Intensivnachsorge-Ambulanz – Nachsorge kritisch kranker Patienten – Eine Aufgabe für die Pneumologie?

Zusammenfassung

Mit steigender Anzahl intensivmedizinisch behandelter Patienten steigt auch die Zahl derer, die an den Langzeitfolgen kritischer Erkrankungen und den Folgen eines Aufenthalts auf einer Intensivstation leiden. Für diese Patientengruppe mit einem Post-Intensive-Care-Syndrom (PICS) gibt es bisher keine spezialisierten ambulanten Versorgungsstrukturen, welche sich an den Krankenhausaufenthalt und eine mögliche Anschlussheilbehandlung anschließen. Eine Reihe an Studien erforscht die Effektivität von Intensivnachsorgeambulanzen national und international.

In dieser Übersichtsarbeit soll nach Darstellung des PICS und dem damit einhergehenden komplexen Betreuungsbedarf verschiedene Modellprojekte zur ambulanten Nachsorge kritisch kranker PatientInnen vorgestellt werden. Wir diskutieren, ob die Pneumologie besonders geeignet ist für die Therapiesteuerung dieser komplexen Krankheitsbilder durch die Erfahrung in der Behandlung intensivmedizinscher Patienten und der ambulanten Versorgung chronisch kranker Patienten.

Abstract

As the number of patients treated in intensive care medicine increases, so does the number of those who suffer from the long-term consequences of critical illness and the consequences of a stay in an intensive care unit. For this group of patients with a post-intensive care syndrome (PICS), there are currently no specialized outpatient care structures that follow the hospital stay and possible follow-up treatment. A number of studies are researching the effectiveness of intensive care outpatient clinics nationally and internationally.

After presenting the PICS and the associated complex need for care, this review article presents various model projects for outpatient follow-up care of critically ill patients. We discuss whether the field of pneumology is particularly suitable for the study of therapy control of complex clinical pictures since it has vast experience in the treatment of intensive care patients and the outpatient care of chronically ill patients.

Schlüsselwörter

Post-intensive-care-Syndrom - Nachsorge - ambulant

Keywords

post-intensive-care syndrome - aftercare - outpatient

Publication History

Received: 15 December 2022

Accepted after revision: 07 March 2023

Article published online:
13 July 2023

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