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儿科危重症护理结局:科学现状。

Pediatric Critical Care Outcomes: State of the Science.

机构信息

University of Conneticut School of Nursing, 231 Glenbrook Road, U-4026, Storrs, CT 06269, USA; Department of Pediatrics, University of Connecticut School of Medicine, 200 Academic Way, Farmington, CT 06032, USA.

Department of Pediatrics, Division of Pediatric Critical Care Medicine, University of Washington, Seattle Children's Hospital, M/S FA2.112, 4800 Sand Point Way NE, Seattle, WA 98105, USA.

出版信息

Crit Care Clin. 2023 Apr;39(2):309-326. doi: 10.1016/j.ccc.2022.09.007. Epub 2022 Nov 2.

DOI:10.1016/j.ccc.2022.09.007
PMID:36898776
Abstract

Children who survive the pediatric intensive care unit (PICU) are at risk of developing post-intensive care syndrome in pediatrics (PICS-p). PICS-p, defined as new physical, cognitive, emotional, and/or social health dysfunction following critical illness, can affect the child and family. Historically, synthesizing PICU outcomes research has been challenging due to inconsistency in study design and in outcomes measurement. PICS-p risk may be mitigated by implementing intensive care unit best practices that limit iatrogenic injury and by supporting the resiliency of critically ill children and their families.

摘要

儿科重症监护病房(PICU)中幸存的儿童有发生儿科重症监护后综合征(PICS-p)的风险。PICS-p 定义为危重病后新出现的身体、认知、情感和/或社会健康功能障碍,可影响儿童及其家庭。从历史上看,由于研究设计和结果测量的不一致,综合 PICU 结果研究具有挑战性。通过实施限制医源性损伤的重症监护病房最佳实践,并支持重病儿童及其家庭的恢复能力,可以降低 PICS-p 的风险。

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