The evolving role of intensive care in health care and society

Warrillow, Stephen; Raper, Raymond F.

doi:10.5694/mja2.50340

Cited by 2 publications

(2 citation statements)

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“…Theme 1: Worldwide demand for ICU care Since 2012, the number of articles published relating to the PICS phenomena has steadily increased. This coincides with a gradual increase in demand for ICU treatment and a reduction in mortality as more and more individuals survive their stay in the ICU [52]. Up until the beginning of 2019, these trends have been gradual [52].…”

Section: Social and Contextual Characteristicsmentioning

confidence: 96%

“…This coincides with a gradual increase in demand for ICU treatment and a reduction in mortality as more and more individuals survive their stay in the ICU [52]. Up until the beginning of 2019, these trends have been gradual [52]. However, research is beginning to report on the signi cant spike in ICU patients seen as a result of the COVID-19 pandemic [53,54,55].…”

Section: Social and Contextual Characteristicsmentioning

confidence: 99%

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The Characteristics of Post-Intensive Care Syndrome to Inform Occupational Therapy Practice During the Post-Intensive Care Period: A Systematic Scoping Review.

Heiniger

Brandis

2021

Preprint

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Background: As the demand for intensive care treatment increases, so too does the number of people surviving critical illness. Since 2010, the term “post-intensive care syndrome” has been used to describe the constellation of new or worsening physical, cognitive, and psychological impairments that persist after intensive care discharge. This review aimed determine the characteristics of PICS present during the first year following discharge from the ICU to inform occupational therapists working with this population during the post-intensive care period. Methods: A systematic scoping review has been conducted according to the PRISMA-ScR Checklist. Seven key databases were searched from inception to 2020. A single reviewer screened available literature against eligibility criteria then cross-checked by a second reviewer. Data were abstracted from relevant publications and results were narratively synthesised through application of a biopsychosocial model.Results: Twenty-five studies were identified for inclusion. Characteristics were categorised as biological, psychological, or social and contextual. Overarching outcomes were also considered. Results demonstrated that characteristics were complex and interwoven between domains. Results were grouped into four key themes: 1) An increased worldwide demand for intensive care, 2) ADL performance, 3) HRQOL, and 4) Consideration of social and contextual characteristics. No studies were found to detail the role of occupational therapists working with post-intensive care survivors.Conclusions: The complex and interwoven nature of post-intensive care syndrome highlights the need to consider a holistic rehabilitation approach. Considering the COVID-19 pandemic, occupational therapists have the potential to play an increased role during the post-intensive care period to reduce the global healthcare burden and improve patient outcomes. Future research is needed to determine the best model of care to support occupational therapists working with survivors of critical illness.Trial Registration: NA

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Section: Social and Contextual Characteristicsmentioning

confidence: 96%