后重症监护综合征查:一项法国多中心调查
Maïté Agbakou1, Margot Combet2, Maëlle Martin3
1Intensive Care Unit, Nantes University Hospital, Nantes University, 30 Bd. Jean Monnet, Nantes, Cedex 1 44093, France. maite.agbakou@chu-nantes.fr.
Annals of intensive care
|July 9, 2024
概括
很少有重症监护病房 (ICU) 幸存者因后重症监护综合征 (PICS) 接受随访. 虽然不到三分之一的法国ICU提供PICS查访问,但近三分之一的计划很快将其实施.
科学领域:
- 关键护理医学 关键护理医学
- 公共卫生 公共卫生
- 患者的治疗结果.
背景情况:
- 后重症监护综合征 (PICS) 涵盖了ICU出院后持续存在的身体,认知和心理健康问题.
- 皮克斯是一个日益严重的医疗保健问题,但对查实践的数据仍然有限.
- 本研究调查了法国ICU中的PICS查可用性和评估方法.
研究的目的:
- 描述目前法国ICU后后续诊所的情况.
- 评估ICU幸存者中PICS查的可用性.
- 确定实施ICU后护理的障碍和促进者.
主要方法:
- 一项多中心在线调查分发给法国252个ICU.
- 一个匿名问卷评估了随访可用性,查工具和患者选择标准.
- 从每个ICU的重症治疗师或随访主管那里收集数据.
主要成果:
- 161个ICU (63.9%) 响应;46个 (28.6%) 提供了ICU后的后续访问,通常是出院后3-6个月.
- 只有大约5%的ICU幸存者参加了这些访问,选择基于严重疾病的严重程度.
- 障碍包括缺乏人员/设备和优先级较低;43.5%的不提供ICU的患者计划在一年内开始使用.
结论:
- 一小部分ICU幸存者受益于PICS检测,通过专门的随访.
- 虽然目前ICU后的随访是有限的,但预计未来的实施,可能会在2023年法国卫生建议中得到改善.
- 标准化和增加ICU后护理的可用性对于管理PICS至关重要.
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