Chinese General Practice ›› 2026, Vol. 29 ›› Issue (26): 3713-3725.DOI: 10.12114/j.issn.1007-9572.2026.0118

• Guidelines·Consensus •     Next Articles

Expert Consensus on Whole-period Systematic Rehabilitation Management for Critically Ill Patients

  

  1. 1. Department of Rehabilitation Medicine, the Affiliated Hospital of Guizhou Medical University, Guiyang 550000, China
    2. Department of Rehabilitation Medicine/Critical Care Rehabilitation Center, General Hospital of Southern Theater Command of the Chinese People's Liberation Army, Guangzhou 510010, China
  • Received:2026-05-12 Revised:2026-07-02 Published:2026-09-15 Online:2026-08-11
  • Contact: WU Shuang

重症患者全周期系统化康复管理专家共识

  

  1. 1.550000 贵州省贵阳市,贵州医科大学附属医院康复医学科
    2.510010 广东省广州市,中国人民解放军南部战区总医院康复科/重症康复中心
  • 通讯作者: 吴霜
  • 基金资助:
    贵州省卫生健康高质量发展医学科研联合基金项目(2024GZYXKYJJXM0034); 贵州省卫生健康委临床重点专科建设"攀峰计划"项目(GZWJWPF2025004)

Abstract:

Critical care rehabilitation constitutes an essential strategy to optimize the clinical outcomes of critically ill patients. The high prevalence of post-intensive care syndrome (PICS) highlights the urgent demand for developing an integrated, standardized full-cycle rehabilitation management framework. In China, clinical delivery of critical care rehabilitation is still in its initial rollout phase, constrained by limited clinical recognition, low uptake of early rehabilitation interventions, marked regional imbalance, inconsistent practice standards, immature interdisciplinary coordination systems, and fragmented long-term rehabilitative follow-up. Developed under the leadership of the Chinese Association of Rehabilitation Medicine, Critical Care Rehabilitation Specialty Committee, this consensus drew on a thorough literature search of Chinese and English evidence covering all available records up to November 30, 2025. Evidence grading and the formulation of clinical recommendations were performed using the Delphi technique and the Grading of Recommendations Assessment, Development and Evaluation (GRADE) approach. This consensus articulated the core connotations of full-cycle critical care rehabilitation, and established a three-stage interdisciplinary care team framework with unified operational protocols that covered ICU, dedicated critical rehabilitation wards, and community- or home-based rehabilitation. It specified standardized competency criteria for rehabilitation practitioners, built a robust quality assurance system, and elaborated phase-specific rehabilitation protocols. Additionally, it optimized the continuum of rehabilitative care after hospital discharge and offered guidance on setting up specialized critical care follow-up clinics. The present consensus was intended to formalize a structured full-cycle management pathway for critical care rehabilitation and standardize interdisciplinary collaborative workflows. Implementation of this systematic rehabilitation model was expected to lower patients' long-term disability burden and elevated their overall quality of life, delivered unified operational benchmarks for frontline clinical practice, and outlined multi-faceted developmental directions for the advancement of critical care rehabilitation in the future.

Key words: Critically ill patients, Whole-period rehabilitation, Systematic management, Interdisciplinary collaboration, Post-intensive care syndrome, Continuity of rehabilitation, Critical care follow-up clinic

摘要:

重症康复是改善重症患者预后的关键手段,ICU经历综合征的高发凸显了构建全周期系统化康复管理模式的必要性。我国重症康复临床实践尚处于基础普及阶段,存在认知不足、早期介入率低、区域差异显著、实践规范性欠缺、跨学科协作机制不健全、延续性康复管理薄弱等问题。本共识由中国康复医学会重症康复专业委员会牵头,全面检索建库至2025-11-30的中英文循证证据,采用德尔菲法与推荐意见分级的证据质量和推荐强度分级系统(GRADE)完成证据分级和推荐意见制定。共识明确全周期重症康复核心概念,构建ICU、重症康复病房、社区/居家三阶段跨学科团队工作模式与标准化流程,制定团队资质、质控管理体系及各阶段康复管理策略,完善出院后延续性康复及重症随访门诊建设体系。本共识旨在建立全周期重症康复管理路径,规范跨学科协作模式,通过系统化康复体系降低患者远期致残率、改善生活质量,为临床提供标准化指导,同时从多维度提出重症康复未来发展方向。

关键词: 重症患者, 全周期康复, 系统化管理, 跨学科协作, ICU经历综合征, 延续性康复, 重症随访门诊