Premium
Follow‐up after intensive care treatment: a questionnaire survey of intensive care aftercare in Denmark
Author(s) -
Kjer C. K. W.,
Estrup S.,
Poulsen L. M.,
Mathiesen O.
Publication year - 2017
Publication title -
acta anaesthesiologica scandinavica
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.738
H-Index - 107
eISSN - 1399-6576
pISSN - 0001-5172
DOI - 10.1111/aas.12938
Subject(s) - medicine , intensive care unit , intensive care , emergency medicine , checklist , psychological intervention , intensive care medicine , nursing , psychology , cognitive psychology
Background Rehabilitation efforts after treatment in the intensive care unit ( ICU ) are termed intensive care aftercare. It includes both early in‐hospital follow‐up after ICU ‐discharge and late follow‐up after hospital discharge. This study aims to investigate the current ICU ‐aftercare activities in Denmark. Methods We conducted an electronic questionnaire survey, which was distributed by e‐mail to the heads of all 31 general ICU s in Denmark. Specialized ICU s were not included. The questionnaire was divided into the following sections: early ICU ‐aftercare, late ICU ‐aftercare, future development and demographics. Results Thirty‐one ICU s were invited to participate. The response rate was 100%. Overall, 26 of 31 ICU s (84%) offered ICU ‐aftercare, with the following distribution: early ICU ‐aftercare (58%), late ICU ‐aftercare (57%) and both (29%). There were no significant associations between hospital size and provision of ICU ‐aftercare. For early ICU ‐aftercare, the most common eligibility criteria were based on ICU length of stay ( LOS ) (44%) and a decision based upon doctors' discretion (22%). Incidence of guidelines for early ICU ‐aftercare (44%) and checklists at patient contact (35%) were sparse. The most common early ICU ‐aftercare items were as follows: respiratory care (82%), tracheostomy care (59%) and nutritional care (59%). For late ICU ‐aftercare, the most common eligibility criterion was LOS (41%). Guidelines (71%), but not checklist at patient contact (35%), were more common. Most frequent late ICU ‐aftercare interventions were review of ICU ‐diaries (59%) and patient charts (53%). Conclusion Eighty‐four per cent of Danish ICU s offered ICU ‐aftercare to their patients. There was an abundant heterogeneity of eligibility criteria and ICU ‐aftercare interventions.