A shift towards targeted post-ICU treatment: Multidisciplinary care for cardiac arrest survivors

被引:1
|
作者
Sayde, George E. [1 ]
Shapiro, Peter A. [1 ]
Kronish, Ian [2 ]
Agarwal, Sachin [3 ]
机构
[1] Columbia Univ, Irving Med Ctr, Dept Psychiat, Div Consultat Liaison Psychiat, 622 West 168 th St,PH 16 Ctr, New York, NY 10032 USA
[2] Columbia Univ, Ctr Behav Cardiovasc Hlth, Irving Med Ctr, Div Gen Med, 622 West 168th St,PH9-311, New York, NY 10032 USA
[3] Columbia Univ, Irving Med Ctr, New York Presbyterian Hosp, Div Crit Care & Hospitalist Neurol,Dept Neurol, 8GS-300, New York, NY 10032 USA
关键词
Post -intensive care syndrome (PICS); Post -ICU clinic; Cardiac arrest survivorship; QUALITY-OF-LIFE; POSTTRAUMATIC-STRESS-DISORDER; SCIENTIFIC STATEMENT; CRITICAL ILLNESS; FOLLOW-UP; PREDICTORS; REHABILITATION; OUTCOMES; IMPACT; EXPERIENCES;
D O I
10.1016/j.jcrc.2024.154798
中图分类号
R4 [临床医学];
学科分类号
1002 ; 100602 ;
摘要
Intensive Care Unit (ICU) survivorship comprises a burgeoning area of critical care medicine, largely due to our improved understanding of and concern for patients' recovery trajectory, and efforts to mitigate the post-acute complications of critical illness. Expansion of care beyond hospitalization is necessary, yet evidence for postICU clinics remains limited and mixed, as both interventions and target populations studied to date are too heterogenous to meaningfully demonstrate efficacy. Here, we briefly present the existing evidence and limitations related to post-ICU clinics, identify cardiac arrest survivors as a unique ICU subpopulation warranting further investigation and treatment, and propose a clinical framework that addresses the multifaceted needs of this well-defined patient population.
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页数:5
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