TY - JOUR
T1 - Key Components of ICU Recovery Programs
T2 - What Did Patients Report Provided Benefit?
AU - McPeake, Joanne
AU - Boehm, Leanne M.
AU - Hibbert, Elizabeth
AU - Bakhru, Rita N.
AU - Bastin, Anthony J.
AU - Butcher, Brad W.
AU - Eaton, Tammy L.
AU - Harris, Wendy
AU - Hope, Aluko A.
AU - Jackson, James
AU - Johnson, Annie
AU - Kloos, Janet A.
AU - Korzick, Karen A.
AU - MacTavish, Pamela
AU - Meyer, Joel
AU - Montgomery-Yates, Ashley
AU - Quasim, Tara
AU - Slack, Andrew
AU - Wade, Dorothy
AU - Still, Mary
AU - Netzer, Giora
AU - Hopkins, Ramona O.
AU - Mikkelsen, Mark E.
AU - Iwashyna, Theodore J.
AU - Haines, Kimberley J.
AU - Sevin, Carla M.
N1 - Publisher Copyright:
© 2020 The Authors. Published by Wolters Kluwer Health, Inc.
PY - 2020/4/7
Y1 - 2020/4/7
N2 - Objectives: To understand from the perspective of patients who did, and did not attend ICU recovery programs, what were the most important components of successful programs and how should they be organized. Design: International, qualitative study. Setting: Fourteen hospitals in the United States, United Kingdom, and Australia. Patients: We conducted 66 semi-structured interviews with a diverse group of patients, 52 of whom had used an ICU recovery program and 14 whom had not. Interventions: None. Measurements and Main Results: Using content analysis, prevalent themes were documented to understand what improved their outcomes. Contrasting quotes from patients who had not received certain aspects of care were used to identify perceived differential effectiveness. Successful ICU recovery programs had five key components: 1) Continuity of care; 2) Improving symptom status; 3) Normalization and expectation management; 4) Internal and external validation of progress; and 5) Reducing feelings of guilt and helplessness. The delivery of care which achieved these goals was facilitated by early involvement (even before hospital discharge), direct involvement of ICU staff, and a focus on integration across traditional disease, symptom, and social welfare needs. Conclusions: In this multicenter study, conducted across three continents, patients identified specific and reproducible modes of benefit derived from ICU recovery programs, which could be the target of future intervention refinement.
AB - Objectives: To understand from the perspective of patients who did, and did not attend ICU recovery programs, what were the most important components of successful programs and how should they be organized. Design: International, qualitative study. Setting: Fourteen hospitals in the United States, United Kingdom, and Australia. Patients: We conducted 66 semi-structured interviews with a diverse group of patients, 52 of whom had used an ICU recovery program and 14 whom had not. Interventions: None. Measurements and Main Results: Using content analysis, prevalent themes were documented to understand what improved their outcomes. Contrasting quotes from patients who had not received certain aspects of care were used to identify perceived differential effectiveness. Successful ICU recovery programs had five key components: 1) Continuity of care; 2) Improving symptom status; 3) Normalization and expectation management; 4) Internal and external validation of progress; and 5) Reducing feelings of guilt and helplessness. The delivery of care which achieved these goals was facilitated by early involvement (even before hospital discharge), direct involvement of ICU staff, and a focus on integration across traditional disease, symptom, and social welfare needs. Conclusions: In this multicenter study, conducted across three continents, patients identified specific and reproducible modes of benefit derived from ICU recovery programs, which could be the target of future intervention refinement.
KW - intensive care unit follow-up clinics
KW - peer support
KW - post-intensive care syndrome
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U2 - 10.1097/CCE.0000000000000088
DO - 10.1097/CCE.0000000000000088
M3 - Article
AN - SCOPUS:85091557474
SN - 2639-8028
VL - 2
SP - E0088
JO - Critical Care Explorations
JF - Critical Care Explorations
IS - 4
ER -