ABC of intensive care - Recovery from intensive care

ABC of intensive care - Recovery from intensive care
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DOI:
10.1136/bmj.319.7207.427
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发表时间:
1999-08-14
影响因子:
--
通讯作者:
Jones, C
Jones, C
中科院分区:
医学1区
文献类型:
--
作者:
Griffiths, RD;Jones, C

文献摘要

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对重症监护后结局的研究表明,死亡率在入院后2-4年才恢复正常。虽然一些问卷调查报告的发病率,很少发表的工作存在详细的临床恢复或长期的残余影响的危重病。康复过程可能会给患者及其家人带来严重的身体、心理和社会问题,这些问题可能会持续数月或数年。尽管接受重症监护的患者往往病情危重,死亡风险很高,并接受了花费数万英镑的护理,但详细的随访和有针对性的支持仍然很少。
Studies of outcome after intensive care suggest that death rates do not return to normal until 2-4 years after admission. Although some questionnaire studies have reported on morbidity, little published work exists on detailed clinical recovery or longer term residual effects of critical illness. The recovery process may present serious physical, psychological, and social problems for both patients and their families, and these may last for months or years. Although patients who have been in intensive care have often been extremely ill, been at high risk of death, and received care costing tens of thousands of pounds, detailed follow up and targeted support are still rare.