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Follow-up program after intensive care unit discharge
M Busico1, A das Neves2, F Carini3
1Clínica Olivos, SMG, Buenos Aires, Argentina; Comité de Seguimiento y Rehabilitación, Sociedad Argentina de Terapia Intensiva (SATI), Argentina.
Insights
Standardizing patient follow-up after intensive care unit (ICU) discharge helps identify post-intensive care syndrome (PICS) complications early. This project establishes key variables for a structured PICS follow-up program.
Area of Science:
- Intensive Care Medicine
- Post-Intensive Care Syndrome Research
- Patient Rehabilitation
Background:
- Post-intensive care syndrome (PICS) presents long-term complications for patients after ICU discharge.
- Early recognition and management of PICS are crucial for patient recovery and quality of life.
Purpose of the Study:
- To standardize outcome variables for a structured follow-up program for patients at risk of PICS.
- To provide a framework for early diagnosis and management of PICS complications.
Main Methods:
- Literature search on PICS follow-up strategies.
- Collaborative development by the Argentine Society of Intensive Care Medicine (SATI) committees.
- Recommendations based on the GRADE system for follow-up program components.
Main Results:
- Defined frequency of controlled visits.
- Identified essential healthcare professionals for follow-up.
- Established basic domains and validated Spanish tools for PICS assessment.
- Determined the overall duration of the follow-up program.
Conclusions:
- The proposed standardized follow-up measures will facilitate a basic approach to PICS diagnosis and management.
- Implementing these recommendations can improve long-term outcomes for ICU survivors at risk of PICS.
Introduction:
Patient follow-up after intensive care unit (ICU) discharge allows the early recognition of complications associated to post-intensive care syndrome (PICS). The aim of this project is to standardize outcome variables in a follow-up program for patients at risk of suffering PICS.
Methods:
The Rehabilitation and Patient Follow-up Committee of the Argentine Society of Intensive Care Medicine (Sociedad Argentina de Terapia Intensiva, SATI) requested the collaboration of different committees to design the present document. A thorough search of the literature on the issue, together with pre-scheduled meetings and web-based discussion encounters were carried out. After comprehensive evaluation, the recommendations according to the GRADE system included in the follow-up program were: frequency of controlled visits, appointed healthcare professionals, basic domains of assessment and recommended tools of evaluation, validated in Spanish, and entire duration of the program.
Conclusion:
The measures herein suggested for patient follow-up after ICU discharge will facilitate a basic approach to diagnosis and management of the long-term complications associated to PICS.
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