揭开隐藏的后遗症:重症监护室后遗症、出院准备和长期随访。

Critical care science Pub Date : 2024-06-14 eCollection Date: 2024-01-01 DOI:10.62675/2965-2774.20240265-en
Cassiano Teixeira, Regis Goulart Rosa
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引用次数: 0

摘要

在经历过危重病的人中,有相当一部分人的身体、认知或精神健康会出现新的损伤或损伤加剧,这通常被称为重症监护后综合征。此外,那些在危重病中存活下来的人在住院后的几个月内往往面临着更高的不良后果风险,包括感染、重大心血管事件、再次入院和死亡率升高。这些发现强调了在重症监护环境中有效预防和管理长期健康恶化的极端必要性。虽然来自精心设计的随机临床试验的确凿证据有限,但潜在的干预措施包括限制镇静、早期动员、在重症监护病房住院期间保持家人陪伴、实施多组件过渡计划(从重症监护病房到病房,从医院到家庭)以及提供专门的出院后随访等策略。本综述旨在简明扼要地总结近期有关危重病后长期预后的医学文献,并强调预防和解决危重病幸存者健康状况下降的潜在方法。
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Unmasking the hidden aftermath: postintensive care unit sequelae, discharge preparedness, and long-term follow-up.

A significant portion of individuals who have experienced critical illness encounter new or exacerbated impairments in their physical, cognitive, or mental health, commonly referred to as postintensive care syndrome. Moreover, those who survive critical illness often face an increased risk of adverse consequences, including infections, major cardiovascular events, readmissions, and elevated mortality rates, during the months following hospitalization. These findings emphasize the critical necessity for effective prevention and management of long-term health deterioration in the critical care environment. Although conclusive evidence from well-designed randomized clinical trials is somewhat limited, potential interventions include strategies such as limiting sedation, early mobilization, maintaining family presence during the intensive care unit stay, implementing multicomponent transition programs (from intensive care unit to ward and from hospital to home), and offering specialized posthospital discharge follow-up. This review seeks to provide a concise summary of recent medical literature concerning long-term outcomes following critical illness and highlight potential approaches for preventing and addressing health decline in critical care survivors.

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