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Langzeitfolgen nach Intensivtherapie

  • Chapter
Die Intensivmedizin

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Zusammenfassung

Der Erfolg der Intensivtherapie wird häufig am akuten Erfolg, dem Überleben der Akutphase auf der Intensivstation oder dem Krankenhausüberleben, gemessen. Wie sich das Überleben dieser schwer kranken Patienten im weiteren Verlauf entwickelt, ist nur selten im Blickfeld von Studien. Doch gerade die langfristige Betrachtung von Patienten nach Intensivtherapie ist notwendig, um die Stellung der Intensivmedizin bei verschiedenen Erkrankungen und Patienten definieren zu können. Hier ist es wichtig, die gewonnenen Ergebnisse auch unter dem Aspekt, welche Langzeitfolgen allein durch die Intensivtherapie hervorgerufen wurden, kritisch zu hinterfragen. Außerdem müssen die aufgedeckten Probleme dazu dienen, die Therapie selbst zu verbessern.

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Literatur

  1. Bashour CA, Yared JP, Ryan TA, Rady MY, Mascha E, Leventhal MJ, Starr NJ. (2000) Long-term survival and functional capacity in cardiac surgery patients after prolonged intensive care. Crit Care Med 28: 3847–3853

    Article  PubMed  CAS  Google Scholar 

  2. Bhandari S, Turney JH. (1996) Survivors of acute renal failure who do not recover renal function. QJM 89: 415–421

    PubMed  CAS  Google Scholar 

  3. Black NA, Jenkinson C, Hayes JA, Young D, Vella K, Rowan KM, Daly K, Ridley S. (2001) Review of outcome measures used in adult critical care. Crit Care Med 29: 2119–2124

    Article  PubMed  CAS  Google Scholar 

  4. Davydow D, Grifford JM, Desai SV, Bienvenu OJ, Needham DM (2009) Depression in general intensive care unit survivors: a systematic review. Intensiv Care Med 35: 796–809

    Article  Google Scholar 

  5. Deltenre P, Valla DC. (2006) Ischemic cholangiopathy. J. Hepatol 44: 806–817

    Article  PubMed  Google Scholar 

  6. Dowdy DW, Bienvenu OJ, Dinglas VD, Mendez-Tellez PA, Sevransky J, Shanholtz C, Needham DM. (2009) Are intensive care factors associated with depressive symptoms 6 months after acute lung injury? Crit Care Med 37: 1702–7

    Article  PubMed  Google Scholar 

  7. Frutiger A, Ryf C, Bilat C, Rosso R, Furrer M, Cantieni R, Ruedi T, Leutenegger A. (1991) Five years follow-up of severely injured ICU patients. J Trauma 31: 1216–1225

    Article  PubMed  CAS  Google Scholar 

  8. Gelbmann, C. M. Rümmele P, Wimmer M, Hofstädter F, Göhlmann B, Endlicher E, Kullmann F, Langgartner J, Schölmerich J. (2007) Ischemiclike cholangiopathy with secondary sclerosing cholangitis in critically ill patients. Am J Gastroenterol 102: 1221–1229

    Article  PubMed  Google Scholar 

  9. Graf J, Koch M, Dujardin R, Kersten A, Janssens U (2003) Health-related quality of life before, 1 month after, and 9 months after intensive care in medical cardivascular pulmonary patients. Crit Care Med 31: 2163–2169

    Article  PubMed  Google Scholar 

  10. Graf J, Janssens U (2003) Der Postintensivpatient. Langzeitüberleben und Lebensqualität nach Intensivtherapie. Intensivmed 40: 184–194

    Article  Google Scholar 

  11. Granja C, Dias C, Costa-Pereira A, Sarmento A (2004) Quality of life of survivors from severe sepsis and septic shock may be similar to that of other who survive critical ill. Crit Care 8: R91-R98

    Article  PubMed  Google Scholar 

  12. Hermans G, De Jonghe B, Bruyninckx F, Van den Berghe G. (2008) Clinical review: Critical illness polyneuropathy and myopathy Critical Care 12: 238–246

