ABSTRACT
The concept of continuity of care by intensivists as an element of quality control in the medical care of Intensive Care Unit (ICU) patients surviving multiple organ dysfunction syndrome has led to a rethinking of the ICU model in recent years. We discuss the rationale to design and implement a hospital-based, prospective, randomized, multicenter Intervention/Control study in order to estimate the impact of an interdisciplinary intervention during the post-ICU recovery phase on medium-term medical outcomes in ICU patients with multiple organ dysfunction.
Subject(s)
Continuity of Patient Care , Critical Care , Multiple Organ Failure/therapy , Continuity of Patient Care/organization & administration , Humans , Intensive Care Units , Severity of Illness IndexABSTRACT
La incorporación del concepto «continuidad asistencial» como elemento de calidad en los procesos asistenciales en pacientes de Unidad de Cuidados Intensivos (UCI) que sobreviven al fallo multiorgánico grave lleva a replantear el modelo de UCI de los últimos años. En este artículo se argumentan las bases que llevaron a plantear un estudio multicéntrico de base hospitalaria, prospectivo, aleatorizado tipo «intervención»/«control», con el fin de observar el impacto de una intervención interdisciplinar sobre los resultados asistenciales, a medio plazo, en los pacientes de UCI afectos de un fracaso multiorgánico durante la fase de recuperación post-UCI
The concept of continuity of care by intensivists as an element of quality control in the medical care of Intensive Care Unit (ICU) patients surviving multiple organ dysfunction syndrome has led to a rethinking of the ICU model in recent years. We discuss the rationale to design and implement a hospital-based, prospective, randomized, multicenter Intervention/Control study in order to estimate the impact of an interdisciplinary intervention during the post-ICU recovery phase on medium-term medical outcomes in ICU patients with multiple organ dysfunction
