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Báo cáo y học: "Clinical review: Intensive care follow-up – what has it told us"

Tuyển tập các báo cáo nghiên cứu về y học được đăng trên tạp chí y học General Psychiatry cung cấp cho các bạn kiến thức về ngành y đề tài: Clinical review: Intensive care follow-up – what has it told us? | Available online http ccforum.eom content 6 5 411 Review Clinical review Intensive care follow-up - what has it told us L Robert Broomhead and Stephen J Brett Department of Anaesthesia and Intensive Care Hammersmith Hospital London UK Correspondence Stephen Brett stephen.brett@ic.ac.uk Published online 15 August 2002 Critical Care 2002 6 411-417 This article is online at http ccforum.com content 6 5 411 2002 BioMed Central Ltd Print ISSN 1364-8535 Online ISSN 1466-609X Abstract The majority of intensive care practitioners until comparatively recently was content to discharge surviving patients to the care of referring primary specialty colleagues who would undertake subsequent inpatient and outpatient care. With the exception of mortality statistics from clinical studies the practitioners were thus denied the opportunity of understanding the full impact of critical illness on a patient and their family. The concept of the intensive care follow-up clinic has developed more recently and is run commonly on multidisciplinary lines. These clinics serve a number of purposes but importantly have drawn attention to broader patient-centred outcomes after intensive care. Investigators are just beginning to identify and in some cases quantify the postdischarge burden on patient and family additional useful data have also come from follow-up of specific disease states. The purpose of the present review is to highlight some of the important issues that impact on recovery from critical illness towards an acceptable quality of postdischarge life. We have concentrated on the adult literature and specifically on studies that inform us about the more general effects of critical illness. Head and spinal injury are thus largely ignored as the effects of the primary injury overwhelm the effects of general critical illness. Keywords critical illness follow-up studies neuropsychology outcome assessment healthcare quality of life The impact of critical illness on life expectancy The .