Should ICU clinicians follow patients after ICU discharge? Yes

Meyer, Joel; Brett, Stephen; Waldmann, Carl

doi:10.1007/s00134-018-5260-3

Cited by 33 publications

(19 citation statements)

References 16 publications

(15 reference statements)

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Section: Resultsmentioning

confidence: 99%

“… a Subcategory of Hospital Anxiety and Depression Scale (HADS) displaying the percentage of patients meeting the suggested cutoff score greater than eight of 21 leading to provisional diagnosis of anxiety ( 29 ). b Subcategory of HADS displaying the percentage of patients meeting the suggested cutoff score greater than 8 of 21 leading to provisional diagnosis of depression ( 29 ). c Percentage of patients meeting the suggested cutoff score of greater than 33 of 88 on Impact of Event Scale-Revised leading to provisional diagnosis of post-traumatic stress disorder ( 30 ).…”

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

“…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.…”

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confidence: 99%

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

Mayer

Boustany

Cassity

et al. 2020

Critical Care Explorations

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

mentioning

confidence: 99%

See 2 more Smart Citations

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

Mayer

Boustany

Cassity

et al. 2020

Critical Care Explorations

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“…[14][15][16][17] In addition, continuity of care at an ICU follow-up clinic may be difficult when the patient lives far from the ICU and needs frequent follow-up. [18][19][20] Even if intensive care doctors and nurses are familiar with complications after critical illness, their role in coordinating ICU follow-up is discussed controversially 17 21 : They seem not to be trained in outpatient care coordination and the clinical variety of possible post-ICU complications. 17 Additionally, they do not know their patients for long and therefore may lack insight into the patient's psychosocial background.…”

Section: Introductionmentioning

confidence: 99%

General practitioners’ views and experiences in caring for patients after sepsis: a qualitative interview study

et al. 2021

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BackgroundPatients surviving critical illnesses, such as sepsis, often suffer from long-term complications. After discharge from hospital, most patients are treated in primary care. Little is known how general practitioners (GPs) perform critical illness aftercare and how it can be improved. Within a randomised controlled trial, an outreach training programme has been developed and applied.ObjectivesThe aim of this study is to describe GPs’ views and experiences of caring for postsepsis patients and of participating a specific outreach training.DesignSemistructured qualitative interviews.Setting14 primary care practices in the metropolitan area of Berlin, Germany.Participants14 GPs who had participated in a structured sepsis aftercare programme in primary care.ResultsThemes identified in sepsis aftercare were: continuity of care and good relationship with patients, GP’s experiences during their patient’s critical illness and impact of persisting symptoms. An outreach education as part of the intervention was considered by the GPs to be acceptable, helpful to improve knowledge of the management of postintensive care complications and useful for sepsis aftercare in daily practice.ConclusionsGPs provide continuity of care to patients surviving sepsis. Better communication at the intensive care unit–GP interface and training in management of long-term complications of sepsis may be helpful to improve sepsis aftercare.Trial registration numberISRCTN61744782.

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Post‐intensive care syndrome: Recent advances and future directions

Inoue,

Nakanishi,

Amaya

et al. 2024

Acute Medicine & Surgery

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Post‐intensive care syndrome comprises physical, cognitive, and mental impairments in patients treated in an intensive care unit (ICU). It occurs either during the ICU stay or following ICU discharge and is related to the patients' long‐term prognosis. The same concept also applies to pediatric patients, and it can greatly affect the mental status of family members. In the 10 years since post‐intensive care syndrome was first proposed, research has greatly expanded. Here, we summarize the recent evidence on post‐intensive care syndrome regarding its pathophysiology, epidemiology, assessment, risk factors, prevention, and treatments. We highlight new topics, future directions, and strategies to overcome post‐intensive care syndrome among people treated in an ICU. Clinical and basic research are still needed to elucidate the mechanistic insights and to discover therapeutic targets and new interventions for post‐intensive care syndrome.

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Should ICU clinicians follow patients after ICU discharge? Yes

Cited by 33 publications

References 16 publications

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

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

General practitioners’ views and experiences in caring for patients after sepsis: a qualitative interview study

Post‐intensive care syndrome: Recent advances and future directions

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