The Critical Care Recovery Center: An Innovative Collaborative Care Model for ICU Survivors
The Critical Care Recovery Center: An Innovative Collaborative Care Model for ICU Survivors
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DOI：
10.1097/01.naj.0000461807.42226.3e
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发表时间：
2015-03-01
影响因子：
2.7
通讯作者：
Boustani, Malaz A.
中科院分区：
文献类型：
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作者：
Khan, Babar A.;Lasiter, Sue;Boustani, Malaz A.
概述每年有500万美国人因危及生命的疾病需要入住ICU。最近的医学进步使重症患者的存活率更高，这些患者通常具有显著的认知，身体和心理后遗症，称为重症监护后综合征（PICS）。这一不断增长的人口有可能压倒目前的美国医疗保健系统，该系统缺乏管理他们护理的既定临床模型。迫切需要新的创新模式。为此，印第安纳州大学医学院的肺部/重症监护和老年病部门联手开发并实施了一种协作护理模式，即重症监护康复中心（CCRC）。它的使命是最大限度地提高ICU幸存者的认知、身体和心理恢复。围绕实施和复杂性科学的原则发展，CCRC于2011年作为一个临床中心开放，具有次要研究重点。通过CCRC前患者和护理人员需求评估，初步诊断检查访视和包括家庭会议在内的随访访视提供护理。CCRC专注于PICS的预防和治疗，代表了一种创新的原型，旨在改善重症后疾病的发病率和改善ICU幸存者的生活质量。
Overview Five million Americans require admission to ICUs annually owing to life-threatening illnesses. Recent medical advances have resulted in higher survival rates for critically ill patients, who often have significant cognitive, physical, and psychological sequelae, known as postintensive care syndrome (PICS). This growing population threatens to overwhelm the current U.S. health care system, which lacks established clinical models for managing their care. Novel innovative models are urgently needed. To this end, the pulmonary/critical care and geriatrics divisions at the Indiana University School of Medicine joined forces to develop and implement a collaborative care model, the Critical Care Recovery Center (CCRC). Its mission is to maximize the cognitive, physical, and psychological recovery of ICU survivors. Developed around the principles of implementation and complexity science, the CCRC opened in 2011 as a clinical center with a secondary research focus. Care is provided through a pre-CCRC patient and caregiver needs assessment, an initial diagnostic workup visit, and a follow-up visit that includes a family conference. With its sole focus on the prevention and treatment of PICS, the CCRC represents an innovative prototype aimed at modifying post-critical illness morbidities and improving the ICU survivor's quality of life.