Joseph Bellal, Jehan Faisal S
Division of Trauma, Critical Care, Emergency Surgery, and Burns, Department of Surgery, University of Arizona, College of Medicine, 1501 North Campbell Avenue, Room 5334B, PO Box 245063, Tucson, AZ 85724-5063, USA.
Division of Trauma, Critical Care, Emergency Surgery, and Burns, Department of Surgery, University of Arizona, College of Medicine, 1501 North Campbell Avenue, Room 5334B, PO Box 245063, Tucson, AZ 85724-5063, USA.
Surg Clin North Am. 2017 Dec;97(6):1199-1213. doi: 10.1016/j.suc.2017.07.007.
Prevalence of pre-existing frailty in patients admitted to the intensive care unit (ICU) is increasing. Critical illness leads to a catabolic state that further diminishes body reserves and contributes to frailty independent of age and prehospital functional status. Because early mobilization of patients in the ICU results in accelerated recovery and improvement in functional status and quality of life, frailty can severely affect the mobility of patients in ICU ultimately prolonging recovery. Understanding the concept of frailty and the association of frailty and its impact on mobility in the ICU, identifying patients, and timely resource allocation helps in optimum care and improves clinical outcomes.
入住重症监护病房(ICU)的患者中,既往存在虚弱的患病率正在上升。危重病会导致分解代谢状态,进一步消耗身体储备,并导致虚弱,这与年龄和院前功能状态无关。由于ICU患者的早期活动可加速康复,并改善功能状态和生活质量,虚弱会严重影响ICU患者的活动能力,最终延长康复时间。了解虚弱的概念、虚弱与ICU患者活动能力的关联、识别患者以及及时进行资源分配,有助于提供最佳护理并改善临床结局。