Anticipating ICU discharge and long-term follow-up.

Journal: Current opinion in critical care

Volume: 30

Issue: 2

Year of Publication: 2024

Affiliated Institutions:  Internal Medicine Department, Hospital Moinhos de Vento. Department of Medical and Surgical Specialties, Radiological Sciences and Public Health, University of Brescia, Brescia. Rehabilitation and Intermediate Care, Azienda Speciale Cremona Solidale, Cremona, Italy.

Abstract summary 

This review aims to summarize recent literature findings on long-term outcomes following critical illness and to highlight potential strategies for preventing and managing health deterioration in survivors of critical care.A substantial number of critical care survivors experience new or exacerbated impairments in their physical, cognitive or mental health, commonly named as postintensive care syndrome (PICS). Furthermore, those who survive critical illness often face an elevated risk of adverse outcomes in the months following their hospital stay, including infections, cardiovascular events, rehospitalizations and increased mortality. These findings underscore the need for effective prevention and management of long-term health deterioration in the critical care setting. While robust evidence from well designed randomized clinical trials is limited, potential interventions encompass sedation limitation, early mobilization, delirium prevention and family presence during intensive care unit (ICU) stay, as well as multicomponent transition programs (from ICU to ward, and from hospital to home) and specialized posthospital discharge follow-up.In this review, we offer a concise overview of recent insights into the long-term outcomes of critical care survivors and advancements in the prevention and management of health deterioration after critical illness.

Authors & Co-authors:  Rosa Teixeira Piva Morandi

Study Outcome 

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Statistics
Citations :  Vincent JL, Creteur J. Paradigm shifts in critical care medicine: the progress we have made. Crit Care 2015; 19: (Suppl 3): S10.
Authors :  4
Identifiers
Doi : 10.1097/MCC.0000000000001136
SSN : 1531-7072
Study Population
Male,Female
Mesh Terms
Humans
Other Terms
Study Design
Study Approach
Country of Study
Publication Country
United States