Healthcare delivery and recovery after critical illness

Hope, A. A. and McPeake, J. (2022) Healthcare delivery and recovery after critical illness. Current Opinion in Critical Care, 28(5), pp. 566-571. (doi: 10.1097/MCC.0000000000000984) (PMID:35975964)

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Abstract

Purpose of review: To summarize improvements and innovations in healthcare delivery which could be implemented to improve the recovery experience after critical illness for adult survivors and their families. Recent findings: For survivors of critical illness, the transitions in care during their recovery journey are points of heightened vulnerability associated with adverse events. Survivors of critical illness often have errors in the management of their medications during the recovery period. A multicomponent intervention delivered for 30 days that focused on four key principles of improved recovery care after sepsis care was associated with a durable effect on 12-month rehospitalization and mortality compared with usual care. A recent multicentre study which piloted integrating health and social care for critical care survivors demonstrated improvements in health-related quality of life and self-efficacy at 12 months. Multiple qualitative studies provide insights into how peer support programmes could potentially benefit survivors of critical illness by providing them mechanism to share their experiences, to give back to other patients, and to set more realistic expectations for recovery. Summary: Future research could focus on exploring safety outcomes as primary endpoints and finding ways to develop and test implementation strategies to improve the recovery after critical illness.

Item Type:Articles
Status:Published
Refereed:Yes
Glasgow Author(s) Enlighten ID:McPeake, Dr Jo
Authors: Hope, A. A., and McPeake, J.
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:18 August 2022
Copyright Holders:Copyright © 2022 Wolters Kluwer Health, Inc.
First Published:First published in Current Opinion in Critical Care 28(5): 566-571
Publisher Policy:Reproduced in accordance with the copyright policy of the publisher

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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