Sayde George E, Shapiro Peter A, Kronish Ian, Agarwal Sachin
Division of Consultation-Liaison Psychiatry, Department of Psychiatry, Columbia University Irving Medical Center, 622 West 168(th) Street, PH 16-Center, New York, NY 10032, USA.
Center for Behavioral Cardiovascular Health, Division of General Medicine, Columbia University Irving Medical Center, 622 West 168(th) Street, PH9-311, New York, NY 10032, USA.
J Crit Care. 2024 Aug;82:154798. doi: 10.1016/j.jcrc.2024.154798. Epub 2024 Mar 26.
Intensive Care Unit (ICU) survivorship comprises a burgeoning area of critical care medicine, largely due to our improved understanding of and concern for patients' recovery trajectory, and efforts to mitigate the post-acute complications of critical illness. Expansion of care beyond hospitalization is necessary, yet evidence for post-ICU clinics remains limited and mixed, as both interventions and target populations studied to date are too heterogenous to meaningfully demonstrate efficacy. Here, we briefly present the existing evidence and limitations related to post-ICU clinics, identify cardiac arrest survivors as a unique ICU subpopulation warranting further investigation and treatment, and propose a clinical framework that addresses the multifaceted needs of this well-defined patient population.
重症监护病房(ICU)幸存者护理是危重症医学中一个蓬勃发展的领域,这主要得益于我们对患者康复轨迹有了更深入的了解并给予更多关注,以及为减轻危重症的急性后期并发症所做的努力。将护理扩展到住院治疗之外是必要的,然而,关于ICU后诊所的证据仍然有限且参差不齐,因为迄今为止研究的干预措施和目标人群都过于多样化,无法有意义地证明其疗效。在此,我们简要介绍与ICU后诊所相关的现有证据和局限性,将心脏骤停幸存者确定为一个需要进一步研究和治疗的独特ICU亚群,并提出一个临床框架,以满足这一明确界定的患者群体的多方面需求。