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了解脓毒症后综合征:临床医生如何提供帮助?

Understanding Post-Sepsis Syndrome: How Can Clinicians Help?

作者信息

van der Slikke Elisabeth C, Beumeler Lise F E, Holmqvist Madlene, Linder Adam, Mankowski Robert T, Bouma Hjalmar R

机构信息

Department of Clinical Pharmacy and Pharmacology, University of Groningen, University Medical Center Groningen, Groningen, 9713GZ, the Netherlands.

Department of Intensive Care, Medical Centre Leeuwarden, Leeuwarden, 8934AD, the Netherlands.

出版信息

Infect Drug Resist. 2023 Sep 29;16:6493-6511. doi: 10.2147/IDR.S390947. eCollection 2023.

Abstract

Sepsis is a global health challenge, with over 49 million cases annually. Recent medical advancements have increased in-hospital survival rates to approximately 80%, but the escalating incidence of sepsis, owing to an ageing population, rise in chronic diseases, and antibiotic resistance, have also increased the number of sepsis survivors. Subsequently, there is a growing prevalence of "post-sepsis syndrome" (PSS). This syndrome includes long-term physical, medical, cognitive, and psychological issues after recovering from sepsis. PSS puts survivors at risk for hospital readmission and is associated with a reduction in health- and life span, both at short and long term, after hospital discharge. Comprehensive understanding of PSS symptoms and causative factors is vital for developing optimal care for sepsis survivors, a task of prime importance for clinicians. This review aims to elucidate our current knowledge of PSS and its relevance in enhancing post-sepsis care provided by clinicians.

摘要

脓毒症是一项全球性的健康挑战,每年有超过4900万例病例。最近的医学进展已将住院生存率提高到约80%,但由于人口老龄化、慢性病增加以及抗生素耐药性,脓毒症的发病率不断上升,这也增加了脓毒症幸存者的数量。随后,“脓毒症后综合征”(PSS)的患病率也在不断上升。该综合征包括脓毒症康复后出现的长期身体、医学、认知和心理问题。PSS使幸存者面临再次入院的风险,并且与出院后短期和长期的健康和寿命缩短有关。全面了解PSS症状和致病因素对于为脓毒症幸存者制定最佳护理至关重要,这是临床医生的一项首要任务。本综述旨在阐明我们目前对PSS的认识及其在加强临床医生提供的脓毒症后护理方面的相关性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3afe/10546999/e738e960acca/IDR-16-6493-g0001.jpg

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