Improving long-term outcomes after discharge from intensive care unit: Report from a stakeholders' conference

Dale M. Needham; Judy Davidson; Henry Cohen; Ramona O. Hopkins; Craig Weinert; Hannah Wunsch; Christine Zawistowski; Anita Bemis-Dougherty; Susan C. Berney; O. Joseph Bienvenu; Susan L. Brady; Martin B. Brodsky; Linda Denehy; Doug Elliott; Carl Flatley; Andrea L. Harabin; Christina Jones; Deborah Louis; Wendy Meltzer; Sean R. Muldoon; Jeffrey B. Palmer; Christiane Perme; Marla Robinson; David M. Schmidt; Elizabeth Scruth; Gayle R. Spill; C. Porter Storey; Marta Render; John Votto; Maurene A. Harvey

doi:10.1097/CCM.0b013e318232da75

Improving long-term outcomes after discharge from intensive care unit: Report from a stakeholders' conference

Dale M. Needham, Judy Davidson, Henry Cohen, Ramona O. Hopkins, Craig Weinert, Hannah Wunsch, Christine Zawistowski, Anita Bemis-Dougherty, Susan C. Berney, O. Joseph Bienvenu, Susan L. Brady, Martin B. Brodsky, Linda Denehy, Doug Elliott, Carl Flatley, Andrea L. Harabin, Christina Jones, Deborah Louis, Wendy Meltzer, Sean R. MuldoonJeffrey B. Palmer, Christiane Perme, Marla Robinson, David M. Schmidt, Elizabeth Scruth, Gayle R. Spill, C. Porter Storey, Marta Render, John Votto, Maurene A. Harvey

School of Medicine

Research output: Contribution to journal › Article › peer-review

896 Scopus citations

Abstract

Background: Millions of patients are discharged from intensive care units annually. These intensive care survivors and their families frequently report a wide range of impairments in their health status which may last for months and years after hospital discharge. Objectives: To report on a 2-day Society of Critical Care Medicine conference aimed at improving the long-term outcomes after critical illness for patients and their families. Participants: Thirty-one invited stakeholders participated in the conference. Stakeholders represented key professional organizations and groups, predominantly from North America, which are involved in the care of intensive care survivors after hospital discharge. Design: Invited experts and Society of Critical Care Medicine members presented a summary of existing data regarding the potential long-term physical, cognitive and mental health problems after intensive care and the results from studies of postintensive care unit interventions to address these problems. Stakeholders provided reactions, perspectives, concerns and strategies aimed at improving care and mitigating these long-term health problems. Measurements and Main Results; Three major themes emerged from the conference regarding: (1) raising awareness and education, (2) understanding and addressing barriers to practice, and (3) identifying research gaps and resources. Postintensive care syndrome was agreed upon as the recommended term to describe new or worsening problems in physical, cognitive, or mental health status arising after a critical illness and persisting beyond acute care hospitalization. The term could be applied to either a survivor or family member. Conclusions: Improving care for intensive care survivors and their families requires collaboration between practitioners and researchers in both the inpatient and outpatient settings. Strategies were developed to address the major themes arising from the conference to improve outcomes for survivors and families.

Original language	English (US)
Pages (from-to)	502-509
Number of pages	8
Journal	Critical care medicine
Volume	40
Issue number	2
DOIs	https://doi.org/10.1097/CCM.0b013e318232da75
State	Published - Feb 2012

Keywords

aftercare
caregivers
continuity of patient care
critical care
follow-up studies
intensive care units
outcome assessment
patient care planning
patient care team
post-traumatic
postintensive care syndrome
stress disorders
survivors

ASJC Scopus subject areas

Critical Care and Intensive Care Medicine

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10.1097/CCM.0b013e318232da75

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Needham, D. M., Davidson, J., Cohen, H., Hopkins, R. O., Weinert, C., Wunsch, H., Zawistowski, C., Bemis-Dougherty, A., Berney, S. C., Bienvenu, O. J., Brady, S. L., Brodsky, M. B., Denehy, L., Elliott, D., Flatley, C., Harabin, A. L., Jones, C., Louis, D., Meltzer, W., ... Harvey, M. A. (2012). Improving long-term outcomes after discharge from intensive care unit: Report from a stakeholders' conference. Critical care medicine, 40(2), 502-509. https://doi.org/10.1097/CCM.0b013e318232da75

