Hassan Esraa M, Jama Abbas B, Sharaf Ahmed, Shaikh Asim, El Labban Mohamad, Surani Salim, Khan Syed A
Department of Critical Care Medicine, Mayo Clinic Health system, Mankato, MN 56001, United States.
Department of Internal Medicine, Baptist Hospital of Southeast Texas, Beaumont, TX 77701, United States.
World J Clin Cases. 2024 Aug 16;12(23):5313-5319. doi: 10.12998/wjcc.v12.i23.5313.
Discharging patients directly to home from the intensive care unit (ICU) is becoming a new trend. This review examines the feasibility, benefits, challenges, and considerations of directly discharging ICU patients. By analyzing available evidence and healthcare professionals' experiences, the review explores the potential impacts on patient outcomes and healthcare systems. The practice of direct discharge from the ICU presents both opportunities and complexities. While it can potentially reduce costs, enhance patient comfort, and mitigate complications linked to extended hospitalization, it necessitates meticulous patient selection and robust post-discharge support mechanisms. Implementing this strategy successfully mandates the availability of home-based care services and a careful assessment of the patient's readiness for the transition. Through critical evaluation of existing literature, this review underscores the significance of tailored patient selection criteria and comprehensive post-discharge support systems to ensure patient safety and optimal recovery. The insights provided contribute evidence-based recommendations for refining the direct discharge approach, fostering improved patient outcomes, heightened satisfaction, and streamlined healthcare processes. Ultimately, the review seeks to balance patient-centered care and effective resource utilization within ICU discharge strategies.
将重症监护病房(ICU)的患者直接出院回家正成为一种新趋势。本综述探讨了将ICU患者直接出院的可行性、益处、挑战及注意事项。通过分析现有证据和医疗保健专业人员的经验,该综述探讨了对患者预后和医疗系统的潜在影响。从ICU直接出院的做法既带来了机遇,也存在复杂性。虽然它有可能降低成本、提高患者舒适度并减轻与长期住院相关的并发症,但这需要精心挑选患者并建立强大的出院后支持机制。成功实施这一策略需要有居家护理服务,并且要仔细评估患者对过渡的准备情况。通过对现有文献的批判性评估,本综述强调了量身定制的患者选择标准和全面的出院后支持系统对于确保患者安全和最佳康复的重要性。所提供的见解为完善直接出院方法、促进改善患者预后、提高满意度和简化医疗流程提供了基于证据的建议。最终,该综述旨在在ICU出院策略中平衡以患者为中心的护理和有效的资源利用。