Research Needs and Strategies to Establish Best Practices and Cost Effective Models for Chronic Critical Illness

被引：5

作者：

Carson, Shannon S. ^{[1
]}

机构：

[1] Univ N Carolina, Sch Med, Div Pulm & Crit Care Med, Chapel Hill, NC 27599 USA

来源：

RESPIRATORY CARE | 2012年 / 57卷 / 06期

关键词：

chronic critical illness; mechanical ventilation; outcomes; INTENSIVE-CARE-UNIT; PALLIATIVE CARE; OUTCOMES; COMMUNICATION; INTERVENTION; SEPSIS;

D O I：

10.4187/respcare.01910

中图分类号：

R4 [临床医学];

学科分类号：

1002 ; 100602 ;

摘要：

Past research in chronic critical illness has been effective in defining the population and identifying unique aspects of their outcomes and resource needs, but there has been little research focused on interventions to improve outcomes. This review discusses some research priorities that could have immediate impact on patient outcomes. General topics include prevention or limiting the incidence of chronic critical illness; specific topics related to patient management, such as interventions for weaning, rehabilitation, nutrition or infections; and methods to enhance communication and end-of-life care. In addition to specific patient management interventions, further comparative effectiveness research on care settings is indicated, considering the expected growth in the patient population and the substantial resource needs.

引用

页码：1014 / 1020

页数：7

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