BACKGROUND: With the increasing awareness of postintensive care syndrome and the unbridled development of post-ICU clinics in the Netherlands, guidelines for ICU after care are needed. The purpose of this study was to develop recommendations for the set-up of post-ICU clinics. METHODS: Recommendations regarding the design of post-ICU clinics were formulated based on a survey among Dutch ICUs and the available literature. Subsequently, in a round table conference stakeholders discussed and voted on a final approval of the recommendations. RESULTS: The response rate of our survey was 70% (57 of 82), 40% of the respondents provided ICU after care. Twenty-one people from 16 ICUs participated in the round table conference. Only two studies are available with information on organization and effectiveness of post-ICU clinics. It is recommended to invite patients who are mechanically ventilated for more than 2 days at a post-ICU clinic between 6 and 12 weeks after hospital discharge and screen for physical, psychological and cognitive impairments by using validated electronic patient-reported questionnaires. The set-up of a national registry for benchmarking and research purposes is suggested. CONCLUSION: This study recommends how to organize post-ICU clinics based on literature and expert opinion. The implementation of the recommendations will facilitate the set-up of post-ICU clinics, research on effectiveness of post-ICU clinics and benchmarking of quality of ICU care.
BACKGROUND: With the increasing awareness of postintensive care syndrome and the unbridled development of post-ICU clinics in the Netherlands, guidelines for ICU after care are needed. The purpose of this study was to develop recommendations for the set-up of post-ICU clinics. METHODS: Recommendations regarding the design of post-ICU clinics were formulated based on a survey among Dutch ICUs and the available literature. Subsequently, in a round table conference stakeholders discussed and voted on a final approval of the recommendations. RESULTS: The response rate of our survey was 70% (57 of 82), 40% of the respondents provided ICU after care. Twenty-one people from 16 ICUs participated in the round table conference. Only two studies are available with information on organization and effectiveness of post-ICU clinics. It is recommended to invite patients who are mechanically ventilated for more than 2 days at a post-ICU clinic between 6 and 12 weeks after hospital discharge and screen for physical, psychological and cognitive impairments by using validated electronic patient-reported questionnaires. The set-up of a national registry for benchmarking and research purposes is suggested. CONCLUSION: This study recommends how to organize post-ICU clinics based on literature and expert opinion. The implementation of the recommendations will facilitate the set-up of post-ICU clinics, research on effectiveness of post-ICU clinics and benchmarking of quality of ICU care.
Authors: A Milton; A Schandl; I W Soliman; K Meijers; M van den Boogaard; I M Larsson; C Brorsson; U Östberg; M Oxenbøll-Collet; J Savilampi; S Paskins; M Bottai; P V Sackey Journal: Intensive Care Med Date: 2018-11-22 Impact factor: 17.440
Authors: Johan H Vlake; Michel E van Genderen; Anna Schut; Martijn Verkade; Evert-Jan Wils; Diederik Gommers; Jasper van Bommel Journal: J Intensive Care Date: 2020-01-09
Authors: Ilse van Beusekom; Ferishta Bakhshi-Raiez; Nicolette F de Keizer; Dave A Dongelmans; Marike van der Schaaf Journal: Crit Care Date: 2016-01-21 Impact factor: 9.097
Authors: Wytske Geense; Marieke Zegers; Hester Vermeulen; Mark van den Boogaard; Johannes van der Hoeven Journal: BMJ Open Date: 2017-11-14 Impact factor: 2.692
Authors: Ilse van Beusekom; Ferishta Bakhshi-Raiez; Nicolette F de Keizer; Dave A Dongelmans; Marike van der Schaaf Journal: BMJ Open Date: 2018-09-24 Impact factor: 2.692