Enablers and Barriers to Implementing ICU Follow-Up Clinics and Peer Support Groups Following Critical Illness - The Thrive Collaboratives

Abstract

Author contributions: KH, JMP, LB, CS had full access to all of the data in the study and takes responsibility for the integrity of the data and the accuracy of the data analysis. All other authors contributed substantially to the study design, data analysis and interpretation, and the writing of the manuscript.

ICU Recovery Clinic Attendance, Attrition, and Patient Outcomes: The Impact of Severity of Illness, Gender, and Rurality

“…The overarching goals of ICU follow-up clinics are to identify, assess, and treat medical, physical, emotional, and cognitive issues following critical illness. However, there are barriers to implementing an ICU recovery clinic including high attrition, necessary financial support to develop a clinic, and concerns about resource allocation versus profit, as well as discussions around which providers should lead these initiatives ( 26 , 28 , 29 ). Additionally, tertiary-care and academic medical centers that treat patients from outside communities lead to complexity of providing in-person follow-up care, for example, patients required to travel back to center for their follow-up appointment.…”

Prediction Models for Physical, Cognitive, and Mental Health Impairments After Critical Illness: A Systematic Review and Critical Appraisal

“…PICS-related problems are commonly considered within post-ICU programs such as peer support groups ( 24 , 25 ) and follow-up clinics ( 26 – 28 ). However, one of the common barriers to implementing these programs is identifying which patients are likely to benefit from attending ( 29 ). Given issues with the cost and sustainability of such programs, it is crucial to identify the most suitable target population.…”

Survivors of Intensive Care With Type 2 Diabetes and the Effect of Shared-Care Follow-Up Clinics

“…Recruitment and retention could also be increased if the intervention incorporates unique approaches to follow-up care, such as telemedicine or codesign by ICU survivors. 44,49 It is also important to consider alternative methods for evaluation of complex post-ICU interventions, including mixed methods designs and novel outcomes such as patient satisfaction. 50 Participants perceived that the clinic enhanced recovery; however, future trials will also need to include robust estimates of cost-effectiveness.…”