Needham, DM, Davidson, J, Cohen, H, Hopkins, RO, Weinert, C, Wunsch, H, Zawistowski, C, Bemis-Dougherty, A, Berney, SC, Bienvenu, OJ, Brady, SL, Brodsky, MB, Denehy, L, Elliott, D, Flatley, C, Harabin, AL, Jones, C, Louis, D, Meltzer, W, Muldoon, SR, Palmer, JB, Perme, C, Robinson, M, Schmidt, DM, Scruth, E, Spill, GR, Storey, CP, Render, M, Votto, J & Harvey, MA 2012, 'Improving long-term outcomes after discharge from intensive care unit: Report from a stakeholders' conference', Critical care medicine, vol. 40, no. 2, pp. 502-509. https://doi.org/10.1097/CCM.0b013e318232da75

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title = "Improving long-term outcomes after discharge from intensive care unit: Report from a stakeholders' conference",

abstract = "Background: Millions of patients are discharged from intensive care units annually. These intensive care survivors and their families frequently report a wide range of impairments in their health status which may last for months and years after hospital discharge. Objectives: To report on a 2-day Society of Critical Care Medicine conference aimed at improving the long-term outcomes after critical illness for patients and their families. Participants: Thirty-one invited stakeholders participated in the conference. Stakeholders represented key professional organizations and groups, predominantly from North America, which are involved in the care of intensive care survivors after hospital discharge. Design: Invited experts and Society of Critical Care Medicine members presented a summary of existing data regarding the potential long-term physical, cognitive and mental health problems after intensive care and the results from studies of postintensive care unit interventions to address these problems. Stakeholders provided reactions, perspectives, concerns and strategies aimed at improving care and mitigating these long-term health problems. Measurements and Main Results; Three major themes emerged from the conference regarding: (1) raising awareness and education, (2) understanding and addressing barriers to practice, and (3) identifying research gaps and resources. Postintensive care syndrome was agreed upon as the recommended term to describe new or worsening problems in physical, cognitive, or mental health status arising after a critical illness and persisting beyond acute care hospitalization. The term could be applied to either a survivor or family member. Conclusions: Improving care for intensive care survivors and their families requires collaboration between practitioners and researchers in both the inpatient and outpatient settings. Strategies were developed to address the major themes arising from the conference to improve outcomes for survivors and families.",

keywords = "aftercare, caregivers, continuity of patient care, critical care, follow-up studies, intensive care units, outcome assessment, patient care planning, patient care team, post-traumatic, postintensive care syndrome, stress disorders, survivors",

author = "Needham, {Dale M.} and Judy Davidson and Henry Cohen and Hopkins, {Ramona O.} and Craig Weinert and Hannah Wunsch and Christine Zawistowski and Anita Bemis-Dougherty and Berney, {Susan C.} and Bienvenu, {O. Joseph} and Brady, {Susan L.} and Brodsky, {Martin B.} and Linda Denehy and Doug Elliott and Carl Flatley and Harabin, {Andrea L.} and Christina Jones and Deborah Louis and Wendy Meltzer and Muldoon, {Sean R.} and Palmer, {Jeffrey B.} and Christiane Perme and Marla Robinson and Schmidt, {David M.} and Elizabeth Scruth and Spill, {Gayle R.} and Storey, {C. Porter} and Marta Render and John Votto and Harvey, {Maurene A.}",

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doi = "10.1097/CCM.0b013e318232da75",

language = "English (US)",

volume = "40",

pages = "502--509",

journal = "Critical care medicine",

issn = "0090-3493",

publisher = "Lippincott Williams and Wilkins",

number = "2",

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T1 - Improving long-term outcomes after discharge from intensive care unit

T2 - Report from a stakeholders' conference

AU - Needham, Dale M.

AU - Davidson, Judy

AU - Cohen, Henry

AU - Hopkins, Ramona O.

