rojournalРоссийский остеопатический журналRussian Osteopathic Journal2220-09752949-3064All-Russian Public Organization «Russian Osteopathic Association» (ROsA)10.32885/2220-0975-2021-3-95-105rojournal-307Research ArticleОБЗОРЫREVIEWSСиндром последствий интенсивной терапии (ПИТ-синдром) у детейPost-intensive care syndrome (PICS) in childrenhttps://orcid.org/0000-0003-2575-0580КаримоваЛ. К.KarimovaL. K.

Лейсан Камилевна Каримова, врач-невролог

420138, Казань, Оренбургский тракт, д. 140

Leysan K. Karimova, neurologist

bld. 140 Orenburgskiy trakt, Kazan, Russia 420138

leysan.karimova.83@mail.ruhttps://orcid.org/0000-0002-9860-777XБелашВ. О.BelashV. O.

Владимир Олегович Белаш, канд. мед. наук, доцент кафедры остеопатии; преподаватель; главный врач

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191015, Санкт-Петербург, ул. Кирочная, д. 41

191024, Санкт-Петербург, ул. Дегтярная, д. 1, лит. А

191024, Санкт-Петербург, ул. Дегтярная, д. 1, лит. А

Vladimir O. Belash, Cand. Sci. (Med.), Associate Professor at Osteopathy Department; lecturer; head physician

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Scopus Author ID: 25959884100

bld. 41 ul. Kirochnaya, Saint-Petersburg, Russia 191015

bld. 1A ul. Degtyarnaya, Saint-Petersburg, Russia 191024

bld. 1A ul. Degtyarnaya, Saint-Petersburg Russia, 191024

Детская республиканская клиническая больницаРоссияChildren′s Republic Clinical HospitalRussian FederationСеверо-Западный государственный медицинский университет им. И. И. Мечникова; Институт остеопатии; Медицинская клиника ООО «Институт остеопатии Мохова»РоссияMechnikov North-West Medical State University; Institute of Osteopathy; Medical Clinics LLC «Mokhov Institute of Osteopathy»Russian Federation2021051020210395105Copyright © Каримова Л.К., Белаш В.О., 20212021Каримова Л.К., Белаш В.О.Karimova L.K., Belash V.O.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://rojournal.elpub.ru/jour/article/view/307

Выживаемость детей, которым требуется интенсивная терапия по поводу жизнеугрожающих заболеваний или травм, в последнее время значительно возросла. В педиатрической интенсивной терапии снижение смертности сопровождается увеличение заболеваемости. Указанная тенденция привела к смещению фокуса внимания со снижения смертности к оптимизации исходов у перенесших критическое состояние пациентов. Формированию более широкого подхода и внимания к исходу у переживших критическое состояние пациентов в значительной степени способствовала разработка концепции, объединившей заболевания, возникающие после интенсивной терапии, в рамках синдрома последствий интенсивной терапии (ПИТ-синдром, PICS). Концепция ПИТ-синдрома подразумевает возникновение нарушений у пациентов после интенсивной терапии в трех основных сферах: психическое здоровье, когнитивные функции и физическое здоровье, а также учитывает состояние семьи выживших пациентов, в частности родителей, у которых часто отмечается ухудшение психического здоровья. Диагностика и лечение данного состояния подразумевает работу мультидисциплинарной бригады, в которую желательно включить врача-остеопата для более эффективной и своевременной диагностики и коррекции обратимых функциональных нарушений.

The survival rate of children who require intensive care for life-threatening diseases or injuries has recently increased significantly. In pediatric intensive care, a decrease in mortality is accompanied by an increase in morbidity. This trend has led to a shift in focus of attention from reducing mortality to optimizing outcomes in critically ill patients. A broader approach and focus on outcome in critically ill survivors has been greatly facilitated by the development of a concept that integrates post-intensive care (PIC) diseases into Post Intensive Care Syndrome (PICS). The concept of PIC syndrome implies the occurrence of disorders in patients after IC in three main areas: mental health, cognitive functions and physical health, and also takes into account the state of the family of surviving patients, in particular, parents, who often have a deterioration in mental health. Diagnosis and treatment of this condition involves the work of a multidisciplinary team, in which it is desirable to include an osteopathic doctor in order to more effectively and timely diagnose and correct reversible functional disorders.

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The authors declare that there are no conflicts of interest present.