Unbound MEDLINE

Chronic critical illness: the growing challenge to health care.

Abstract

The chronically critically ill (CCI) comprise a rapidly growing population of patients who have survived acute critical illness, only to be left with ongoing organ dysfunctions requiring high levels of specialized care for months or years. In many ways, CCI is an "iatrogenic" process, reflecting the ability of modern life support technologies to keep patients alive for prolonged periods of time despite ongoing life threatening illness. Venues of care for the CCI patient include acute care hospitals (both ICU and step-down facilities), specialized long term acute care hospitals, and, less commonly, skilled nursing facilities, or even the home. Importantly, CCI patients transition among these venues frequently, reflecting the nature of CCI to be punctuated with episodes of acute critical illness. Management of the CCI population requires a special combination of intensive care and rehabilitative skills.

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  • Publisher Full Text
  • Authors

    Macintyre NR

    Institution

    Division of Pulmonary and Critical Care Medicine, Duke University Medical Center, Durham, North Carolina 27710, USA. neil.macintyre@duke.edu

    Source

    Respiratory care 57:6 2012 Jun pg 1021-7

    MeSH

    Acute Disease
    Chronic Disease
    Critical Care
    Critical Illness
    Humans
    Nutritional Support
    Palliative Care
    Peripheral Nervous System Diseases
    Pulmonary Disease, Chronic Obstructive
    Respiration, Artificial
    Survivors

    Pub Type(s)

    Journal Article
    Review

    Language

    eng

    PubMed ID

    22663975