NICE CG83 – rehabilitation after critical illness: implementation across a network

Abstract

Increasingly, hospitals have an obligation to comply with NICE guidelines for the benefit of patients. Rehabilitation following critical illness is important for patients to regain their former or best possible quality of life in a timely manner.

Impact of socioeconomic status on mortality and unplanned readmission in septic intensive care unit patients

“…Despite these measures to improve health overall and reduce social inequality in health, our present data suggest that clinically relevant SES‐related health inequalities still exist during hospital admission and during the period following hospital discharge. In an attempt to promote rehabilitation after critical illness, the National Institute for Health and Clinical Excellence in the United Kingdom has published 25 recommendations summarised under various headings, including identification of patients at risk of developing morbidity, multi‐disciplinary teamwork and follow‐up clinics …”

Critical illness trajectory for patients, families and nurses – a literature review

“…For some patients, the recognition of the significant burden that critical illness had placed on family members required personal counselling. In the UK National Institute for Health and Care Excellence (NICE) Clinical Guideline 83, ‘Rehabilitation after critical illness’ was published in March ; however, there is a general consensus that this has not been embedded or resourced effectively or consistently (Cotton, ; Rattray, ). This is despite the subsequent studies (Ohtake et al , ) reinforcing the requirement for early rehabilitation.…”

Diseño de indicadores para el cuidado respiratorio y movilización temprana en una unidad de cuidado intensivo

“…Así mismo, está ampliamente documentado y soportado en la literatura que el inicio de la movilización temprana en UCI es factible, segura, no aumenta los costos y se asocia con una disminución de los días de estancia en UCI y de hospitalización en los sobrevivientes (2,5,30,34,43,44). Sin embargo, no encontramos estudios que la reporten como una medida de resultado en pacientes críticos, teniendo en cuenta que algunas guías internacionales la incluyen en sus recomendaciones y que ya están publicados protocolos de intervención (43).…”