Comprehensive care of ICU survivors: Development and implementation of an ICU recovery center

Sevin, Carla M.; Bloom, Sarah; Jackson, James C.; Wang, Li; Ely, E. Wesley; Stollings, Joanna L.

doi:10.1016/j.jcrc.2018.02.011

Cited by 137 publications

(129 citation statements)

References 70 publications

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“…Among these articles, 52 unique studies evaluated return to work in previously employed ICU survivors (figure 1, table 1, online supplementary eTable 2). 4 5 13–63 These studies included 13 retrospective16 18 23 30 33 39 42 43 47 48 52 56 62 and 39 prospective4 5 13–15 17 19–22 24–28 30–32 34–38 40 41 44–46 49–51 53–55 57–61 63 cohort studies, of which three were longitudinal follow-up within a randomised trial 4 37 59. Eleven (21%) studies included more than one follow-up time point after discharge 4 5 26 28 29 34 37 45 49 51 55 62.…”

Section: Resultsmentioning

confidence: 99%

“…Eleven studies conducted employment assessments during either the first (2000–2004) or second (2008–2010) global economic downturns occurring during the publication period 4 32 36 46–48 50–52 55 63 64. Twenty-eight (54%) studies were conducted in Europe,15 17 18 20 22 25–27 30–36 38–42 44 48–51 58 62 63 14 (27%) in North America,4 5 13 14 16 19 23 24 28 29 37 45 52 55 60 8 (15%) in Australia/New Zealand21 43 46 47 53 54 59 61 and 2 (4%) in Asia 56 57. Nine studies (17%) evaluated return to work in survivors of ARDS 4 5 19 24 39 45 47 57 63.…”

Section: Resultsmentioning

confidence: 99%

“…Nine studies (17%) evaluated return to work in survivors of ARDS 4 5 19 24 39 45 47 57 63. Employment evaluation occurred via in-person visit in 18 (35%) studies,18 19 21 26–29 31 36 39 43 45 50 55 57–60 63 telephone interview in 18 (35%) studies,4 5 13–15 23 30 32 34 42 46 47 49 52–54 56 61 mailed questionnaire in 15 (29%) studies16 17 20 22 24 25 33 35 37 38 40 41 44 48 51 and national database in 1 study 62. The majority of studies used ‘had returned to work’, ‘back to work’, ‘working’ or multiple phrases to describe survivors’ post-ICU employment status, and did not report the specific employment question(s) used, the timing of return to work or status of survivors who had not returned to work (ie, retirement, unemployment, disability).…”

Section: Resultsmentioning

confidence: 99%

See 2 more Smart Citations

Return to work after critical illness: a systematic review and meta-analysis

Kamdar

Suri

Suchyta

et al. 2019

Thorax

166

115

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BackgroundSurvivors of critical illness often experience poor outcomes after hospitalisation, including delayed return to work, which carries substantial economic consequences.ObjectiveTo conduct a systematic review and meta-analysis of return to work after critical illness.MethodsWe searched PubMed, Embase, PsycINFO, CINAHL and Cochrane Library from 1970 to February 2018. Data were extracted, in duplicate, and random-effects meta-regression used to obtain pooled estimates.ResultsFifty-two studies evaluated return to work in 10 015 previously employed survivors of critical illness, over a median (IQR) follow-up of 12 (6.25–38.5) months. By 1–3, 12 and 42–60 months’ follow-up, pooled return to work prevalence (95% CI) was 36% (23% to 49%), 60% (50% to 69%) and 68% (51% to 85%), respectively (τ2=0.55, I2=87%, p=0.03). No significant difference was observed based on diagnosis (acute respiratory distress syndrome (ARDS) vs non-ARDS) or region (Europe vs North America vs Australia/New Zealand), but was observed when comparing mode of employment evaluation (in-person vs telephone vs mail). Following return to work, 20%–36% of survivors experienced job loss, 17%–66% occupation change and 5%–84% worsening employment status (eg, fewer work hours). Potential risk factors for delayed return to work include pre-existing comorbidities and post-hospital impairments (eg, mental health).ConclusionApproximately two-thirds, two-fifths and one-third of previously employed intensive care unit survivors are jobless up to 3, 12 and 60 months following hospital discharge. Survivors returning to work often experience job loss, occupation change or worse employment status. Interventions should be designed and evaluated to reduce the burden of this common and important problem for survivors of critical illness.Trial registration numberPROSPERO CRD42018093135.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

