PDF(Pubmed)
Abstract：
Pediatric intensive care is a rapidly developing medical specialty and with evolving understanding of pediatric pathophysiology and advances in technology, most children in the developed world are now surviving to intensive care and hospital discharge. As mortality rates for children with critical illness continue to improve, increasing PICU survivorship is resulting in significant long-term consequences of intensive care in these vulnerable patients. Although impairments in physical, psychosocial and cognitive function are well documented in the literature and the importance of establishing follow-up programs is acknowledged, no standardized or evidence-based approach to long-term follow-up in the PICU exists. This narrative review explores pediatric post-intensive care syndrome and summarizes the multifactorial deficits and morbidity that can occur in these patients following recovery from critical illness and subsequent discharge from hospital. Current practices around long-term follow-up are explored with discussion focusing on gaps in research and understanding with suggested ways forward and future directions.
摘要：
儿科重症监护是一个快速发展的医学专业，随着对儿科病理生理学和技术进步的不断发展，发达国家的大多数儿童现在都在重症监护和出院。随着危重病儿童的死亡率不断提高，PICU生存率的增加导致重症监护对这些易感患者产生重大的长期后果.虽然身体受损，社会心理和认知功能在文献中有很好的记录，并且承认建立后续计划的重要性，在PICU中不存在长期随访的标准化或循证方法.这篇叙述性综述探讨了儿科重症监护后综合征，并总结了这些患者从重症疾病中康复并随后出院后可能发生的多因素缺陷和发病率。探讨了围绕长期后续行动的当前做法，并讨论了研究和理解方面的差距，以及建议的前进方向和未来方向。
