지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
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연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 저널정보
- 대한노인병학회 Annals of geriatric medicine and research Annals of geriatric medicine and research Vol.25 No.2
- 발행연도
- 2021.1
- 수록면
- 72 - 78 (7page)
이용수
초록· 키워드
오류제보하기
The increasing survival rate after discharge from the intensive care unit (ICU) has revealed long-term impairments in the cognitive, psychiatric, and physical domains among survivors. However, clinicians often fail to recognize this post-ICU syndrome (PICS) and its debilitating effects on family members (PICS-F). This study describes two cases of PICS to illustrate the different impairments that may occur in ICU survivors. The PICS risk factors for each domain and the interactions among risk factors are also described. In terms of diagnostic evaluation, limited evidence-based or validated tools are available to assist with screening for PICS. Clinicians should be aware to monitor for its symptoms on the basis of cognitive, psychiatric, and physical domains. The Montreal Cognitive Assessment is recommended to screen for cognition, as it has a high sensitivity and can evaluate executive function. Mood disorders should also be screened. For mobile patients, a 6-minute walk test should be performed. PICS can be prevented by applying the ABCDEF bundle ABCDEF bundle in ICU described in this paper. Finally, the family members of patients in the ICU should be involved in patient care and a tactful communication approach is required to reduce the risk of PICS-F.
목차
등록된 정보가 없습니다.
참고문헌 (38)
참고문헌 신청
Iwashyna TJ / 2010 / Survivorship will be the defining challenge of critical care in the 21st century / Ann Intern Med 153:204~205
Wang S / 2018 / Aging and post-intensive care syndrome : a critical need for geriatric psychiatry / Am J Geriatr Psychiatry 26:212~221
Baldwin MR / 2015 / Measuring and predicting long-term outcomes in older survivors of critical illness / Minerva Anestesiol 81:650~661
Desai SV / 2011 / Long-term complications of critical care / Crit Care Med 39:371~379
Iwashyna TJ / 2010 / Long-term cognitive impairment and functional disability among survivors of severe sepsis / JAMA 304:1787~1794
Wang S / 2018 / Aging and post-intensive care syndrome : a critical need for geriatric psychiatry / Am J Geriatr Psychiatry 26:212~221
Baldwin MR / 2015 / Measuring and predicting long-term outcomes in older survivors of critical illness / Minerva Anestesiol 81:650~661
Desai SV / 2011 / Long-term complications of critical care / Crit Care Med 39:371~379
Iwashyna TJ / 2010 / Long-term cognitive impairment and functional disability among survivors of severe sepsis / JAMA 304:1787~1794
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