Improving long-term outcomes after discharge from intensive care unit

作者：Dale M. Needham, Judy E. Davidson, Henry Cohen, Ramona O. Hopkins, Craig Weinert, Hannah Wunsch, Christine A. Zawistowski, Anita Bemis‐Dougherty, Susan Berney, O. Joseph Bienvenu, Susan Brady, Martin B. Brodsky, Linda Denehy, Doug Elliott, Carl Flatley, Andrea L. Harabin, Christina Jones, Deborah Louis, Wendy Meltzer, Sean R. Muldoon, Jeffrey B. Palmer, Christiane Perme, Marla Robinson, David Schmidt, Elizabeth Scruth, Gayle R. Spill, C. Porter Storey, Marta L. Render, John Votto, Maurene A. Harvey · 发表于：Critical Care Medicine · 年份：2011 · DOI：10.1097/ccm.0b013e318232da75 · 被引用次数：2657 · 研究领域：Intensive Care Unit Cognitive Disorders、Family and Patient Care in Intensive Care Units、Sepsis Diagnosis and Treatment

BACKGROUND: Millions of patients are discharged from intensive care units annually. These intensive care survivors and their families frequently report a wide range of impairments in their health status which may last for months and years after hospital discharge. OBJECTIVES: To report on a 2-day Society of Critical Care Medicine conference aimed at improving the long-term outcomes after critical illness for patients and their families. PARTICIPANTS: Thirty-one invited stakeholders participated in the conference. Stakeholders represented key professional organizations and groups, predominantly from North America, which are involved in the care of intensive care survivors after hospital discharge. DESIGN: Invited experts and Society of Critical Care Medicine members presented a summary of existing data regarding the potential long-term physical, cognitive and mental health problems after intensive care and the results from studies of postintensive care unit interventions to address these problems. Stakeholders provided reactions, perspectives, concerns and strategies aimed at improving care and mitigating these long-term health problems. MEASUREMENTS AND MAIN RESULTS: Three major themes emerged from the conference regarding: (1) raising awareness and education, (2) understanding and addressing barriers to practice, and (3) identifying research gaps and resources. Postintensive care syndrome was agreed upon as the recommended term to describe new or worsening problems in physic...