Riley Carley, Maxwell Andrea, Parsons Allison, Andrist Erica, Beck Andrew F
Department of Pediatrics, University of Cincinnati College of Medicine, Cincinnati, OH, USA.
Division of Critical Care, Cincinnati Children's Hospital Medical Center, Cincinnati, OH, USA.
Transl Pediatr. 2018 Oct;7(4):262-266. doi: 10.21037/tp.2018.09.13.
Health systems are increasingly investing in efforts to prevent disease and promote health for populations. By and large, these prevention-related interventions have not been inclusive of critical care and the intensive care unit (ICU). However, we suggest that there is value-to patients, families, health systems, and society at large-in extending this continuum into the ICU setting and including the ICU in disease prevention and health promotion efforts. Including the ICU in this continuum allows the critical care perspective to inform (I) advocacy for prevention; (II) efforts to improve disparities in health and health care; (III) mitigation of the negative effects of critical illness and injury as well as ICU exposure; and (IV) promotion of health and well-being in the community. As disease prevention and health promotion rise as priorities within health systems, critical care can and should join, even help lead, the effort.
卫生系统正越来越多地投入努力，以预防疾病并促进人群健康。总体而言，这些与预防相关的干预措施并未涵盖重症监护和重症监护病房（ICU）。然而，我们认为，将这一连续统一体扩展到ICU环境，并将ICU纳入疾病预防和健康促进工作中，对患者、家庭、卫生系统以及整个社会都有价值。将ICU纳入这一连续统一体，使重症监护的视角能够为以下方面提供信息：（一）预防宣传；（二）改善健康和医疗保健方面差异的努力；（三）减轻危重病和损伤以及ICU暴露的负面影响；（四）促进社区的健康和福祉。随着疾病预防和健康促进在卫生系统中成为优先事项，重症监护能够而且应该加入，甚至帮助引领这一努力。
