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Post-CICU Recovery Programs: Early Adopters and Care Models
Khoa Nguyen1, David M Dudzinski2, Garima Dahiya3
1Knight Cardiovascular Institute, Division of Cardiovascular Medicine, Oregon Health & Science University, Portland, Oregon, USA.
JACC. Advances
|April 23, 2026
Summary
Post-cardiac intensive care unit (CICU) recovery clinics are uncommon but show promise. Key challenges include resource limitations and logistical hurdles, hindering broader implementation for survivors of critical illness.
Area of Science:
- Critical care medicine
- Cardiovascular health
- Patient recovery
Background:
- Postintensive care syndrome (PICS) impacts up to 80% of critical illness survivors.
- Recovery programs for cardiovascular intensive care unit (CICU) survivors are not well-defined.
Purpose of the Study:
- To determine the prevalence, structure, and challenges of post-CICU recovery clinics in the US and Canada.
- To identify barriers to establishing and operating these specialized clinics.
Main Methods:
- A cross-sectional survey was distributed to healthcare professionals in adult CICUs.
- The questionnaire assessed clinic operations, recovery practices, and implementation barriers.
Main Results:
- Only 16.7% of surveyed institutions reported having a formal post-CICU recovery clinic.
- Lack of resources (76%) and logistical issues (72%) were primary barriers for non-clinic sites.
- Existing clinics utilized multidisciplinary teams and focused on medication reconciliation, PICS screening, and care transitions.
Conclusions:
- Post-CICU recovery clinics are emerging but uncommon, sharing models focused on survivorship assessment and referral.
- Addressing resource and logistical barriers is crucial for wider adoption and future outcomes research.
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