クリティカルケアと,成人における重症病の世界的な負担
Neill K J Adhikari1, Robert A Fowler, Satish Bhagwanjee
1Interdepartmental Division of Critical Care, University of Toronto and Department of Critical Care Medicine, Sunnybrook Health Sciences Centre, Toronto, ON, Canada.
Lancet (London, England)
|October 12, 2010
まとめ
クリティカルケアは,世界中で重症患者の治療のために進化してきました. 将来の取り組みは,ニーズを測定し,スケーラブルな介入を開発することによって,特に高齢化人口と開発途上国における重症疾患の増大する負担に対処する必要があります.
科学分野:
- クリティカルケア・メディシン
- グローバル・ヘルス グローバル・ヘルス
- 公衆衛生は公衆衛生である.
背景:
- クリティカルケアは,集中治療室を超えて,場所に関係なく重症患者の管理を含むように進化しました.
- 人口調査は,特に高齢者集団において,重症疾患の負担が大きく増大していることを示しています.
- 開発途上国では,重症治療能力の必要性が認識され,増加しています.
研究 の 目的:
- 集中治療の進化と範囲の拡大を強調する.
- 深刻な病気の世界的な負担の増加を強調するために.
- 集中治療における課題と将来の研究方向性を特定する.
主な方法:
- 集中治療の進化を振り返る.
- 重症疾患の負担に関する人口ベースの研究の分析.
- 集中治療の拡大におけるリソースのニーズと課題の議論.
主要な成果:
- 危機的な病気は,これまで考えられていたよりも多くの人に影響を与え,この傾向は,人口高齢化とともに増加するでしょう.
- 発展途上地域では,集中治療サービスが不十分である.
- 集中治療の拡大は経済的な課題に直面しています.
結論:
- 集中治療は,高齢化人口や資源の限られた環境を含む,世界的な需要の増加に適応する必要があります.
- 深刻な病気の世界的な負担と利用可能なリソースを測定することは極めて重要です.
- 普遍的に適用可能な予防的および治療的介入の開発は,重症治療の将来にとって不可欠です.
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