Pulmonary, Critical Care, and Sleep Medicine Division, Creighton University School of Medicine, Omaha, Nebraska 68131, USA.
Respir Care. 2012 May;57(5):764-72. doi: 10.4187/respcare.01461. Epub 2011 Dec 8.
Over the last 15 years the management of patients admitted in the ICU has changed dramatically. A growing number of well designed randomized controlled studies have been published, resulting in improved medical care and reduction of short-term morbidity and mortality. Despite these important achievements, little attention has been placed on the long-term complications of subjects discharged from the ICU. This review will focus on the most common long-term outcomes post-ICU admission, and will emphasize the importance of developing ICU clinics to provide comprehensive care to ICU survivors. We also describe our experience regarding the organization, functioning, and limitations for the development of our post-ICU clinic.
在过去的 15 年中,重症监护病房(ICU)患者的管理发生了巨大变化。越来越多精心设计的随机对照研究已经发表,这导致了医疗质量的提高,降低了短期发病率和死亡率。尽管取得了这些重要的成就,但人们对从 ICU 出院的患者的长期并发症关注甚少。本综述将重点介绍 ICU 后最常见的长期结果,并强调开发 ICU 诊所为 ICU 幸存者提供全面护理的重要性。我们还描述了我们在组织、运作和发展 ICU 后诊所方面的经验。