Sepsis: Die Folgen für betroffene Patienten und das Gesundheitssystem

Zwei von drei Patienten, die eine Sepsis überleben, entwickeln neue körperliche oder seelische Folgeschäden. Kognitive Defizite, Depression oder Einschränkungen im Alltag beeinträchtigen Lebensqualität und Arbeitsfähigkeit. Die Etablierung interdisziplinärer Rehabilitationskonzepte steht erst am Anfang, die Ziele sind jedoch klar umrissen: Minimierung von Sepsisfolgen bereits während der Akuttherapie sowie frühzeitige Evaluation und Behandlung.

Abstract

The number of patients who survive sepsis is growing. However, two of three sepsis survivors suffer from new physical or mental sequelae. Cognitive deficits, depression or limitations of the activities of daily living can seriously impair quality of life and working ability. Sepsis sequelae cover a range of lesions; current rehabilitation therapies appear unsuited because they are focused on only one organ system. An interdisciplinary approach is necessary to evaluate and treat sepsis sequelae. Survivors and their relatives should be informed about sepsis and possible sequelae as early as possible. Further studies are needed to improve the understanding of pathomechanisms and effectivity of treatment interventions for sepsis sequelae.

Schlüsselwörter

Sepsis - Überlebende - Nachsorge - Lebensqualität - Angehörige

Key words

sepsis - survivors - aftercare - quality of life - family

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