Functional outcomes following critical illness: epidemiology, current management strategies and the future priorities

McPeake, J. , Sevin, C. M. and Mikkelsen, M. E. (2021) Functional outcomes following critical illness: epidemiology, current management strategies and the future priorities. Current Opinion in Critical Care, 27(5), pp. 506-512. (doi: 10.1097/MCC.0000000000000856) (PMID:34267076)

Abstract

Purpose of the review: Intensive care unit (ICU) survivorship has gained significant attention over the course of the COVID-19 pandemic. In this review, we summarize the contemporary literature in relation to the epidemiology and management of post-ICU problems. Recent findings: Survivors of critical illness can have complex physical, social, emotional and cognitive needs in the months following hospital discharge. Emerging evidence has shown that pre-ICU characteristics such as educational attainment, alongside in-ICU factors such as delirium, may contribute to worsening outcomes. Evidence regarding the impact of post-ICU recovery services is evolving, but models such as post-ICU clinics and peer support programs are gaining rapid momentum. Summary: Future research should focus on modifiable risk factors and how identification and treatment of these can improve outcomes. Furthermore, rigorous evaluation of postacute critical care recovery services is necessary.

• Item Type: Articles
• Additional Information: JM is funded by a THIS.Institute (University of Cambridge) Research Fellowship (PD-2019-02-16).
• Status: Published
• Refereed: Yes
• Glasgow Author(s) Enlighten ID: McPeake, Dr Jo
• Authors: McPeake, J., Sevin, C. M., and Mikkelsen, M. E.
• College/School: College of Medical Veterinary and Life Sciences > School of Medicine, Dentistry & Nursing > Nursing and Health Care
• Journal Name: Current Opinion in Critical Care
• Publisher: Lippincott, Williams and Wilkins
• ISSN: 1070-5295
• ISSN (Online): 1531-7072
• Published Online: 09 July 2021
• Copyright Holders: Copyright © 2021 Wolters Kluwer Health, Inc.
• First Published: First published in Current Opinion in Critical Care 27(5): 506-512
• Publisher Policy: Reproduced in accordance with the publisher copyright policy

Project Code	Award No	Project Name	Principal Investigator	Funder's Name	Funder Ref	Lead Dept
307748		Improving health and social care integration delivery in the acute care environment	Joanne McPeake	University of Cambridge (HEI-CAMB)	RG88620	HW - MRC/CSO Social and Public Health Sciences Unit