    Article  PubMed  Google Scholar 

  13. Herridge MS, Cheung AM, Tansey CM, Matte-Martyn A, Diaz-Granados N, Al Saidi F, Cooper AB, Guest CB, Mazer CD, Mehta S, Stewart TE, Barr A, Cook D, Slutsky AS; Canadian Critical Care Trials Group. (2003) One-year outcomes in survivors of the acute respiratory distress syndrome. N Engl J Med 348: 683–693

    Google Scholar 

  14. Heyland DK, Hopman W, Coo H, Tranmer J, McColl MA (2000) Long-term health-related quality of life in survivors of sepsis. Short Form 36: a valid and reliable measure of health-related qulity of life. Crit Care Med 28: 3599–3605

    Article  PubMed  CAS  Google Scholar 

  15. Hofhuis JG, Spronk PE, van Stel HF (2008) The impact of severe sepsis on health-related quality of life: a long-term follow-up study. Anesth Analg 107(6): 1957–1964

    Article  PubMed  Google Scholar 

  16. Hoste EA, Lameire NH, Vanholder RC (2003) Acute renal failure in patients with sepsis in a surgical ICU: Predictive factors, incidence, comorbidity and outcome. J Am Soc Nephrol 14: 1022–1030

    Article  PubMed  Google Scholar 

  17. Jones CH, Richardson D, Goutcher E (1998) Continuous venovenous high-flux dialysis in multiorgan failure: a 5-year single-center experience. Am J Kidney Dis 31: 227–233

    Article  PubMed  CAS  Google Scholar 

  18. Korosec Jagodic` H, Jadogic` K, Podbregar M (2006) Long-term outcome and quality of life of patients treated in surgical intensive care: a comparison between sepsis and trauma. Crit Care Med 10: R134-R140

    Google Scholar 

  19. Lam S, Ridley S (1999) Critically ill medical patients, their demographics and outcome. Anaesthesia 54: 845–852

    Article  PubMed  CAS  Google Scholar 

  20. Morgera S, Neumayer H.H. (2009) Langzeitüberleben nach akutem Nierenversagen. Nephrologe 4: 135–141

    Article  Google Scholar 

  21. Nash K, Hafeez A, Hous S (2002) Hospital-acquired renal insufficiency. Am J Kidney Dis 39: 930–936

    Article  PubMed  Google Scholar 

  22. Niskanen M, Kari A, Halonen P, the Finnish ICU Study Group (1996) Fiveyear survival after intensive care – comparison of 12180 patients with the general population. Crit Care Med 24: 1962–1967

    Google Scholar 

  23. Niskanen M, Ruokonen E, Takala J, Rissanen P, Kari A (1999) Quality of life after prolonged intensive care. Crit Care Med 27:1132–1139

    Article  PubMed  CAS  Google Scholar 

  24. Perl TM, Dvorak L, Hwang T, Wenzel RP (1995) Long-term survival and function after suspected gram-negativ sepsis. JAMA 274 (4): 338–345

    Article  PubMed  CAS  Google Scholar 

  25. Pilz G, Werdan K (1998) Scores für Multiorgandysfunktion und Multiorganversagen. Internist 39 (5): 502–508

    Article  PubMed  CAS  Google Scholar 

  26. Quartin AA, Schein R, Kett DH, Peduzzi PN (1997) Magnitude and duration of the effect of sepsis on survival. JAMA 277: 1058–1063

    Article  PubMed  CAS  Google Scholar 

  27. Ridley SA, Chrispin PS, Scotton H, Rogers J, Lloyd D (1997) Changes in quality of life after intensive care: comparison with normal data. Anaesthesia 52: 195–202

    Article  PubMed  CAS  Google Scholar 

  28. Ruemmele P, Hofstaedter F, Gelbmann CM (2009) Secondary sclerosing cholangitis. Nat Rev Gastroenterol Hepatol 6: 287–295

    Article  PubMed  Google Scholar 

  29. Schiffl H, Fischer R (2008) Five-year outcomes of severe acute kidney injury requiring renal replacement therapy. Nephrol Dial Transplant 23(7): 2235–2241

    Article  PubMed  Google Scholar 

  30. Stevens RD, Dowdy DW, Michaels RK, Mendez-Tellez PA, Pronovost PJ, Needham DM. (2007) Neuromuscular dysfunction acquired in critical illness: a systematic review. Intensive Care Med 33: 1876–1891

