Elderly Patients and Management in Intensive Care Units (ICU): Clinical Challenges.

Elderly Patients and Management in Intensive Care Units (ICU): Clinical Challenges.
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重症监护病房(ICU)的老年患者和管理:临床挑战。

DOI:
10.2147/cia.s365968
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发表时间:
2023
影响因子:
3.6
通讯作者:
--
中科院分区:
医学2区
文献类型:
--
作者:

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有越来越多的老年人需要进入重症监护病房(ICU)。这一人口超过了接受过老年培训的临床医生协助他们管理的能力。对老年患者护理中的强化护理人员进行专门的培训和教育对于帮助理解和告知临床护理是有价值的,因为衰老的生理变化影响到每个器官系统。这篇综述强调了其中的一些老龄化过程,并讨论了脆弱老年人口的临床意义。在ICU照顾这些老年患者时,其他考虑因素包括功能结果和发病率,而不仅仅是关注死亡率。在ICU中照顾老年人时,应采用结合衰老生理学、应用现有证据并将患者及其家人纳入护理的整体方法。
There is a growing population of older adults requiring admission to the intensive care unit (ICU). This population outpaces the ability of clinicians with geriatric training to assist in their management. Specific training and education for intensivists in the care of older patients is valuable to help understand and inform clinical care, as physiologic changes of aging affect each organ system. This review highlights some of these aging processes and discusses clinical implications in the vulnerable older population. Other considerations when caring for these older patients in the ICU include functional outcomes and morbidity, as opposed to merely a focus on mortality. An overall holistic approach incorporating physiology of aging, applying current evidence, and including the patient and their family in care should be used when caring for older adults in the ICU.
DOI: 10.3390/healthcare9060657
发表时间: 2021-05-31
期刊: Healthcare (Basel, Switzerland)
影响因子: --
作者:
Doležalová J;Tóthová V;Neugebauer J;Sadílek P
通讯作者: Sadílek P
DOI: 10.3390/jcm11040897
发表时间: 2022-02-09
影响因子: 3.9
作者:
Michel P;Fadel F;Ehrmann S;Plantefève G;Gelée B
通讯作者: Gelée B