心脏重症监护室的脆弱性:评估和影响
Mohamad B Moumneh1, Yasser Jamil2, Kriti Kalra1
1Inova Center of Outcomes Research, Inova Heart and Vascular, 3300 Gallows Road, Falls Church, VA 22042, USA.
European heart journal. Acute cardiovascular care
|March 25, 2024
概括
心脏重症监护室 (CICU) 的脆弱性日益令人担忧,影响所有年龄段的患者. 本综述探讨了脆弱性评估,结果和干预措施,以更好地管理CICU患者.
科学领域:
- 老年医学 老年医学
- 心脏病学 心脏病学
- 关键护理医学 关键护理医学
背景情况:
- 虚弱,由于储备减少而导致的脆弱综合征,在心脏重症监护室 (CICU) 越来越多地被认可.
- 它与增加的发病率,死亡率和并发症有关,通常与心血管疾病双向联系在一起.
- 虚弱影响着老年人和大量 (大约30%) 的年轻患者 (65岁以下) 住院治疗,影响出院后的身体和认知功能.
研究的目的:
- 审查CICU人群中脆弱性的评估方法.
- 检查CICU患者与虚弱相关的临床结果.
- 讨论在ICU入院期间和之后管理脆弱个体的干预措施.
主要方法:
- 本综述综合了有关CICU相关的脆弱性评估工具的当前文献.
- 它分析了检查脆弱性对死亡率,停留时间和再接收率等结果的影响的研究.
- 该审查还探讨了基于证据的干预措施和脆弱的ICU患者的管理策略.
主要成果:
- 在CICU中,脆弱的患者通常会出现更高的并发症负担.
- 他们不太可能接受针对急性心血管疾病的最佳基于证据的治疗方法.
- 虚弱与更差的临床结果和退院后的功能衰退有关.
结论:
- 虚弱是一种关键的老年综合征,需要在重症监护室内特别注意.
- 标准化的评估和量身定制的干预措施对于改善脆弱的ICU患者的护理和治疗结果至关重要.
- 对于住院和出院后的阶段都需要有效的管理策略,以应对虚弱的影响.
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