满足老年患者及其家人在危重病期间和之后的复杂的多方面需求。

IF 3.5 3区 医学 Q1 CRITICAL CARE MEDICINE
Current Opinion in Critical Care Pub Date : 2024-10-01 Epub Date: 2024-07-11 DOI:10.1097/MCC.0000000000001188
Erminio Santangelo, Hannah Wozniak, Margaret S Herridge
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引用次数: 0

摘要

综述的目的:强调老年重症患者新出现的危机,回顾这些患者和护理人员所面临的多维发病率的独特负担以及潜在的干预措施:危重病后的身体、心理和认知后遗症在国际重症监护病房结果文献中是频繁、持久和强大的。老年患者更容易受到危重病及其治疗的多系统后遗症的影响,由此导致的多维发病率可能是深远的、慢性的,并严重影响患者和家属的功能独立性、向社区的过渡以及生活质量。最近的数据加强了基线功能状态、健康轨迹和慢性疾病作为 ICU 后长期功能障碍关键决定因素的重要性。摘要:本文概述了老年危重症幸存者的预后、减轻患者长期发病率的干预措施以及对家属和护理人员的影响。采用多模式纵向方法对患者进行一年或多年的随访,可以更好地了解脆弱的老年患者和家属所面临的多维发病率,并详细了解这一特殊人群的康复轨迹,以优化治疗结果、护理指令目标以及对重症监护室治疗的持续知情同意。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Meeting complex multidimensional needs in older patients and their families during and beyond critical illness.

Purpose of review: To highlight the emerging crisis of critically ill elderly patients and review the unique burden of multidimensional morbidity faced by these patients and caregivers and potential interventions.

Recent findings: Physical, psychological, and cognitive sequelae after critical illness are frequent, durable, and robust across the international ICU outcome literature. Elderly patients are more vulnerable to the multisystem sequelae of critical illness and its treatment and the resultant multidimensional morbidity may be profound, chronic, and significantly affect functional independence, transition to the community, and quality of life for patients and families. Recent data reinforce the importance of baseline functional status, health trajectory, and chronic illness as key determinants of long-term functional disability after ICU. These risks are even more pronounced in older patients.

Summary: The current article is an overview of the outcomes of older survivors of critical illness, putative interventions to mitigate the long-term morbidity of patients, and the consequences for families and caregivers. A multimodal longitudinal approach designed to follow patients for one or more years may foster a better understanding of multidimensional morbidity faced by vulnerable older patients and families and provides a detailed understanding of recovery trajectories in this unique population to optimize outcome, goals of care directives, and ongoing informed consent to ICU treatment.

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来源期刊
Current Opinion in Critical Care
Current Opinion in Critical Care 医学-危重病医学
CiteScore
5.90
自引率
3.00%
发文量
172
审稿时长
6-12 weeks
期刊介绍: ​​​​​​​​​Current Opinion in Critical Care delivers a broad-based perspective on the most recent and most exciting developments in critical care from across the world. Published bimonthly and featuring thirteen key topics – including the respiratory system, neuroscience, trauma and infectious diseases – the journal’s renowned team of guest editors ensure a balanced, expert assessment of the recently published literature in each respective field with insightful editorials and on-the-mark invited reviews.
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