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

Dale M. Needham*, Judy Davidson, Henry Cohen, Ramona O. Hopkins, Craig Weinert, Hannah Wunsch, Christine Zawistowski, Anita Bemis-Dougherty, Susan C. Berney, O. Joseph Bienvenu, Susan L. Brady, Martin B. Brodsky, Linda Denehy, Doug Elliott, Carl Flatley, Andrea L. Harabin, Christina Jones, Deborah Louis, Wendy Meltzer, Sean R. MuldoonJeffrey B. Palmer, Christiane Perme, Marla Robinson, David M. Schmidt, Elizabeth Scruth, Gayle R. Spill, C. Porter Storey, Marta Render, John Votto, Maurene A. Harvey

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

769 Scopus citations

Abstract

Background: Millions of patients are discharged from intensive care units annually. These intensive care survivors and their families frequently report a wide range of impairments in their health status which may last for months and years after hospital discharge. Objectives: To report on a 2-day Society of Critical Care Medicine conference aimed at improving the long-term outcomes after critical illness for patients and their families. Participants: 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. Design: Invited experts and Society of Critical Care Medicine members presented a summary of existing data regarding the potential long-term physical, cognitive and mental health problems after intensive care and the results from studies of postintensive care unit interventions to address these problems. Stakeholders provided reactions, perspectives, concerns and strategies aimed at improving care and mitigating these long-term health problems. Measurements and Main Results; Three major themes emerged from the conference regarding: (1) raising awareness and education, (2) understanding and addressing barriers to practice, and (3) identifying research gaps and resources. Postintensive care syndrome was agreed upon as the recommended term to describe new or worsening problems in physical, cognitive, or mental health status arising after a critical illness and persisting beyond acute care hospitalization. The term could be applied to either a survivor or family member. Conclusions: Improving care for intensive care survivors and their families requires collaboration between practitioners and researchers in both the inpatient and outpatient settings. Strategies were developed to address the major themes arising from the conference to improve outcomes for survivors and families.

Original languageEnglish (US)
Pages (from-to)502-509
Number of pages8
JournalCritical Care Medicine
Volume40
Issue number2
DOIs
StatePublished - Feb 1 2012

Keywords

  • aftercare
  • caregivers
  • continuity of patient care
  • critical care
  • follow-up studies
  • intensive care units
  • outcome assessment
  • patient care planning
  • patient care team
  • post-traumatic
  • postintensive care syndrome
  • stress disorders
  • survivors

ASJC Scopus subject areas

  • Critical Care and Intensive Care Medicine

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