Busico M, das Neves A, Carini F, Pedace M, Villalba D, Foster C, García Urrutia J, Garbarini M, Jereb S, Sacha V, Estenssoro E
Clínica Olivos, SMG, Buenos Aires, Argentina; Comité de Seguimiento y Rehabilitación, Sociedad Argentina de Terapia Intensiva (SATI), Argentina.
Comité de Seguimiento y Rehabilitación, Sociedad Argentina de Terapia Intensiva (SATI), Argentina; Hospital San Martín de La Plata, La Plata, Argentina.
Med Intensiva (Engl Ed). 2019 May;43(4):243-254. doi: 10.1016/j.medin.2018.12.005. Epub 2019 Mar 2.
Patient follow-up after intensive care unit (ICU) discharge allows the early recognition of complications associated to post-intensive care syndrome (PICS). The aim of this project is to standardize outcome variables in a follow-up program for patients at risk of suffering PICS.
The Rehabilitation and Patient Follow-up Committee of the Argentine Society of Intensive Care Medicine (Sociedad Argentina de Terapia Intensiva, SATI) requested the collaboration of different committees to design the present document. A thorough search of the literature on the issue, together with pre-scheduled meetings and web-based discussion encounters were carried out. After comprehensive evaluation, the recommendations according to the GRADE system included in the follow-up program were: frequency of controlled visits, appointed healthcare professionals, basic domains of assessment and recommended tools of evaluation, validated in Spanish, and entire duration of the program.
The measures herein suggested for patient follow-up after ICU discharge will facilitate a basic approach to diagnosis and management of the long-term complications associated to PICS.
重症监护病房（ICU）出院后的患者随访有助于早期识别与重症监护后综合征（PICS）相关的并发症。本项目的目的是在针对有患PICS风险患者的随访计划中规范结果变量。
阿根廷重症医学协会（Sociedad Argentina de Terapia Intensiva，SATI）的康复与患者随访委员会请求不同委员会合作设计本文件。对该问题的文献进行了全面检索，并举行了预定会议和基于网络的讨论。经过综合评估，随访计划中根据GRADE系统提出的建议包括：受控访视的频率、指定的医疗保健专业人员、评估的基本领域和推荐的评估工具（已通过西班牙语验证）以及该计划的整个持续时间。
本文建议的ICU出院后患者随访措施将有助于对与PICS相关的长期并发症进行基本的诊断和管理。
