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献给时代之作:优化重症监护病房的老年护理

One for the ages: optimizing geriatric care in the intensive care unit.

作者信息

Egodage Tanya, Patel Purvi Pravinchandra

机构信息

Surgery, Cooper University Health Care, Camden, New Jersey, USA.

Department of Surgery, Loyola University Chicago, Maywood, Illinois, USA.

出版信息

Trauma Surg Acute Care Open. 2025 Apr 14;10(Suppl 1):e001785. doi: 10.1136/tsaco-2025-001785. eCollection 2025.

DOI:10.1136/tsaco-2025-001785
PMID:40521176
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12164298/
Abstract

Increasing proportions of patients admitted to intensive care units (ICUs) are >65 years of age. Geriatric critical care requires a nuanced approach that optimizes outcomes and is mindful of patient desires. This occurs by identifying at-risk patients and implementing protocols and multidisciplinary care which targets patients' clinical status, prevents neurologic and physical deterioration, and addresses comorbidities in the setting of altered physiology. In this article, we will review evidence-based practices to enhance the care of older adult patients in the ICU.

摘要

入住重症监护病房(ICU)的患者中,65岁以上的比例越来越高。老年重症监护需要一种细致入微的方法,以优化治疗效果并关注患者的意愿。这通过识别高危患者并实施针对患者临床状况、预防神经和身体功能恶化以及在生理状态改变的情况下处理合并症的方案和多学科护理来实现。在本文中,我们将回顾基于证据的实践方法,以加强对ICU中老年患者的护理。

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本文引用的文献

1
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Incidence and Risk Factors for ICU-Associated Delirium in the Alert Geriatric Trauma Population.老年创伤患者 ICU 相关性谵妄的发生率及危险因素。
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Prolonged hourly neurological examinations are associated with increased delirium and no discernible benefit in mild/moderate geriatric traumatic brain injury.长时间每小时进行神经学检查与谵妄的增加有关,而在轻度/中度老年创伤性脑损伤中没有明显获益。
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J Trauma Acute Care Surg. 2024 Jan 1;96(1):166-177. doi: 10.1097/TA.0000000000004154. Epub 2023 Oct 12.
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Sound and light levels in intensive care units in a large urban hospital in the United States.美国一家大型城市医院重症监护病房的声音和光照水平。
Chronobiol Int. 2023 Jun 3;40(6):759-768. doi: 10.1080/07420528.2023.2207647. Epub 2023 May 5.
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Elderly Patients and Management in Intensive Care Units (ICU): Clinical Challenges.老年重症监护病房患者及其管理:临床挑战。
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Effect of early mobilisation on long-term cognitive impairment in critical illness in the USA: a randomised controlled trial.早期活动对美国危重症患者长期认知障碍的影响:一项随机对照试验。
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