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)

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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

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Project CodeAward NoProject NamePrincipal InvestigatorFunder's NameFunder RefLead Dept
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