Yale School of Medicine, New Haven, Connecticut.
Johns Hopkins University School of Medicine, Baltimore, Maryland.
Curr Opin Crit Care. 2022 Oct 1;28(5):557-565. doi: 10.1097/MCC.0000000000000982. Epub 2022 Aug 22.
The purpose of this review is to examine evidence describing the influence of social determinants on recovery following hospitalization with critical illness. In addition, it is meant to provide insight into the several mechanisms through which social factors influence recovery as well as illuminate approaches to addressing these factors at various levels in research, clinical care, and policy.
Social determinants of health, ranging from individual factors like social support and socioeconomic status to contextual ones like neighborhood deprivation, are associated with disability, cognitive impairment, and mental health after critical illness. Furthermore, many social factors are reciprocally related to recovery wherein the consequences of critical illness such as financial toxicity and caregiver burden can put essential social needs under strain turning them into barriers to recovery.
Recovery after hospitalization for critical illness may be influenced by many social factors. These factors warrant attention by clinicians, health systems, and policymakers to enhance long-term outcomes of critical illness survivors.
目的综述： 本篇综述旨在探讨社会决定因素对危重病住院后康复的影响。此外，还旨在提供一些见解，说明社会因素通过多种机制影响康复，以及阐明在研究、临床护理和政策各个层面解决这些因素的方法。
最近发现：健康的社会决定因素，包括社会支持和社会经济地位等个体因素，以及邻里贫困等环境因素，与危重病后残疾、认知障碍和心理健康有关。此外，许多社会因素与康复相互关联，其中，危重病的后果，如财务毒性和照顾者负担，可能会使基本的社会需求紧张，使它们成为康复的障碍。
总结： 危重病住院后的康复可能会受到许多社会因素的影响。这些因素值得临床医生、卫生系统和政策制定者关注，以提高危重病幸存者的长期预后。
