Valentin A
Abteilung für Innere Medizin, Kardinal Schwarzenberg Klinikum, Kardinal Schwarzenbergplatz 1, 5620, Schwarzach i. Pongau, Österreich.
Med Klin Intensivmed Notfmed. 2017 Oct;112(7):584-588. doi: 10.1007/s00063-017-0349-y. Epub 2017 Sep 11.
Intensive care medicine has achieved a significant increase in survival rates from critical illness. In addition to short-term outcomes like intensive care unit or hospital mortality, long-term prognosis and prospect of life of intensive care patients have recently become increasingly important. Pure survival is no longer a sole goal of intensive care medicine. The prediction of an intensive care patient's individual course should include the period after intensive care. A relevant proportion of all intensive care patients is affected by physical, psychological, cognitive, and social limitations after discharge from the intensive care unit. The prognosis of the status of the patient after discharge from the intensive care unit is an important part of the decision-making process with respect to the implementation or discontinuation of intensive care measures. The heavy burden of intensive care treatment should not solely be argued by pure survival but an anticipated sound prospect of life.
重症医学已使危重病患者的存活率显著提高。除了诸如重症监护病房死亡率或医院死亡率等短期结果外，重症监护患者的长期预后和生活前景最近变得越来越重要。单纯的存活不再是重症医学的唯一目标。对重症监护患者个体病程的预测应包括重症监护后的时期。所有重症监护患者中有相当一部分在从重症监护病房出院后受到身体、心理、认知和社会方面的限制。重症监护病房出院后患者状况的预后是关于实施或停止重症监护措施决策过程的重要组成部分。重症监护治疗的沉重负担不应仅以单纯的存活来论证，而应以预期良好的生活前景来论证。
