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Updated: Jul 30, 2025

Observational Study Protocol for Repeated Clinical Examination and Critical Care Ultrasonography Within the Simple Intensive Care Studies
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ICU without borders.

Marlies Ostermann1, Jean-Louis Vincent2

  • 1Department of Critical Care, King's College London, Guy's and St Thomas' Foundation Hospital, NHS Foundation Trust, London, SE1 7EH, UK. Marlies.Ostermann@gstt.nhs.uk.

Critical Care (London, England)
|May 13, 2023
PubMed
Summary
This summary is machine-generated.

The "ICU without borders" model offers continuous critical care, improving patient outcomes by integrating the care team from illness onset through recovery. This value-based approach benefits patients, families, staff, and the healthcare system.

Keywords:
Follow-upICU without bordersOutreach

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Area of Science:

  • Critical care medicine
  • Healthcare systems research
  • Patient-centered care

Background:

  • Critical illness care is often fragmented, leading to suboptimal patient outcomes.
  • Value-based critical care emphasizes holistic patient health over episodic treatment.
  • Existing models struggle to provide seamless care throughout the critical illness continuum.

Purpose of the Study:

  • To introduce and evaluate the "ICU without borders" model for continuous critical care.
  • To identify the benefits and challenges of this integrated care approach for all stakeholders.
  • To outline essential requirements for implementing a successful "ICU without borders" system.

Main Methods:

  • Review of the "ICU without borders" concept and its application.
  • Analysis of potential benefits for patients, families, and healthcare staff.
  • Identification of challenges and essential implementation requirements.

Main Results:

  • The "ICU without borders" model facilitates seamless patient management from critical illness onset to recovery.
  • Potential benefits include improved patient outcomes, enhanced family support, and optimized staff involvement.
  • Essential requirements include robust governance, advanced technology, investment, and mutual trust.

Conclusions:

  • The "ICU without borders" model represents a paradigm shift towards continuous, value-based critical care.
  • This bi-directional model enhances patient and family engagement through extended access and mutual aid.
  • Successful implementation requires a coordinated approach addressing governance, technology, and trust.