Discharging patients home from the intensive care unit:A new trend  

作　　者：Esraa M Hassan Abbas B Jama Ahmed Sharaf Asim Shaikh Mohamad El Labban Salim Surani Syed A Khan 

机构地区：[1]Department of Critical Care Medicine,Mayo Clinic Health system,Mankato,MN 56001,United States [2]Department of Internal Medicine,Baptist Hospital of Southeast Texas,Beaumont,TX 77701,United States [3]Department of Medicine,Aga Khan University,Karachi 74200,Sindh,Pakistan [4]Department of Internal Medicine,Mayo Clinic Health System,Mankato,MN 56001,United States [5]Department of Medicine and Pharmacology,Texas A&M University,College Station,TX 77843,United States [6]Department of Anaesthesiology,Mayo Clinic Health System,Rochester,MN 55905,United States

出　　处：《World Journal of Clinical Cases》2024年第23期5313-5319,共7页世界临床病例杂志

摘　　要：Discharging patients directly to home from the intensive care unit(ICU)is becoming a new trend.This review examines the feasibility,benefits,challenges,and considerations of directly discharging ICU patients.By analyzing available evidence and healthcare professionals'experiences,the review explores the potential impacts on patient outcomes and healthcare systems.The practice of direct discharge from the ICU presents both opportunities and complexities.While it can potentially reduce costs,enhance patient comfort,and mitigate complications linked to extended hospitalization,it necessitates meticulous patient selection and robust post-discharge support mechanisms.Implementing this strategy successfully mandates the availability of home-based care services and a careful assessment of the patient's readiness for the transition.Through critical evaluation of existing literature,this review underscores the significance of tailored patient selection criteria and comprehensive post-discharge support systems to ensure patient safety and optimal recovery.The insights provided contribute evidence-based recommendations for refining the direct discharge approach,fostering improved patient outcomes,heightened satisfaction,and streamlined healthcare processes.Ultimately,the review seeks to balance patientcentered care and effective resource utilization within ICU discharge strategies.

关 键 词：Intensive care unit Critical care Early discharge Cost effective critical care Patient comfort Early recovery 

分 类 号：R692[医药卫生—泌尿科学]