See 1 more Smart Citation

Return to work after critical illness: a systematic review and meta-analysis

Kamdar

Suri

Suchyta

et al. 2019

Thorax

166

115

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“…Die Datenlage spricht für die Umsetzung von Follow-up-Angeboten sowohl für ehemalige Patienten als auch für Angehörige. Dazu muss aber weiter geforscht werden [23] [24]. Literatur…”

Section: Ausblickunclassified

Langzeitfolgen des Intensivaufenthalts

Jeitziner¹,

Jenni-Moser²,

Pooe³

2019

intensiv

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ZusammenfassungDer Aufenthalt auf einer Intensivstation ist für viele Betroffene ein traumatisches Ereignis. Noch lange nach der Entlassung können sich diverse Einschränkungen zeigen, auch über einen langen Zeitraum hinweg. Der folgende Beitrag zeigt Ursachen, Risikofaktoren und klinische Darstellung dieses sogenannten Post-Intensive Care Syndromes.

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“…Recognition of adverse post-intensive care unit (ICU) outcomes has prompted clinicians to extend their practice beyond the physical location of the ICU [1][2][3][4]. In some settings, this post-ICU care takes the form of ICU followup clinics [1,3,5] or peer support programs [2,6]. Such post-ICU programs have been coordinated by the Society of Critical Care Medicine's (SCCM) THRIVE initiative [7].…”

Section: Introductionmentioning

confidence: 99%

Key Mechanisms by Which Post-ICU Activities Can Improve In-ICU Care - Results of the International Thrive Collaboratives

Haines

Sevin

Hibbert

et al. 2019

A103. Critical Care: As You Like It - Icu Management and Processes of Care

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Objective: To identify the key mechanisms that clinicians perceive improve care in the intensive care unit (ICU), as a result of their involvement in post-ICU programs. Methods: Qualitative inquiry via focus groups and interviews with members of the Society of Critical Care Medicine's THRIVE collaborative sites (follow-up clinics and peer support). Framework analysis was used to synthesize and interpret the data. Results: Five key mechanisms were identified as drivers of improvement back into the ICU: (1) identifying otherwise unseen targets for ICU quality improvement or education programs-new ideas for quality improvement were generated and greater attention paid to detail in clinical care. (2) Creating a new role for survivors in the ICU-former patients and family members adopted an advocacy or peer volunteer role. (3) Inviting critical care providers to the post-ICU program to educate, sensitize, and motivate them-clinician peers and trainees were invited to attend as a helpful learning strategy to gain insights into post-ICU care requirements. (4) Changing clinician's own understanding of patient experience-there appeared to be a direct individual benefit from working in post-ICU programs. (5) Improving morale and meaningfulness of ICU work-this was achieved by closing the feedback loop to ICU clinicians regarding patient and family outcomes.

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Comprehensive care of ICU survivors: Development and implementation of an ICU recovery center

Abstract: An ICU-RC identified a high prevalence of cognitive impairment, anxiety, depression, physical debility, lifestyle changes, and medication-related problems warranting intervention. Whether an ICU-RC can improve ICU recovery in the US should be investigated in a systematic way.

Cited by 137 publications

References 70 publications

Return to work after critical illness: a systematic review and meta-analysis

Return to work after critical illness: a systematic review and meta-analysis

Langzeitfolgen des Intensivaufenthalts

Key Mechanisms by Which Post-ICU Activities Can Improve In-ICU Care - Results of the International Thrive Collaboratives

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