tailieunhanh - Báo cáo khoa học: " Understanding the lingering consequences of what we treat and what we do"

Tuyển tập các báo cáo nghiên cứu về y học được đăng trên tạp chí y học Critical Care giúp cho các bạn có thêm kiến thức về ngành y học đề tài: Understanding the lingering consequences of what we treat and what we do. | Available online http content 8 2 103 Commentary Understanding the lingering consequences of what we treat and what we do Derek C Angus Professor and Vice Chair Department of Critical Care Medicine Director The CRISMA Laboratory University of Pittsburgh School of Medicine Pittsburgh Pennsylvania USA Correspondence Derek C Angus angusdc@ Published online 3 March 2004 Critical Care 2004 8 103-104 DOI cc2838 This article is online at http content 8 2 103 2004 BioMed Central Ltd Print ISSN 1364-8535 Online ISSN 1466-609X Abstract Granja and colleagues have helped us by showing that long-term follow-up is feasible and by trying to tease out whether select intensive care unit patient populations are at particular risk of adverse outcomes. This work gives us clues for future investigations which will hopefully interrogate further the potential mechanisms of action that underlie poor long-term outcomes. In the meantime we can hope that this quality of follow-up will move from the research arena to become a part of routine clinical care. Keywords critical illness intensive care unit quality of life sepsis In the present issue of Critical Care Granja and colleagues present their findings regarding the quality of life of patients who survived an intensive care unit ICU episode of care for severe sepsis compared with other ICU survivors 1 . They used the EQ-5D instrument to measure quality of life 6 months after discharge and found that quality of life was generally poor and not noticeably different between sepsis survivors and other ICU survivors. Several points come to mind when reading this work. The authors are to be commended for the rigor with which they have followed up their ICU patients. This is only one of several studies from this group and their findings have further stressed that discharge from the ICU alive is not necessarily the same thing as an immediate return to full health and happiness 2-4 . As intensive care .