Guidelines for the construction and management of critical care medicine in China (2025 Edition)

Journal of intensive medicine Pub Date : 2026-02-01 Epub Date: 2025-12-30 DOI:10.1016/j.jointm.2025.09.004

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引用次数: 0

Abstract

Critical care medicine is a clinical medical discipline that studies the pathogenesis, progression, diagnosis, and management of life-threatening diseases caused by various etiological factors. The Intensive Care Unit (ICU), as the core clinical setting of critical care medicine, is responsible for the full-cycle management of critically ill patients, covering a series of comprehensive measures from early warning to rehabilitation. In 2024, the National Health Commission and seven other ministries jointly issued the “Opinions on Strengthening the Capacity Building of Critical Care Medical Services”, promoting the discipline into a new stage of high‑quality development. Based on this, the Chinese Society of Critical Care Medicine (CSCCM) organized domestic experts to discuss and formulate the “Guidelines for the Construction and Management of Critical Care Medicine in China (2025 Edition).” The guidelines focus on core elements of discipline organization and development, covering nine areas: ICU ward construction, ICU admission criteria, staffing and technical requirements for professionals, equipment configuration, quality management, professional training and continuing education, scientific research, response to public health emergencies, and improved service models. The working group initially formed recommended entries through initiation, literature search and screening, and synthesis of medical evidence. The preliminary recommendations were then revised through expert panel reviews, remote and face-to-face meetings, revisions, and finally finalized by voting at the Standing Committee of CSCCM, resulting in the establishment of foundational and developmental discipline construction guidelines. The guidelines apply to ICUs in secondary and above healthcare institutions, providing a scientific framework for discipline planning, construction, and management to enhance the quality of critical care services.

Practice guideline registration: Practice Guideline Registration for Transparency (PREPARE-2025CN972).

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中国危重病医学建设与管理指南（2025年版）。

危重医学是研究由各种病因引起的危及生命的疾病的发病、进展、诊断和治疗的临床医学学科。重症监护室（Intensive Care Unit， ICU）作为重症医学的核心临床设置，负责重症患者的全周期管理，涵盖从早期预警到康复的一系列综合措施。2024年，国家卫健委等七部委联合印发《关于加强重症医学服务能力建设的意见》，推动重症医学学科进入高质量发展新阶段。基于此，中国危重医学学会组织国内专家研讨制定了《中国危重医学建设与管理指南（2025年版）》。《指导意见》围绕学科组织发展的核心要素，涵盖ICU病房建设、ICU入院标准、专业人员配备与技术要求、设备配置、质量管理、专业培训与继续教育、科学研究、突发公共卫生事件应对、完善服务模式等9个方面。工作组通过启动、文献检索和筛选以及综合医学证据初步形成了推荐条目。初步建议经过专家小组评审、远程和面对面会议、修订、最终由中国科学院常务委员会投票确定，形成基础性和发展性学科建设指导方针。《指南》适用于二级及以上医疗机构重症监护病房，为学科规划、建设和管理提供科学框架，提高重症监护服务质量。执业指南注册：透明度执业指南注册（PREPARE-2025CN972）。

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