Department of Physical Therapy, College of Health Sciences, University of Kentucky, 900 South Limestone Street, Lexington, KY 40536, USA; Department of Exercise & Rehabilatation Sciences, College of Health and Human Sciences, The University of Toledo, 2801 Bancroft Street, Toledo, OH 43606, USA.
Department of Physiotherapy, School of Health Sciences, The University of Melbourne, Grattan Street, Parkville, Victoria, 3010, Australia.
Crit Care Clin. 2025 Jan;41(1):1-20. doi: 10.1016/j.ccc.2024.08.004. Epub 2024 Sep 13.
Patients surviving critical illness are at risk of persistent physical impairments related to Post Intensive Care Syndrome. Physical impairments and symptoms have potential for recovery, but frequently impact quality of life, performance of activities of daily living and participation in societal roles. Patient and illness-related risk factors directly relate and may predict physical functional outcomes providing opportunity for clinicians and scientist to develop targeted intervention strategies. Clinicians and scientists should screen and assess physical impairments and symptoms early following Intensive care unit discharge with a serial approach to promote for targeted and individualized treatment.
重症患者在经历危重病后,有发生与 ICU 后综合征相关的持续性身体功能障碍的风险。这些身体功能障碍和症状具有恢复的潜力,但经常会影响生活质量、日常活动能力和参与社会角色的能力。患者和疾病相关的风险因素直接相关,并且可能预测身体功能结果,为临床医生和科学家提供机会来制定有针对性的干预策略。临床医生和科学家应在 ICU 出院后早期进行身体功能障碍和症状的筛查和评估,采用连续的方法来促进有针对性和个体化的治疗。