患者和人群层面的持续危重症和长时间重症监护病房停留的处理方法。
Patient and Population-Level Approaches to Persistent Critical Illness and Prolonged Intensive Care Unit Stays.
机构信息
Department of Internal Medicine, University of Michigan, 1500 East Medical Center Drive, Ann Arbor, MI, USA; Veterans Affairs Center for Clinical Management Research, 2800 Plymouth Drive, Building 16, 3rd floor, Ann Arbor, MI, USA; Institute for Social Research, 426 Thompson St, Ann Arbor, MI 48104, USA.
Division of Pulmonary and Critical Care, Department of Internal Medicine, University of Michigan, 3916 Taubman Center, 1500 East Medical Center Drive, SPC 5360, Ann Arbor, MI 48109-5360, USA.
出版信息
Crit Care Clin. 2018 Oct;34(4):493-500. doi: 10.1016/j.ccc.2018.06.001. Epub 2018 Aug 10.
Abstract
The differential diagnosis of prolonged intensive care unit (ICU) stays includes intrinsic patient and admitting diagnostic characteristics, occurrences during the course of critical illness, and system failures. Existing data suggest that the most common cause of prolonged ICU stay is the development of new cascading problems, which is now more related to ongoing critical illness than the original reason for ICU admission. Accepting the dynamism inherent in such a clinical course has implications for contemporary clinical care.
摘要
长期入住重症监护病房（ICU）的鉴别诊断包括固有患者和入院诊断特征、危重病过程中的发生情况以及系统故障。现有数据表明，导致 ICU 入住时间延长的最常见原因是新的级联问题的发展，这与 ICU 入院的原始原因相比，现在更多地与持续的危重病有关。接受这种临床过程中固有的动态变化对当代临床护理具有重要意义。
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