A national survey of intensive care follow-up clinics in Australia.

Australia Critical Care Critical Illness Follow-Up Studies Humans Intensive Care Units
Follow-up Follow-up clinics Intensive care PICS Post–intensive care syndrome

Journal

Australian critical care : official journal of the Confederation of Australian Critical Care Nurses
ISSN: 1036-7314
Titre abrégé: Aust Crit Care
Pays: Australia
ID NLM: 9207852

Informations de publication

Date de publication:
11 2020
Historique:
received: 04 11 2019
revised: 11 02 2020
accepted: 18 03 2020
pubmed: 21 5 2020
medline: 25 11 2021
entrez: 21 5 2020
Statut: ppublish

Résumé

Intensive care follow-up clinics (ICFCs) have been implemented internationally with the aim to address the growing number of patients living with sequalae of critical illness and intensive care. However, data on Australian intensive care follow-up practice are rare. The primary objective was to determine the proportion of Australian intensive care units (ICUs) that offer a dedicated ICFC to ICU survivors, with the intention of improving long-term outcomes of critical illness. Secondary objectives were to identify models of ICU follow-up and barriers to the implementation of ICFCs. A custom-designed, pilot-tested 12-question online survey was sent to the nurse unit managers and medical directors of all 167 Australian ICUs listed in the database of the Australian and New Zealand Intensive Care Society. Outcome measures included proportion of ICUs offering ICFCs, details on types of follow-up services with staffing, funding source, and reasons for not providing ICU follow-up. One hundred seven of the 167 ICUs contacted responded to the survey. Of these, two (2%) operated a dedicated ICFC. Both ICFCs were nursing-led, with one receiving dedicated funding and the other being unfunded. Three units (3%) conducted routine outpatient follow-up by telephone; one of these services was doctor-led, and two were nurse-led. Four units (4%) were performing outpatient follow-up as part of research studies only. Among the units not operating an ICFC, the main reason given for not doing so were financial constraints (58%), followed by lack of clinical need (19%) and perceived lack of evidence (11%). In Australia, only two ICUs operated an ICFC. Only one outpatient follow-up service received dedicated funding, and financial constraints were the main reason given for units not offering outpatient follow-up services.

Sections du résumé

BACKGROUND
Intensive care follow-up clinics (ICFCs) have been implemented internationally with the aim to address the growing number of patients living with sequalae of critical illness and intensive care. However, data on Australian intensive care follow-up practice are rare.
OBJECTIVES
The primary objective was to determine the proportion of Australian intensive care units (ICUs) that offer a dedicated ICFC to ICU survivors, with the intention of improving long-term outcomes of critical illness. Secondary objectives were to identify models of ICU follow-up and barriers to the implementation of ICFCs.
METHODS
A custom-designed, pilot-tested 12-question online survey was sent to the nurse unit managers and medical directors of all 167 Australian ICUs listed in the database of the Australian and New Zealand Intensive Care Society. Outcome measures included proportion of ICUs offering ICFCs, details on types of follow-up services with staffing, funding source, and reasons for not providing ICU follow-up.
RESULTS
One hundred seven of the 167 ICUs contacted responded to the survey. Of these, two (2%) operated a dedicated ICFC. Both ICFCs were nursing-led, with one receiving dedicated funding and the other being unfunded. Three units (3%) conducted routine outpatient follow-up by telephone; one of these services was doctor-led, and two were nurse-led. Four units (4%) were performing outpatient follow-up as part of research studies only. Among the units not operating an ICFC, the main reason given for not doing so were financial constraints (58%), followed by lack of clinical need (19%) and perceived lack of evidence (11%).
CONCLUSION
In Australia, only two ICUs operated an ICFC. Only one outpatient follow-up service received dedicated funding, and financial constraints were the main reason given for units not offering outpatient follow-up services.

Identifiants

DOI: 10.1016/j.aucc.2020.03.005 PMID: 32430169
pubmed: 32430169
pii: S1036-7314(20)30056-4
doi: 10.1016/j.aucc.2020.03.005
pii:
doi:

Types de publication

Journal Article

Langues

eng

Pagination

533-537

Informations de copyright

Copyright © 2020 Australian College of Critical Care Nurses Ltd. Published by Elsevier Ltd. All rights reserved.

Déclaration de conflit d'intérêts

Conflict of interest The authors have no conflicts of interest to declare.

Auteurs

Katrina Cook (K)

Department of Intensive Care, Caboolture Hospital, Australia. Electronic address: Katrina.cook@health.qld.gov.au.

Roland Bartholdy (R)

Department of Intensive Care, Caboolture Hospital, Australia; Department of Anaesthesia, Princess Alexandra Hospital, Brisbane, Australia; LifeFlight Queensland, Brisbane, Australia; University of Queensland, Brisbane, Australia.

Monique Raven (M)

Department of Intensive Care, Redcliffe Hospital, Australia.

Gary von Dohren (G)

Department of Intensive Care, Redcliffe Hospital, Australia.

Sumeet Rai (S)

Department of Intensive Care, Canberra Hospital, Canberra, Australia; Australian National University, Canberra, Australia.

Kimberley Haines (K)

Department of Physiotherapy, Western Health, Melbourne, Australia; The University of Melbourne, Melbourne, Australia; ANZICS Research Centre, Melbourne, Australia.

Mahesh Ramanan (M)

Department of Intensive Care, Caboolture Hospital, Australia; Department of Intensive Care, The Prince Charles Hospital, Brisbane, Australia; University of Queensland, Brisbane, Australia; The George Institute, University of New South Wales, Sydney, Australia.

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Classifications MeSH

questionsmedicales.fr › Régions géographiques › Océanie › Australasie › Australie › A national survey of intensive care follow-up...
questionsmedicales.fr › Établissements, main d'oeuvre et services de soins de santé › Services de santé › Soins aux patients › Soins de réanimation › A national survey of intensive care follow-up...
questionsmedicales.fr › États, signes et symptômes pathologiques › Processus pathologiques › Caractéristiques de la maladie › Maladie grave › A national survey of intensive care follow-up...
questionsmedicales.fr › Environnement et santé publique › Santé publique › Méthodes épidémiologiques › Caractéristiques des études épidémiologiques › Études épidémiologiques › Études de cohortes › Études de suivi › A national survey of intensive care follow-up...
questionsmedicales.fr › Eucaryotes › Animaux › Chordés › Vertébrés › Mammifères › Eutheria › Primates › Haplorhini › Catarrhini › Hominidae › Humains › A national survey of intensive care follow-up...
questionsmedicales.fr › Établissements, main d'oeuvre et services de soins de santé › Établissements de santé › Unités hospitalières › Unités de soins intensifs › A national survey of intensive care follow-up...