Improving long-term outcomes after discharge from intensive care unit: Report from a stakeholders' conference*

  title={Improving long-term outcomes after discharge from intensive care unit: Report from a stakeholders' conference*},
  author={Dale M. Needham and Judy E. Davidson and Henry Cohen and Ramona O. Hopkins and Craig Weinert and Hannah Wunsch and Christine A. Zawistowski and Anita Bemis-Dougherty and Susan C Berney and O. Joseph Bienvenu and Susan L. Brady and Martin B. Brodsky and Linda Denehy and Doug Elliott and Carl Flatley and Andrea L. Harabin and Christina Jones and Deborah Louis and Wendy Meltzer and Sean R. Muldoon and Jeffrey B Palmer and Christiane S. Perme and Marla R. Robinson and David M. Schmidt and Elizabeth Ann Scruth and Gayle R. Spill and C. Porter Storey and Marta L. Render and John J. Votto and Maurene A. Harvey},
  journal={Critical Care Medicine},
BACKGROUND Millions of patients are discharged from intensive care units annually. [] Key MethodPARTICIPANTS Thirty-one invited stakeholders participated in the conference. Stakeholders represented key professional organizations and groups, predominantly from North America, which are involved in the care of intensive care survivors after hospital discharge.

Long-term outcomes from critical care

Quality of life after intensive care unit: a multicenter cohort study protocol for assessment of long-term outcomes among intensive care survivors in Brazil

The present study has the potential to contribute to current knowledge of the prevalence and factors associated with postintensive care syndrome among adult intensive care survivors in Brazil and an association might be established between post intensive care syndrome and health-related quality of life.

Issues of survivorship are rarely addressed during intensive care unit stays. Baseline results from a statewide quality improvement collaborative.

Despite growing awareness of the problems faced by ICU survivors, in this statewide quality improvement collaborative, hospital-based support groups are rarely available, and deficiencies in transitions of care exist.

Approaches to Addressing Post-Intensive Care Syndrome among Intensive Care Unit (ICU) Survivors: A Narrative Review.

Burgeoning interest in improving long-term outcomes for ICU survivors has driven an array of potential interventions to improve outcomes associated with Post Intensive Care Syndrome, but to date the most promising interventions appear to relate to very early physical rehabilitation.

Post–Intensive Care Syndrome: Preventing Complications and Improving Long-Term Outcomes

  • E. Scruth
  • Medicine
    Clinical nurse specialist CNS
  • 2014
The criterion standard of care in the intensive care unit (ICU) has always been measured in terms of mortality. As healthcare changes, we will see a shift to include preventing complications related

Follow-up services for improving long-term outcomes in intensive care unit (ICU) survivors.

The effectiveness of follow-up services for ICU survivors that aim to identify and address unmet health needs related to the ICU period is assessed, finding moderate-certainty evidence from five studies that they probably make little or no difference to all-cause mortality up to 12 months after ICU discharge.

Intensive care units follow-up: a scoping review protocol

This study describes a protocol for a scoping review focusing on models of ICU follow-up and the impact of such strategies on improving patient quality of life and searches the literature systematically using electronic databases and a grey literature search.

A Quality Improvement Project to Support Post-Intensive Care Unit Patients with COVID-19: Structured Telephone Support

Giving support early after hospital discharge in a structured way may contribute to providing guidance in the individual care plans and treatment of the early symptoms of PICS (-F) and give insight in the impairments of post-ICU patients.

Post-intensive care syndrome and health-related quality of life in long-term survivors of intensive care unit.

Health solutions to improve post-intensive care outcomes: a realist review protocol

This realist review will provide a program theory, encompassing the contexts, mechanisms, and outcomes, to explain how clinical and health service interventions to improve ICU survivor outcomes operate in different contexts for different survivors, and with what effect.



Long-term complications of critical care

Survivors of critical illness are frequently left with a legacy of long-term physical, neuropsychiatric, and quality of life impairments, which can help identify patients who are most at risk of these complications.

Surviving Intensive Care: a report from the 2002 Brussels Roundtable

Key to taking advantage of such opportunities is the need for a global awareness of critical illness as an entity that begins and ends outside the ICU 'box'.

Rehabilitation after critical illness: summary of NICE guidance

The most recent recommendations from the National Institute for Health and Clinical Excellence on rehabilitation after critical illness for adult general critical care patients are summarized.

Surviving critical illness: Acute respiratory distress syndrome as experienced by patients and their caregivers

The diverse and unique experiences of acute respiratory distress syndrome survivors reflect the global impact of severe critical illness and are identified symptom domains important to acute lungs distress syndrome patients who are not well represented in existing health outcomes measures.

The PRaCTICaL study of nurse led, intensive care follow-up programmes for improving long term outcomes from critical illness: a pragmatic randomised controlled trial

A nurse led intensive care follow-up programme showed no evidence of being effective or cost effective in improving patients’ quality of life in the year after discharge from intensive care.

Evaluation of the effect of prospective patient diaries on emotional well-being in intensive care unit survivors: A randomized controlled trial*

The prospective diary intervention designed to help patients understand what happened to them in intensive care and it has a significant positive impact on anxiety and depression scores almost 2 months after patients' discharge from intensive care unit.

Delirium as a predictor of long-term cognitive impairment in survivors of critical illness

In this study of mechanically ventilated medical intensive care unit patients, duration of delirium was independently associated with long-term cognitive impairment, a common public health problem amongintensive care unit survivors.

Studying outcomes of intensive care unit survivors: the role of the cohort study

This research demonstrates that the prospective cohort study is a powerful research design that has not been fully leveraged to assess relationships between exposures and long-term outcomes of ICU survivors.

Rehabilitation after critical illness: A randomized, controlled trial

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

Early intensive care unit mobility therapy in the treatment of acute respiratory failure*

A Mobility Team using a mobility protocol initiated earlier physical therapy that was feasible, safe, did not increase costs, and was associated with decreased intensive care unit and hospital length of stay in survivors who received physical therapy duringintensive care unit treatment compared with patients who received usual care.