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Long-term outcomes from critical care

With the improved survival of critical care patients, a cohort of chronically critically ill patients has emerged. These patients have a higher 5-year morbidity and mortality and greater utilization of healthcare resources. This well-documented deterioration in physical, cognitive and/or psychologic...

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Autor principal: Morgan, Amy
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Published by Elsevier Ltd. 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7836934/
https://www.ncbi.nlm.nih.gov/pubmed/33519011
http://dx.doi.org/10.1016/j.mpsur.2020.11.005
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author Morgan, Amy
author_facet Morgan, Amy
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description With the improved survival of critical care patients, a cohort of chronically critically ill patients has emerged. These patients have a higher 5-year morbidity and mortality and greater utilization of healthcare resources. This well-documented deterioration in physical, cognitive and/or psychological health in critical care survivors is known as post intensive care syndrome (PICS) which has personal and socioeconomic implications not only for the patient, but also for their families, care givers and society. Greater awareness of the impact of critical illness on quality of life has led to the emergence of research focused on overall patient outcomes rather than crude survival. National guidelines state personal rehabilitation programmes involving a multidisciplinary team should be commenced within 4 days of admission and continued after discharge to the ward. Once discharged home specialist ICU follow-up clinics are key in identifying any long-term complications of critical care admission and should focus on all aspects of the PICS. COVID-19 has highlighted PICS on a national level with patients experiencing multiple long-term complications of critical illness, some as yet unknown.
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spelling pubmed-78369342021-01-26 Long-term outcomes from critical care Morgan, Amy Surgery (Oxf) Critical illness and intensive care – I With the improved survival of critical care patients, a cohort of chronically critically ill patients has emerged. These patients have a higher 5-year morbidity and mortality and greater utilization of healthcare resources. This well-documented deterioration in physical, cognitive and/or psychological health in critical care survivors is known as post intensive care syndrome (PICS) which has personal and socioeconomic implications not only for the patient, but also for their families, care givers and society. Greater awareness of the impact of critical illness on quality of life has led to the emergence of research focused on overall patient outcomes rather than crude survival. National guidelines state personal rehabilitation programmes involving a multidisciplinary team should be commenced within 4 days of admission and continued after discharge to the ward. Once discharged home specialist ICU follow-up clinics are key in identifying any long-term complications of critical care admission and should focus on all aspects of the PICS. COVID-19 has highlighted PICS on a national level with patients experiencing multiple long-term complications of critical illness, some as yet unknown. Published by Elsevier Ltd. 2021-01 2020-12-17 /pmc/articles/PMC7836934/ /pubmed/33519011 http://dx.doi.org/10.1016/j.mpsur.2020.11.005 Text en © 2020 Published by Elsevier Ltd. Since January 2020 Elsevier has created a COVID-19 resource centre with free information in English and Mandarin on the novel coronavirus COVID-19. The COVID-19 resource centre is hosted on Elsevier Connect, the company's public news and information website. Elsevier hereby grants permission to make all its COVID-19-related research that is available on the COVID-19 resource centre - including this research content - immediately available in PubMed Central and other publicly funded repositories, such as the WHO COVID database with rights for unrestricted research re-use and analyses in any form or by any means with acknowledgement of the original source. These permissions are granted for free by Elsevier for as long as the COVID-19 resource centre remains active.
spellingShingle Critical illness and intensive care – I
Morgan, Amy
Long-term outcomes from critical care
title Long-term outcomes from critical care
title_full Long-term outcomes from critical care
title_fullStr Long-term outcomes from critical care
title_full_unstemmed Long-term outcomes from critical care
title_short Long-term outcomes from critical care
title_sort long-term outcomes from critical care
topic Critical illness and intensive care – I
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7836934/
https://www.ncbi.nlm.nih.gov/pubmed/33519011
http://dx.doi.org/10.1016/j.mpsur.2020.11.005
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