Toobe Marina
Hospital de Pediatria S.A.M.I.C Prof. Dr. Juan P. Garrahan.
Rev Fac Cien Med Univ Nac Cordoba. 2021 Dec 28;78(4):408-414. doi: 10.31053/1853.0605.v78.n4.32809.
The term “Post-intensive care syndrome” describe new impairments after critical illness, that worsen physical, cognitive, or mental health, and persist after acute care hospitalization.
a bibliographic search was carried out using the Medline database. The search period was from 2012 to 2020 using keywords.
Emerging evidence suggests that there are significant and persistent physical, cognitive, and psychiatric morbidities among adult and pediatric survivors of critical illness. In this population it can also affect the “social health” sphere. The families of hospitalized patients often manifest psychological symptoms. For prevention and management there are various tools, the package of measures "ABCDEFGH", the conformation and organization of the health team, early mobilization and physical rehabilitation, nutritional contribution, environmental management, intensive care unit diaries and support between pairs.
Each patient´s situation is unique and the challenges they face may require different interventions. These should be studied to increase the available evidence in the pediatric population. We still do not have a specific instrument to monitor the syndrome in pediatrics or information on long-term sequelae in children.
“重症监护后综合征”一词描述了危重症后的新损伤,这些损伤会使身体、认知或心理健康恶化,并在急性护理住院后持续存在。
使用Medline数据库进行文献检索。检索期为2012年至2020年,使用了关键词。
新出现的证据表明,危重症成年和儿科幸存者中存在显著且持续的身体、认知和精神疾病。在这一人群中,它还会影响“社会健康”领域。住院患者的家属常表现出心理症状。对于预防和管理,有各种工具,如“ABCDEFGH”措施包、医疗团队的组建和组织架构、早期活动和身体康复、营养支持、环境管理、重症监护病房日记以及同伴间的支持。
每个患者的情况都是独特的,他们面临的挑战可能需要不同的干预措施。应进行研究以增加儿科人群中的现有证据。我们仍然没有用于监测儿科综合征的特定工具,也没有关于儿童长期后遗症的信息。