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[儿科重症监护后综合征]

[Post-intensive care syndrome in pediatrics].

作者信息

Toobe Marina

机构信息

Hospital de Pediatria S.A.M.I.C Prof. Dr. Juan P. Garrahan.

出版信息

Rev Fac Cien Med Univ Nac Cordoba. 2021 Dec 28;78(4):408-414. doi: 10.31053/1853.0605.v78.n4.32809.

DOI:10.31053/1853.0605.v78.n4.32809
PMID:34962736
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8765375/
Abstract

INTRODUCTION

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.

METHODS

a bibliographic search was carried out using the Medline database. The search period was from 2012 to 2020 using keywords.

RESULTS

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.

CONCLUSION

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.

摘要

引言

“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。

方法

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。

结果

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。

结论

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。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d830/8765375/e5ba1ffd658b/1853-0605-78-4-408-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d830/8765375/e5ba1ffd658b/1853-0605-78-4-408-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d830/8765375/e5ba1ffd658b/1853-0605-78-4-408-g001.jpg

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1
[Post-intensive care syndrome in pediatrics].[儿科重症监护后综合征]
Rev Fac Cien Med Univ Nac Cordoba. 2021 Dec 28;78(4):408-414. doi: 10.31053/1853.0605.v78.n4.32809.
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本文引用的文献

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Best Practices for Conducting Interprofessional Team Rounds to Facilitate Performance of the ICU Liberation (ABCDEF) Bundle.多专业团队查房以促进 ICU 患者脱离呼吸机(ABCDEF)方案实施的最佳实践。
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The impact of intensive care unit diaries on patients' and relatives' outcomes: a systematic review and meta-analysis.重症监护病房日记对患者和家属结局的影响:系统评价和荟萃分析。
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Does enhanced physical rehabilitation following intensive care unit discharge improve outcomes in patients who received mechanical ventilation? A systematic review and meta-analysis.强化重症监护病房出院后的身体康复是否能改善接受机械通气患者的结局?系统评价和荟萃分析。
BMJ Open. 2019 Jun 9;9(6):e026075. doi: 10.1136/bmjopen-2018-026075.
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Aging and Postintensive Care Syndrome- Family: A Critical Need for Geriatric Psychiatry.老龄化和重症监护后综合征-家庭:老年精神病学的迫切需求。
Am J Geriatr Psychiatry. 2019 Apr;27(4):446-454. doi: 10.1016/j.jagp.2018.12.002. Epub 2018 Dec 6.
8
Models of Peer Support to Remediate Post-Intensive Care Syndrome: A Report Developed by the Society of Critical Care Medicine Thrive International Peer Support Collaborative.同伴支持改善重症监护后综合征模式:重症监护医学学会茁壮成长国际同伴支持协作制定的报告。
Crit Care Med. 2019 Jan;47(1):e21-e27. doi: 10.1097/CCM.0000000000003497.
9
Caring for Critically Ill Patients with the ABCDEF Bundle: Results of the ICU Liberation Collaborative in Over 15,000 Adults.用 ABCDEF 集束化方案关爱危重症患者:15000 多例成人患者的 ICU 解放协作研究结果。
Crit Care Med. 2019 Jan;47(1):3-14. doi: 10.1097/CCM.0000000000003482.
10
Physical Impairments Associated With Post-Intensive Care Syndrome: Systematic Review Based on the World Health Organization's International Classification of Functioning, Disability and Health Framework.与 ICU 后综合征相关的身体损伤:基于世界卫生组织国际功能、残疾和健康分类框架的系统评价。
Phys Ther. 2018 Aug 1;98(8):631-645. doi: 10.1093/ptj/pzy059.