在ICU和后重症监护综合征的时间:有多长时间足够长?
Dylan Flaws1,2,3, John F Fraser4,5,6,7, Kevin Laupland5,8
1Department of Mental Health, Metro North Mental Health, Caboolture Hospital, Caboolture, QLD, Australia. dylan.flaws@health.qld.gov.au.
Critical care (London, England)
|January 23, 2024
概括
许多短期住入重症监护室 (ICU) 的患者经历了长期损伤. 这项研究强调了在这个经常被排除在外的群体中探索ICU后恢复的必要性.
科学领域:
- 关键护理医学 关键护理医学
- 后重症监护综合征研究研究
- 患者的治疗结果.
背景情况:
- 目前关于重症监护病房 (ICU) 后康复的研究往往排除了短期ICU停留的患者.
- 纳入标准通常要求最少的ICU停留时间 (LOS) 为2472小时,可能会忽视一个重要的患者群体.
- 众所周知,长时间的ICU住院和机械通风使康复复复杂化,但在短时间住院后恢复需要进一步调查.
研究的目的:
- 调查在ICU停留时间较短的ICU患者中发生的后ICU损伤的流行和性质.
- 为了解决不符合长期ICU逗留传统标准的患者康复轨迹的差距.
主要方法:
- 追踪结果后重症监护 (TOPIC) 研究数据的二次分析.
- 评估132名参与者在ICU退院6个月后使用经过验证的自我报告工具对身体功能,认知功能,焦虑,抑郁和PTSD进行评估.
- 对ICU停留数据的回顾性分析,包括停留时间和机械通风持续时间,有意包括短期ICU停留患者 (LOS <72小时).
主要成果:
- 40% (30) 的所有参与者报告说,在6个月后至少有一次ICU后损伤.
- 在那些有损伤的人中,22% (17) 的ICU停留时间小于72小时.
- 很大一部分ICU停留时间较短的患者经历了长期的功能和心理障碍.
结论:
- 患有ICU停留时间短于72小时的患者经常在出院6个月后报告ICU后损伤.
- 这一群人群往往被排除在临床研究和康复干预之外.
- 未来的研究应该优先考虑在ICU停留时间较短的ICU患者中探索ICU后损伤,以告知有针对性的干预措施并改善整体康复结果.
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