Post intensive care syndrome following cardiothoracic critical care: feasibility of a complex intervention

Henderson, P. et al. (2021) Post intensive care syndrome following cardiothoracic critical care: feasibility of a complex intervention. Journal of Rehabilitation Medicine, 53(6), jrm00206. (doi: 10.2340/16501977-2825) (PMID:33856038)

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Abstract

Objectives: To describe the long-term outcomes of cardiac intensive care unit patients and their primary caregivers, and to explore the feasibility of implementing a complex intervention, designed to support problems associated with post-intensive care syndrome and post-intensive care syndrome–family, in the year following discharge from the cardiac intensive care unit. Design: A complex multidisciplinary rehabilitation programme, delivered as a quality improvement initiative, in a single centre in the West of Scotland. Participants: Patients and their caregivers were invited to participate 12 weeks after hospital discharge. Twenty-seven patients and 23 caregivers attended the programme. Results: Over 90% of patients had problems in at least one quality of life domain at baseline, 41% of patients had symptoms of anxiety and 22% had symptoms of depression. During the baseline visit, caregiver strain was present in 20% of caregivers, 57% had symptoms of anxiety, and 35% had symptoms of depression. Distinct improvements in outcomes were seen in both patients and caregivers at 1-year follow-up. The programme was implemented, and iterative learning obtained about the content and the operationalization of the service, in order to understand feasibility. Conclusion: This small-scale quality improvement project has demonstrated that this complex multidisciplinary rehabilitation programme is feasible and appears to have positive implications for patients following discharge from the cardiac intensive care unit, and their caregivers.

Item Type:Articles
Additional Information:Joanne McPeake is in receipt of an THIS. Institute (University of Cambridge) Fellowship, PD2019-02-16.
Status:Published
Refereed:Yes
Glasgow Author(s) Enlighten ID:Sharp, Dr John and Henderson, Dr Philip and Daniel, Malcolm and Mactavish, Mrs Pamela and Quasim, Professor Tara and McPeake, Dr Jo and Shaw, Dr Martin
Authors: Henderson, P., Quasim, T., Asher, A., Campbell, L., Daniel, M., Davey, L., Devine, H., Gall, M., MacTavish, P., McGroarty, K., Nolan, F., Purdie, C., Quasim, I., Sharp, J., Shaw, M., Iwashyna, T. J., and McPeake, J.
College/School:College of Medical Veterinary and Life Sciences > Institute of Cardiovascular and Medical Sciences
College of Medical Veterinary and Life Sciences > School of Medicine, Dentistry & Nursing
College of Medical Veterinary and Life Sciences > School of Medicine, Dentistry & Nursing > Nursing and Health Care
Journal Name:Journal of Rehabilitation Medicine
Publisher:Foundation for Rehabilitation Information
ISSN:1650-1977
ISSN (Online):1651-2081
Published Online:15 April 2021
Copyright Holders:Copyright © 2021 The Authors
First Published:First published in Journal of Rehabilitation Medicine 53(6): jrm00206
Publisher Policy:Reproduced under a Creative Commons License

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Project CodeAward NoProject NamePrincipal InvestigatorFunder's NameFunder RefLead Dept
173544Intensive Care Syndrome: Promoting Independence and Return to EmploymentTara QuasimThe Health Foundation (HEALFOU)Quasim, Dr TaraMed - Anaesthesia
307748Improving health and social care integration delivery in the acute care environmentJoanne McPeakeUniversity of Cambridge (HEI-CAMB)RG88620HW - MRC/CSO Social and Public Health Sciences Unit