Are outpatient clinics justified in intensive care medicine?

Extremera, Pablo; Añón, J.M.; Lorenzo, A. García de

doi:10.1016/j.medine.2018.01.002

Cited by 8 publications

(5 citation statements)

References 9 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…In line with our usual clinical practice 24 , a follow-up appointment was arranged for all patients at three months after hospital discharge. This consultation included anamnesis and an assessment of potentially affected domains where PICS was evaluated: mental status, cognition, muscle strength, pulmonary function, dependence and functional status.…”

Section: Methodsmentioning

confidence: 99%

Prevalence of post-intensive care syndrome in mechanically ventilated patients with COVID-19

Nanwani-Nanwani

López-Pérez

Giménez-Esparza

et al. 2022

Sci Rep

View full text Add to dashboard Cite

Coronavirus disease 19 (COVID-19) patients usually require long periods of mechanical ventilation and sedation, which added to steroid therapy, favours a predisposition to the development of delirium and subsequent mental health disorders, as well as physical and respiratory sequelae. The aim of this study was to determine the prevalence of post-intensive care syndrome (PICS) at 3 months after hospital discharge, in a cohort of mechanically ventilated patients with severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). An ambispective, observational study was conducted in three hospitals with intensive care unit (ICU) follow-up clinics. We studied adults who survived a critical illness due to SARS-CoV-2 infection requiring invasive mechanical ventilation. A physical (muscle strength and pulmonary function), functional [12-Item Short Form Health Survey (SF-12), and Barthel score], psychological [hospital anxiety and depression (HADS) and posttraumatic stress disorder symptom severity scales], and cognitive [Montreal cognitive assessment (MoCA) test] assessment were performed. A total of 186 patients were evaluated at 88 days (IQR 68–121) after hospital discharge. Mean age was 59 ± 12 years old, 126 (68%) patients were men, and median length of mechanical ventilation was 14 days (IQR 8–31). About 3 out of 4 patients (n = 139, 75%) met PICS criteria. Symptoms of cognitive and psychiatric disorders were found in 59 (32%) and 58 (31%) patients, respectively. Ninety-one (49%) patients had muscle weakness. Pulmonary function tests in patients with no respiratory comorbidities showed a normal pattern in 93 (50%) patients, and a restrictive disorder in 62 (33%) patients. Also, 69 patients (37%) were on sick leave, while 32 (17%) had resumed work at the time of assessment. In conclusion, survivors of critical illness due to SARS-CoV-2 infection requiring mechanical ventilation have a high prevalence of PICS. Physical domain is the most frequently damaged, followed by cognitive and psychiatric disorders. ICU follow-up clinics enable the assistance of this vulnerable population.

show abstract

Section: Methodsmentioning

confidence: 99%

Prevalence of post-intensive care syndrome in mechanically ventilated patients with COVID-19

Nanwani-Nanwani

López-Pérez

Giménez-Esparza

et al. 2022

Sci Rep

View full text Add to dashboard Cite

show abstract

“…The detection and prevention of post-ICU syndrome in patients and families, and follow-up at discharge from the ICU and hospitalization from a multidisciplinary perspective can reduce the sequelae of the critical surgical patient ---improving outcomes and quality of life with a view to reincorporating the patient to society. 50 Future publications of this series addressing the surgical patient will present updates on the perioperative management of some of the more complex surgeries.…”

Section: Perioperative Medicine As a Process Final Considerationsmentioning

confidence: 99%

Perioperative intensive care medicine

Delgado

Vidal

2019

Medicina Intensiva (English Edition)

View full text Add to dashboard Cite

Surgery represents one of the main therapeutic references in the world, affording greater survival and life expectancy for many patients. In general, the estimated postoperative mortality is low (around 1-4%). Thirteen percent of the surgical procedures have a high risk of complications, accounting for 80% of all postoperative deaths. Recently, there have been significant advances related to organizational aspects, new anesthetic and surgical techniques, prognostic scales, perioperative management and greater participation and involvement of the patient. This new series of Medicina Intensiva will address fundamental aspects of how Departments of Intensive Care Medicine can add value to the surgical process, in a coordinated manner with other services. Institutional policies are required to ensure the detection of patients at risk in hospitalization wards, with early admission to the ICU of those patients in whom admission is indicated, adapting the treatment in the ICU and optimizing the criteria for discharge. The detection and prevention of post-ICU syndrome in patients and relatives, and the follow-up of ICU discharge and hospitalization in a multidisciplinary manner can reduce the sequelae among critical surgical patients, improving the outcomes and quality of life, and restoring the patient to society. In future publications of this series directed to the surgical patient, updates will be provided on the perioperative management of some of the most complex surgeries.

show abstract

“…Se ha llevado a la implementación de equipos de respuesta rápida y modelos de UCI sin paredes 14 y se está trabajando en reducir el síndrome post-UCI en pacientes y familiares, a través de la detección y prevención del mismo así como el seguimiento al alta de UCI y de hospitalización lo que puede reducir las secuelas del enfermo crítico. 15 Recientemente han cobrado mayor relevancia aspectos relacionados con la actuación posterior a un EA. La gestión del riesgo implica entre otras acciones, la identificación, notificación y el análisis de los EA que señalen los fallos latentes en el sistema y la causa raíz con el objetivo último de establecer acciones de mejora y evitar su recurrencia.…”

Section: Introducciónunclassified

Seguridad del Paciente en Medicina Intensiva. Aspectos bioéticos

Delgado

2020

RBD

View full text Add to dashboard Cite

La Seguridad del Paciente se ha convertido en un reto y en una prioridad de todos los sistemas sanitarios. Se ha implantado políticas internacionales con el objetivo de reducir el número de incidentes relacionados con Seguridad del Paciente. Todavía son muchos los pacientes que sufren daños derivados de la atención sanitaria. Además, su impacto se extiende no solo a los familiares y allegados, sino también a los propios profesionales, a las instituciones sanitarias y todo ello con un coste económico y emocional con importantes consecuencias para todos los implicados. La mayoría de estudios realizados han ido dirigidos a conocer la epidemiología de los eventos adversos, a conocer sus causas y sus consecuencias. Se han promovido numerosas prácticas seguras con el objetivo de reducir los riesgos relacionados con la atención sanitaria. Recientemente han cobrado mayor relevancia aspectos relacionados con la actuación posterior a un evento adverso (EA). La gestión del riesgo implica entre otras acciones, la identificación, notificación y el análisis de los EA que señalen los fallos latentes en el sistema y la causa raíz con el objetivo último de establecer acciones de mejora y evitar su recurrencia. De forma paulatina estas estrategias se han ido incorporando en las políticas institucionales y mejorando con ello la cultura de seguridad. Pero todavía existen partes del proceso, que en nuestro ámbito se encuentran en su etapa más inicial, tales como el proceso de información sobre los EA a los pacientes y sus familiares y el soporte a los profesionales tras verse implicados en un EA. Todo ello debe construirse en un marco de confianza y credibilidad.

show abstract

Are outpatient clinics justified in intensive care medicine?

Cited by 8 publications

References 9 publications

Prevalence of post-intensive care syndrome in mechanically ventilated patients with COVID-19

Prevalence of post-intensive care syndrome in mechanically ventilated patients with COVID-19

Perioperative intensive care medicine

Seguridad del Paciente en Medicina Intensiva. Aspectos bioéticos

Contact Info

Product

Resources

About