Enfermedad crítica crónica. Un desafío emergente en el contexto de la medicina de cuidados intensivos

Eduardo Moreira , Gastón Burghi , Milagros Gómez Haedo , Marcelo Barbato , William Manzanares
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引用次数: 0

Abstract

Hospital mortality of patients admitted to the intensive care unit (ICU) has decreased in the last two decades despite an increase in disease severity. Advances in intensive care and the incorporation of new technologies have enabled fewer patients to express the early trajectory of multiple organ dysfunction and death in the acute stage of critical illness. However, some patients who survive acute illness remain dependent on intensive treatment for prolonged periods and constitute the chronic critical illness (CCI) population. This patient population frequently develops complications that limit quality of life and pose long-term survival challenges. Knowing more about CCI will facilitate the planning and implementation of patient- and family-centered care protocols regarding short- and long-term prospects.

慢性危重疾病。重症监护医学背景下的新挑战
在过去二十年中,尽管疾病严重程度有所增加,但入住重症监护病房(ICU)的患者的医院死亡率有所下降。重症监护的进步和新技术的结合,使更少的患者能够在危重疾病的急性期表现出多器官功能障碍和死亡的早期轨迹。然而,一些在急性疾病中幸存下来的患者仍然依赖于长时间的强化治疗,并构成慢性危重症(CCI)人群。这些患者经常出现并发症,限制了生活质量,并对长期生存构成挑战。更多地了解CCI将促进以患者和家庭为中心的短期和长期护理方案的规划和实施。
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