Skip to main content Accessibility help
×
Hostname: page-component-586b7cd67f-t8hqh Total loading time: 0 Render date: 2024-11-20T13:33:28.638Z Has data issue: false hasContentIssue false

7.5 - Follow-Up after Critical Illness

from Section 7 - Comfort and Recovery

Published online by Cambridge University Press:  27 July 2023

Ned Gilbert-Kawai
Affiliation:
The Royal Liverpool Hospital
Debashish Dutta
Affiliation:
Princess Alexandra Hospital NHS Trust, Harlow
Carl Waldmann
Affiliation:
Royal Berkshire Hospital, Reading
Get access

Summary

Key Learning Points

  1. 1. Post-intensive care syndrome (PICS) affects between 40 and 60 per cent of critical illness survivors, and manifests as new impairments of cognitive, psychological and/or physical function.

  2. 2. Major risk factors for PICS include >72 hours of mechanical ventilation, prolonged ICU delirium, maternal/obstetric critical illness and baseline physical and mental health co-morbidities.

  3. 3. The typical service model of follow-up care includes a face-to-face outpatient review approximately 2–3 months following discharge home, with follow-up visits at 6 and 12 months where required.

  4. 4. Physical, cognitive, psychological and global clinical outcomes should be evaluated using domain-specific tools and assessments.

  5. 5. Critical care recovery clinics provide an important opportunity to reconnect with patients and ‘re-humanise’ the ICU care delivered.

Type
Chapter
Information
Intensive Care Medicine
The Essential Guide
, pp. 666 - 670
Publisher: Cambridge University Press
Print publication year: 2021

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

References and Further Reading

Azoulay, E, Vincent, JL, Angus, DC, et al. Recovery after critical illness: putting the puzzle together – a consensus of 29. Crit Care 2017;21:296.CrossRefGoogle ScholarPubMed
Cuthbertson, BH, Wunsch, H. Long-term outcomes after critical illness. The best predictor of the future is the past. Am J Respir Crit Care Med 2016;194:132–4.CrossRefGoogle ScholarPubMed
Needham, DM, Sepulveda, KA, Dinglas, VD, et al. Core outcome measures for clinical research in acute respiratory failure survivors. An International Modified Delphi Consensus study. Am J Respir Crit Care Med 2017;196:1122–30.CrossRefGoogle ScholarPubMed
Schofield-Robinson, OJ, Lewis, SR, Smith, AF, McPeake, J, Alderson, P. Follow-up services for improving long-term outcomes in intensive care unit (ICU) survivors. Cochrane Database Syst Rev 2018;2:CD012701.Google Scholar
Sevin, CM, Jackson, JC. Post-ICU clinics should be staffed by ICU clinicians. Crit Care Med 2019;47:268–72.CrossRefGoogle ScholarPubMed
Wang, T, Derhovanessian, A, De Cruz, S, et al. Subsequent infections in survivors of sepsis: epidemiology and outcomes. J Intensive Care Med 2014;29:8795.CrossRefGoogle ScholarPubMed

Save book to Kindle

To save this book to your Kindle, first ensure [email protected] is added to your Approved Personal Document E-mail List under your Personal Document Settings on the Manage Your Content and Devices page of your Amazon account. Then enter the ‘name’ part of your Kindle email address below. Find out more about saving to your Kindle.

Note you can select to save to either the @free.kindle.com or @kindle.com variations. ‘@free.kindle.com’ emails are free but can only be saved to your device when it is connected to wi-fi. ‘@kindle.com’ emails can be delivered even when you are not connected to wi-fi, but note that service fees apply.

Find out more about the Kindle Personal Document Service.

Available formats
×

Save book to Dropbox

To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Dropbox.

Available formats
×

Save book to Google Drive

To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Google Drive.

Available formats
×