Rehabilitation after critical illness: A randomized, controlled trial

Abstract

A self-help rehabilitation manual is effective in aiding physical recovery and reducing depression. However, in those patients recalling delusional memories from the ICU, further psychological care may be needed to reduce the incidence of anxiety and PTSD-related symptoms.

Effectiveness of Critical Care Discharge Information in Supporting Early Recovery From Critical Illness

“…With the exception of the studies by Jones et al, 18,36 all studies were done at a single site. The research reported was conducted within the United Kingdom, 12,18,36 Australia, 37,38,40 and the United States. 39 Table 2 summarizes the results of the methodologic appraisal.…”

“…39 Table 2 summarizes the results of the methodologic appraisal. The randomized controlled trial reported by Jones et al 18,36 ranked highest according to the OCEBM, 34 although it was underpowered because it did not achieve its target sample and there were significant losses to followup in both patient (19%) and relative (19.2%) cohorts. Mitchell and Courtney 37,38 reported a relatively large quasi-experimental study that used well-validated data collection tools.…”

“…Table 1 reports key findings from each of the included articles. Only 1 study investigated effects on physical health outcomes, 18 providing evidence to support a potential benefit of written information on physical health function outcomes 41 (eg, the ability to walk, wash, and dress; P = .006). In contrast, no clear benefits of written information with respect to psychological outcomes were identified.…”

“…General verbal information about recovery in ICU during follow-up in general care area, 3 telephone calls after discharge home, and at ICU follow-up clinic at 8 weeks and 6 months See Jones et al, 18 2003…”

“…physical well-being and the provision of written critical care discharge information, 12,13,18,19 but considerable uncertainty remains regarding any potential advantages.…”