儿科重症监护的长期随访 - - 一个叙事性综述
Ashfaque Quadir1,2, Marino Festa1, Michelle Gilchrist1
1Paediatric Intensive Care Unit, The Children's Hospital at Westmead, Sydney, NSW, Australia.
Frontiers in pediatrics
|July 16, 2024
概括
更多的儿童在儿科重症监护室幸存下来,但许多儿童面临着长期的挑战. 本综述考察了儿科后重症监护综合征和标准化后续计划的需要,以改善生存结果.
科学领域:
- 儿科重症监护医药 儿科重症监护医药
- 重症监护室 (ICU) 的幸存者情况.
- 儿童的长期健康结果.
背景情况:
- 儿科重症监护已经进步,导致危急儿童的生存率提高.
- 儿科重症监护室 (PICU) 的生存率增加导致幸存者人数不断增加,这可能会产生长期后果.
- 现有的文献记录了这些儿童的身体,心理和认知障碍,强调了需要有结构的后续治疗.
研究的目的:
- 为了探索儿科后重症监护综合征 (PICS).
- 总结PICU出院后儿童的多因素缺陷和发病率.
- 审查当前的长期后续实践,并确定研究缺口.
主要方法:
- 这项研究是对现有文献的叙述性审查.
- 它综合了关于儿科重症监护后综合征的信息.
- 它检查了PICU后续的当前实践和未来研究方向.
主要成果:
- 儿科重症监护的幸存者经常经历显著的长期功能障碍 (身体,心理,社会,认知).
- 对于儿童ICU幸存者的长期随访护理,缺乏标准化,基于证据的方法.
- 目前的后续实践不一致,需要进一步的研究和开发.
结论:
- 儿科后重症监护综合征是一个复杂的挑战,具有多因素的缺陷.
- 建立标准化,基于证据的随访计划对于优化儿科ICU幸存者的长期结果至关重要.
- 需要进一步的研究,以解决对理解的差距,并制定有效的长期护理策略.
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