain injury: the overlooked impact of injury heterogeneity. Authors' reply 急性脑损伤个体化PEEP:损伤异质性被忽视的影响。作者的回复
IF 38.9 1区 医学 Q1 CRITICAL CARE MEDICINE Pub Date : 2025-12-16 DOI: 10.1007/s00134-025-08233-0
Ida Giorgia Iavarone, Domenico Luca Grieco, Mariangela Pellegrini, Luigi Camporota, Antoine Roquilly
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引用次数: 0
Biomarkers and the prediction of acute kidney injury and renal replacement therapy initiation: a dream within a dream 生物标记物和急性肾损伤和肾替代疗法启动的预测:梦中梦
IF 38.9 1区 医学 Q1 CRITICAL CARE MEDICINE Pub Date : 2025-12-16 DOI: 10.1007/s00134-025-08254-9
Khalil Chaïbi, Didier Dreyfuss, Stephane Gaudry
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引用次数: 0
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Intensive Care Medicine
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