Follow-up program after intensive care unit discharge
Med Intensiva (Engl Ed). 2019 May;43(4):243-254.
doi: 10.1016/j.medin.2018.12.005.
Epub 2019 Mar 2.
[Article in
English,
Spanish]
Authors
M Busico
1
, A das Neves
2
, F Carini
3
, M Pedace
3
, D Villalba
4
, C Foster
5
, J García Urrutia
6
, M Garbarini
3
, S Jereb
6
, V Sacha
7
, E Estenssoro
2
Affiliations
- 1 Clínica Olivos, SMG, Buenos Aires, Argentina; Comité de Seguimiento y Rehabilitación, Sociedad Argentina de Terapia Intensiva (SATI), Argentina. Electronic address: marinabusico@yahoo.com.ar.
- 2 Comité de Seguimiento y Rehabilitación, Sociedad Argentina de Terapia Intensiva (SATI), Argentina; Hospital San Martín de La Plata, La Plata, Argentina.
- 3 Comité de Seguimiento y Rehabilitación, Sociedad Argentina de Terapia Intensiva (SATI), Argentina; Hospital Italiano de Buenos Aires, Buenos Aires, Argentina.
- 4 Comité de Seguimiento y Rehabilitación, Sociedad Argentina de Terapia Intensiva (SATI), Argentina; Clínica Basilea, Buenos Aires, Argentina.
- 5 Comité de Seguimiento y Rehabilitación, Sociedad Argentina de Terapia Intensiva (SATI), Argentina; Hospital Juan A. Fernández, Buenos Aires, Argentina.
- 6 Comité de Seguimiento y Rehabilitación, Sociedad Argentina de Terapia Intensiva (SATI), Argentina; Hospital Alejandro Posadas, Buenos Aires, Argentina.
- 7 Instituto de Efectividad Clínica y Sanitaria, Buenos Aires, Argentina.
Abstract
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.
Keywords:
Follow-up; Follow-up clinic; Post-intensive care syndrome; Programa de seguimiento; Seguimiento; Síndrome post terapia intensiva.
Copyright © 2019 Elsevier España, S.L.U. y SEMICYUC. All rights reserved.
MeSH terms
-
Aftercare / standards*
-
Critical Care*
-
Humans
-
Intensive Care Units*
-
Patient Discharge*
-
Practice Guidelines as Topic
-
Syndrome