Patient-Centered Outcomes in Critical Illness: Will My Patient Be Functionally and Cognitively Intact?

Patient-Centered Outcomes in Critical Illness: Will My Patient Be Functionally and Cognitively Intact?
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以患者为中心的危重疾病治疗结果:我的患者功能和认知功能是否完好?

DOI:
10.1055/s-0039-1698379
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发表时间:
2019
影响因子:
3.2
通讯作者:
Ferrante,LaurenE
Ferrante,LaurenE
中科院分区:
医学3区
文献类型:
--
作者:
Geer,JacquelineH;Qi,Wei;Ferrante,LaurenE

文献摘要

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在过去的几十年里,重症监护病房(ICU)的生存率稳步上升;现在每年有数百万患者在危重病中幸存下来。ICU幸存者的身体功能、认知功能和心理健康受损的风险显著增加。这些以患者为中心的结果对患者来说是最有意义的。有关治疗偏好的里程碑式研究表明,患者更重视功能和认知结果而不是死亡率。在本章中,我们讨论了危重病后功能和认知结果的决定因素,以解决这个问题,“我的ICU患者的功能和认知是否完整?”
Survival in the intensive care unit (ICU) has steadily increased over the past several decades; millions of patients now survive a critical illness every year. ICU survivors are at a significantly increased risk of impairments in physical function, cognitive function, and mental health. These patient-centered outcomes are among the most meaningful to patients. Landmark studies concerning treatment preferences have demonstrated that patients value functional and cognitive outcomes over mortality. In this chapter, we discuss the determinants of functional and cognitive outcomes post critical illness to address the question, “Will my ICU patient be functionally and cognitively intact?”