Research Needs and Strategies to Establish Best Practices and Cost Effective Models for Chronic Critical Illness

Author: Carson, Shannon S

Source: Respiratory Care, Volume 57, Number 6, June 2012 , pp. 1014-1020(7)

Publisher: The Journal Respiratory Care Company

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Abstract:

Past research in chronic critical illness has been effective in defining the population and identifying unique aspects of their outcomes and resource needs, but there has been little research focused on interventions to improve outcomes. This review discusses some research priorities that could have immediate impact on patient outcomes. General topics include prevention or limiting the incidence of chronic critical illness; specific topics related to patient management, such as interventions for weaning, rehabilitation, nutrition or infections; and methods to enhance communication and end-of-life care. In addition to specific patient management interventions, further comparative effectiveness research on care settings is indicated, considering the expected growth in the patient population and the substantial resource needs.

Keywords: chronic critical illness; mechanical ventilation; outcomes

Document Type: Research article

DOI: http://dx.doi.org/10.4187/respcare.01910

Affiliations: 1: Division of Pulmonary and Critical Care Medicine, University of North Carolina School of Medicine, Chapel Hill, North Carolina, USA

Publication date: 2012-06-01

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