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.

Medicina Intensiva
|March 6, 2019
PubMed

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.
Abstract

Related Concept Videos

Discharge Summary Forms01:31

Discharge Summary Forms

The discharge summary is crucial as it enables a smooth transition from a healthcare facility to a patient's home or another care setting. This critical document facilitates seamless continuity of care, ensuring patients receive the necessary support and attention.
Here's a detailed look at the key components and guidelines for preparing a discharge summary:
1.3K
Measurement: Derived Units03:02

Measurement: Derived Units

The International System of Units or SI system, by international agreement, has fixed measurement units for seven fundamental properties: length, mass, time, temperature, electric current, amount of substance, and luminosity. These are called the SI base units.
55.1K
Measurement: Standard Units03:38

Measurement: Standard Units

Every measurement provides three kinds of information: the size or magnitude of the measurement (a number), a standard of comparison for the measurement (a unit), and an indication of the uncertainty of the measurement. While the number and unit are explicitly represented when a quantity is written, the uncertainty is an aspect of the errors in the measurement results.
79.2K
RC Circuits: Discharging A Capacitor01:27

RC Circuits: Discharging A Capacitor

One of the applications of an RC circuit is the relaxation oscillator. The relaxation oscillator comprises a voltage source, a capacitor, a resistor, and a neon lamp. The lamp acts like an open circuit (infinite resistance) until the potential difference across the neon lamp reaches a specific voltage. At that voltage, the lamp acts like a short circuit (zero resistance), and the capacitor discharges through the neon lamp and produces light. Once the capacitor is fully discharged through the...
4.4K
Sound Intensity00:58

Sound Intensity

The loudness of a sound source is related to how energetically the source is vibrating, consequently making the molecules of the propagation medium vibrate. To measure the loudness of a source, the physical quantity of interest is the intensity. This is defined as the energy emitted per unit of time per unit of area perpendicular to the sound wave's propagation direction. Since the total energy is greater if the source vibrates for a longer duration and over a larger area, dividing the...
4.8K
Sound Intensity Level00:53

Sound Intensity Level

Humans perceive sound by hearing. The human ear helps sound waves reach the brain, which then interprets the waves and creates the perception of hearing. The loudness of the environment in which a person is located determines whether they can distinguish between different sound sources.
The human ear can perceive an extensive range of sound intensity, necessitating the use of the logarithmic scale to define a physical quantity—the intensity level. It is a ratio of two intensities and...
4.9K