ICU Follow-up Clinics

Sevin, Carla M.

doi:10.1007/978-3-030-68680-2_12

Cited by 2 publications

(2 citation statements)

References 75 publications

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Section: Introductionmentioning

confidence: 99%

“…13,14 Despite becoming more common, post-ICU follow-up and care are structurally diverse, inconsistently available, and offer mixed evidence for effectiveness in alleviating Post-Intensive Care Syndrome symptoms. 15,16 Home health care is a group of health care services delivered in the home for illness or injury. 8,17 These services include support for activities of daily living, monitoring for serious illness progression, rehabilitation services, and…”

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confidence: 99%

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Optimizing Recovery Following Critical Illness: A Systematic Review of Home-Based Interventions

Holod

Choi

Tate

2022

Home Health Care Management & Practice

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Around 5 million Americans are treated in an intensive care unit (ICU) annually. Upon discharge, it is not uncommon for ICU survivors to experience psychological, physical, or cognitive symptoms related to their ICU stay. Home-based interventions have been touted as a potential treatment modality for post-ICU sequelae. However, limited evidence exists regarding the effectiveness of home-based interventions for patients in the post-ICU recovery period. As such, the purpose of this review was to aggregate and summarize the findings of studies focused on post-ICU rehabilitation, following critical illness, delivered in the home setting. A literature search was performed in MEDLINE, CINAHL, EMBASE, APA PsycINFO, and Google Scholar. Studies were included if they: used a RCT or quasi-experimental study design; included participants aged ≥18 years discharged home from an ICU; examined the effectiveness of a home-based, post-ICU intervention; were published in English after the year 2010; and were peer-reviewed. Nine studies met inclusion criteria. Sample sizes ranged from 21 to 386, with most participants receiving mechanical ventilation. Target outcomes included: physical function, psychological well-being, cognitive function, quality of life, and healthcare utilization. Interventions included face-to-face, web-based, telephone, or self-directed activities. Findings of included studies were mixed or inconclusive. Limitations of this review include: inclusion of only adult ICU survivors, exclusion of Post-Intensive Care Syndrome as a search term, and search restricted to pre-pandemic studies. Findings suggest a need for more rigorous research to develop and test home-based interventions.

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Section: Introductionmentioning

confidence: 99%

mentioning

confidence: 99%

Optimizing Recovery Following Critical Illness: A Systematic Review of Home-Based Interventions

Holod

Choi

Tate

2022

Home Health Care Management & Practice

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Post Intensive care outcomes and follow-up in Children: A Collaboration of Health care providers, researchers, and families Utilizing knowledge co-production

Dunphy,

Yang,

Marchand

et al. 2024

Preprint

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Background: Many children do not return to their pre-admission health status following admission to the paediatric intensive care unit (PICU), facing a range of physical, cognitive, emotional, and social challenges collectively known as Post-Intensive Care Syndrome in Paediatrics (PICS-p). The sequelae associated with PICS-p necessitate comprehensive follow-up care intending to address these multifaceted needs. The Post Intensive care outcomes and follow-up in Children: A Collaboration of Health care providers, researchers, and families Utilizing knowledge co-production (PICACHU) study aims to develop a shared care follow-up service for post-PICU patients and their families. It also seeks to facilitate outcomes research and identify quality improvement (QI) initiatives to mitigate the impact of PICS-p. Methods: The study employs a pragmatic approach informed by the Medical Research Council (MRC) framework and co-design methodology. The research includes surveys and focus group discussions (FGDs) with purposively sampled post-PICU families, acute care pediatricians, community pediatricians, general practitioners (GPs), and primary care nurse practitioners (NPs). Data collection tools include adapted versions of existing surveys and semi-structured interview guides. The analysis will involve qualitative and quantitative methods, utilising SPSS for statistical analysis and NVivo for thematic analysis of FGDs. Conclusion: The PICACHU study is the first of its kind to use a co-design approach to create a post-PICU shared care follow-up service in British Columbia (BC), Canada. The findings will provide valuable insights for improving post-PICU care services in BC and potentially other jurisdictions.

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ICU Follow-up Clinics

Cited by 2 publications

References 75 publications

Optimizing Recovery Following Critical Illness: A Systematic Review of Home-Based Interventions

Optimizing Recovery Following Critical Illness: A Systematic Review of Home-Based Interventions

Post Intensive care outcomes and follow-up in Children: A Collaboration of Health care providers, researchers, and families Utilizing knowledge co-production

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