医院出院后的重症候群后续系统:一个叙事审查
Nobuto Nakanishi1, Keibun Liu2,3,4, Junji Hatakeyama5
1Division of Disaster and Emergency Medicine, Department of Surgery Related, Kobe University Graduate School of Medicine, 7-5-2 Kusunoki, Chuo-Ward, Kobe, 650-0017, Japan.
后重症监护综合征 (PICS) 管理需要长期的随访. 本综述总结了PICS后续系统,包括诊所和远程医疗,以指导预防和治疗.
科学领域:
- 临界护理医学 临界护理医学
- 患者康复 患者康复
- 医疗保健服务研究 医疗服务研究
背景情况:
- 后重症监护综合征 (PICS) 涉及在重症监护后持续的身体,认知和心理健康损害.
- 有效的长期后续对PICS管理至关重要,但对后续系统有效性的证据有限.
研究的目的:
- 审查目前后重症监护综合征后续系统的情况.
- 提供PICS预防和治疗医院出院后的综合战略.
主要方法:
- 对PICS随访系统的叙述性审查,包括诊所,家庭访问,远程医疗和电话/邮件随访.
- 基于最近的建议,对面和远程评估方法的分类.
- 目前关于PICS治疗的证据摘要,重点关注药物,康复和营养.
主要成果:
- 首次在1993年成立的PICS随访诊所的疗效研究结果各不相同.
- 理想情况下,应在医院出院后三个月内参加PICS随访诊所.
- 多学科团队的参与对于解决包括营养状况在内的PICS障碍至关重要.
结论:
- 本综述综合了关于后重症监护综合征的随访策略的信息.
- 建议PICS管理采用综合方法,整合各种后续措施.
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