    Article  PubMed  Google Scholar 

  31. Tennila A, Salmi T, Pettila V, Roine RO, Varpula T, Takkunen O (2000) Early signs of critical illness polyneuropathy in ICU patients with systemic inflammatory response syndrome or sepsis. Intensive Care Med 26: 1360–1363

    Article  PubMed  CAS  Google Scholar 

  32. Testa MA, Simonson DC. (1996) Assessment of Quality-of-life outcomes. N Eng J Med 334(13): 835–840

    Article  CAS  Google Scholar 

  33. Uchino S, Kellum JA, Bellomo R (2005) Beginning and ending supportive therapy for the kidney (BEST Kidney) investigators. Acute renal failure in critically ill patients: a multinational, multicenter study. JAMA 294(7): 813–818

    Article  PubMed  CAS  Google Scholar 

  34. Wehler M, Geise A, Hadzionerovic D, Aljukic E, Reulbach U, Hahn EG, Strauss R (2003) Health-related quality-of-life of patients with multi organ dysfunction: individual changes and comparison with normative population. Crit Care Med 31: 1094–1101

    Article  PubMed  Google Scholar 

  35. Welpe I (2008) Ein Leben in autonomer Verantwortung. Dtsch Arztebl 105(10): A514–517

    Google Scholar 

  36. World Health Organization (1948) The constitution of the World Health Organization. WHO Chron 1: 29–46

    Google Scholar 

  37. Williams TA, Dobb GJ, Finn JC, Webb SAR (2005) Long-term survival from intensive care: a review. Int Care Med 27(3): 262–273

    Google Scholar 

  38. Williams TA, Dobb GJ, Finn JC, Knuiman MW, Geelhoed E, Lee KY, Webb SAR (2008) Determinants of long-term survival after intensive care. Crit Care Med 36(5): 1523–1530

    Article  PubMed  Google Scholar 

  39. Witt NJ, Zochodne DW, Bolton CF, Grand'Maison F, Wells G, Young GB, Sibbald WJ: Peripheral nerve function in sepsis and multiple organ failure. Chest 1991, 99: 176–184

    Article  PubMed  CAS  Google Scholar 

  40. Wright JC, Plenderleith L, Ridley SA (2003) Long-term survival following intensive care: Subgroup analysis and comparison with the general population. Anaesthesia 58: 637–642

    Article  PubMed  CAS  Google Scholar 

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Author information

Authors and Affiliations

  1. Klinik u. Poliklinik für Innere Medizin I, Universitätsklinikum Regensburg, 93042, Regensburg

    Dr. Julia Langgartner

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  1. Dr. Julia Langgartner
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Editor information

Editors and Affiliations

  1. Kiefernweg 2, 37120, Bovenden

    Hilmar Burchardi

  2. Fasanenweg 26, 66424, Homburg

    Reinhard Larsen

  3. Operative Intensivmedizin für Erwachsene, Universitätsklinikum Aachen, Pauwelsstraße 30, 52074, Aachen

    Gernot Marx

  4. Klinik für Chirurgie, Universitätsklinikum Schleswig-Holstein, Campus Lübeck, Ratzeburger Allee 160, 23538, Lübeck

    Elke Muhl

  5. Klinikum der Johann Wolfgang Goethe-Universität Frankfurt am Main, Theodor-Stern-Kai 7, 60590, Frankfurt am Main

    Jürgen Schölmerich (Ärztlicher Direktor und Vorstandsvorsitzender) (Ärztlicher Direktor und Vorstandsvorsitzender)

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© 2011 Springer Medizin Verlag Berlin Heidelberg

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Langgartner, J. (2011). Langzeitfolgen nach Intensivtherapie. In: Burchardi, H., Larsen, R., Marx, G., Muhl, E., Schölmerich, J. (eds) Die Intensivmedizin. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-16929-8_12

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  • DOI: https://doi.org/10.1007/978-3-642-16929-8_12

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-642-16928-1

  • Online ISBN: 978-3-642-16929-8

  • eBook Packages: Medicine (German Language)

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