Abstract
Intensive care abroad is a common umbrella name for our two so far separate terms mentioned in the name. It mainly represents acute beds, providing support and even replacement of the basic and essential functions of the organism in the event of their sudden failure.
However, approximately 20% of patients require more than just the acute reconditioning support that their viability allows. The interface between acute and ongoing care is most often given by bridging the peak of multiorgan dysfunction.
The condition nevertheless requires continued support of basic functions - gradual disconnection from the ventilator, artificial nutrition, compensation of associated diseases, specialized physiotherapy, causal treatment of the primary cause. Abroad, a branch of palliative / comfortable intensive care is separated, which deals with patients with a hopeless prognosis of return to consciousness.
For other patients, full ongoing therapy is indicated with the recovery of their subject, leading to a new lifestyle; exceptionally, they can continue in intensive home care for a long time. This care is at the interface of acute and follow-up care with a very individualized intensive regimen - inpatient and with increasing outpatient clinic.
In the Czech Republic, the number of institutionalized beds of this focus is still insufficient and the abbreviation OCHRIP is not always interpreted correctly. However, the number of patients indicated for OCHRIP is increasing and a new system of care needs to be given a system that has been functional abroad for a long time.