AU - Weinert, Craig

AU - Wunsch, Hannah

AU - Zawistowski, Christine

AU - Bemis-Dougherty, Anita

AU - Berney, Susan C.

AU - Bienvenu, O. Joseph

AU - Brady, Susan L.

AU - Brodsky, Martin B.

AU - Denehy, Linda

AU - Elliott, Doug

AU - Flatley, Carl

AU - Harabin, Andrea L.

AU - Jones, Christina

AU - Louis, Deborah

AU - Meltzer, Wendy

AU - Muldoon, Sean R.

AU - Palmer, Jeffrey B.

AU - Perme, Christiane

AU - Robinson, Marla

AU - Schmidt, David M.

AU - Scruth, Elizabeth

AU - Spill, Gayle R.

AU - Storey, C. Porter

AU - Render, Marta

AU - Votto, John

AU - Harvey, Maurene A.

PY - 2012/2

Y1 - 2012/2

N2 - Background: Millions of patients are discharged from intensive care units annually. These intensive care survivors and their families frequently report a wide range of impairments in their health status which may last for months and years after hospital discharge. Objectives: To report on a 2-day Society of Critical Care Medicine conference aimed at improving the long-term outcomes after critical illness for patients and their families. Participants: Thirty-one invited stakeholders participated in the conference. Stakeholders represented key professional organizations and groups, predominantly from North America, which are involved in the care of intensive care survivors after hospital discharge. Design: Invited experts and Society of Critical Care Medicine members presented a summary of existing data regarding the potential long-term physical, cognitive and mental health problems after intensive care and the results from studies of postintensive care unit interventions to address these problems. Stakeholders provided reactions, perspectives, concerns and strategies aimed at improving care and mitigating these long-term health problems. Measurements and Main Results; Three major themes emerged from the conference regarding: (1) raising awareness and education, (2) understanding and addressing barriers to practice, and (3) identifying research gaps and resources. Postintensive care syndrome was agreed upon as the recommended term to describe new or worsening problems in physical, cognitive, or mental health status arising after a critical illness and persisting beyond acute care hospitalization. The term could be applied to either a survivor or family member. Conclusions: Improving care for intensive care survivors and their families requires collaboration between practitioners and researchers in both the inpatient and outpatient settings. Strategies were developed to address the major themes arising from the conference to improve outcomes for survivors and families.

AB - Background: Millions of patients are discharged from intensive care units annually. These intensive care survivors and their families frequently report a wide range of impairments in their health status which may last for months and years after hospital discharge. Objectives: To report on a 2-day Society of Critical Care Medicine conference aimed at improving the long-term outcomes after critical illness for patients and their families. Participants: Thirty-one invited stakeholders participated in the conference. Stakeholders represented key professional organizations and groups, predominantly from North America, which are involved in the care of intensive care survivors after hospital discharge. Design: Invited experts and Society of Critical Care Medicine members presented a summary of existing data regarding the potential long-term physical, cognitive and mental health problems after intensive care and the results from studies of postintensive care unit interventions to address these problems. Stakeholders provided reactions, perspectives, concerns and strategies aimed at improving care and mitigating these long-term health problems. Measurements and Main Results; Three major themes emerged from the conference regarding: (1) raising awareness and education, (2) understanding and addressing barriers to practice, and (3) identifying research gaps and resources. Postintensive care syndrome was agreed upon as the recommended term to describe new or worsening problems in physical, cognitive, or mental health status arising after a critical illness and persisting beyond acute care hospitalization. The term could be applied to either a survivor or family member. Conclusions: Improving care for intensive care survivors and their families requires collaboration between practitioners and researchers in both the inpatient and outpatient settings. Strategies were developed to address the major themes arising from the conference to improve outcomes for survivors and families.

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KW - caregivers

KW - continuity of patient care

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KW - follow-up studies

KW - intensive care units

KW - outcome assessment

KW - patient care planning

KW - patient care team

KW - post-traumatic

KW - postintensive care syndrome

KW - stress disorders

KW - survivors

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Improving long-term outcomes after discharge from intensive care unit: Report from a stakeholders' conference

Abstract

Keywords

ASJC Scopus subject areas

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