» Articles » PMID: 29742221

Post-intensive Care Outpatient Clinic: is It Feasible and Effective? A Literature Review

Overview
Date 2018 May 10
PMID 29742221
Citations 20
Authors
Affiliations
Soon will be listed here.
Abstract

The follow-up of patients who are discharged from intensive care units follows distinct flows in different parts of the world. Outpatient clinics or post-intensive care clinics represent one of the forms of follow-up, with more than 20 years of experience in some countries. Qualitative studies that followed up patients in these outpatient clinics suggest more encouraging results than quantitative studies, demonstrating improvements in intermediate outcomes, such as patient and family satisfaction. More important results, such as mortality and improvement in the quality of life of patients and their families, have not yet been demonstrated. In addition, which patients should be indicated for these outpatient clinics? How long should they be followed up? Can we expect an improvement of clinical outcomes in these followed-up patients? Are outpatient clinics cost-effective? These are only some of the questions that arise from this form of follow-up of the survivors of intensive care units. This article aims to review all aspects relating to the organization and performance of post-intensive care outpatient clinics and to provide an overview of studies that evaluated clinical outcomes related to this practice.

Citing Articles

Two-year trajectory of functional recovery and quality of life in post-intensive care syndrome: a multicenter prospective observational study on mechanically ventilated patients with coronavirus disease-19.

Hatakeyama J, Nakamura K, Inoue S, Liu K, Yamakawa K, Nishida T J Intensive Care. 2025; 13(1):7.

PMID: 39915821 PMC: 11800417. DOI: 10.1186/s40560-025-00777-z.


Novel Post-Neurointensive Care Recovery Clinic: Design, Utilization, and Clinician Perspectives.

Carlson J, Gheihman G, Emerson K, Alabsi H, Kimberly W, Young M Neurol Clin Pract. 2024; 15(1):e200364.

PMID: 39399568 PMC: 11464235. DOI: 10.1212/CPJ.0000000000200364.


Post-ICU Care: Why, What, When and How? ISCCM Position Statement.

Ramakrishnan N, Abraham B, Barokar R, Chanchalani G, Jagathkar G, Shetty R Indian J Crit Care Med. 2024; 28(Suppl 2):S279-S287.

PMID: 39234226 PMC: 11369927. DOI: 10.5005/jp-journals-10071-24700.


Clinical trajectories of critically ill patients discharged directly from a critical unit to a postacute care facility: retrospective cohort.

Ramos J, Souza Neto M, Rezende A, Ferreira F, Amorim Y, Souza F Crit Care Sci. 2024; 36:e20240015en.

PMID: 39194035 PMC: 11463978. DOI: 10.62675/2965-2774.20240015-en.


Unmasking the hidden aftermath: postintensive care unit sequelae, discharge preparedness, and long-term follow-up.

Teixeira C, Rosa R Crit Care Sci. 2024; 36:e20240265en.

PMID: 38896724 PMC: 11152445. DOI: 10.62675/2965-2774.20240265-en.


References
1.
Griffiths J, Barber V, Cuthbertson B, Young J . A national survey of intensive care follow-up clinics. Anaesthesia. 2006; 61(10):950-5. DOI: 10.1111/j.1365-2044.2006.04792.x. View

2.
Combe D . The use of patient diaries in an intensive care unit. Nurs Crit Care. 2005; 10(1):31-4. DOI: 10.1111/j.1362-1017.2005.00093.x. View

3.
Dexheimer Neto F, Rosa R, Duso B, Haas J, Savi A, Cabral C . Public versus Private Healthcare Systems following Discharge from the ICU: A Propensity Score-Matched Comparison of Outcomes. Biomed Res Int. 2016; 2016:6568531. PMC: 4829690. DOI: 10.1155/2016/6568531. View

4.
Normilio-Silva K, de Figueiredo A, Pedroso-de-Lima A, Tunes-da-Silva G, Nunes da Silva A, Delgado Dias Levites A . Long-Term Survival, Quality of Life, and Quality-Adjusted Survival in Critically Ill Patients With Cancer. Crit Care Med. 2016; 44(7):1327-37. DOI: 10.1097/CCM.0000000000001648. View

5.
Sukantarat K, Greer S, Brett S, Williamson R . Physical and psychological sequelae of critical illness. Br J Health Psychol. 2007; 12(Pt 1):65-74. DOI: 10.1348/135910706X94096. View