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Factors Influencing Engagement with in-Person Intensive Care Unit Recovery Clinic Services.
Boehm, Leanne M; Danesh, Valerie; LaNoue, Marianna; Trochez, Ricardo J; Jones, Abigail C; Kimpel, Christine C; Sevin, Carla M.
Afiliación
  • Boehm LM; Vanderbilt University School of Nursing, Nashville, TN, USA.
  • Danesh V; Critical Illness, Brain dysfunction, and Survivorship Center, Vanderbilt University Medical Center, Nashville, TN, USA.
  • LaNoue M; Center for Applied Health Research, 423342Baylor Scott & White Health, Dallas, TX, USA.
  • Trochez RJ; Vanderbilt University School of Nursing, Nashville, TN, USA.
  • Jones AC; Center for Clinical Quality and Implementation Research, 5718Vanderbilt University Medical Center, Nashville, TN, USA.
  • Kimpel CC; Vanderbilt University School of Nursing, Nashville, TN, USA.
  • Sevin CM; Vanderbilt University School of Nursing, Nashville, TN, USA.
J Intensive Care Med ; 38(4): 375-381, 2023 Apr.
Article en En | MEDLINE | ID: mdl-36128790
Background: Intensive Care Unit recovery clinics (ICU-RC), are multidisciplinary outpatient clinics designed to identify and treat post-intensive care syndrome impairments unique to each survivor of critical illness. Engagement is limited, thus we aimed to describe patient- and hospitalization-related sociodemographic factors associated with scheduling and attending in-person ICU-RC visits. Design: Consecutive case series of prospectively collected ICU-RC referral data. Setting: Data was collected over a 9-year period (2012-2020) for patients referred to an ICU-RC from ICUs at an academic medical center in the southeast United States. Participants: 251 adults admitted to a medical, surgical, burn, or trauma ICU referred to the ICU-RC and eligible to be scheduled for a visit. Main Outcome and Measures: The main study outcome was scheduling and completing an ICU-RC visit. Independent variables included patient demographics, ICU visit characteristics (eg, diagnosis, ventilator days), severity of illness, discharge disposition, ICU-RC referral criteria (eg, shock, delirium), and clinic scheduling administrative data (eg, referral date, clinic visit date). Results: Of 251 ICU-RC referrals eligible for a visit, 128 were scheduled, and 91 completed a visit. In univariate models older age, unspecified shock, and distance from the clinic location were associated with decreased in-person ICU-RC engagement. In a multivariable logistic regression using the same predictors and interactions, older age, unspecified shock, and home-to-clinic distance remained as factors decreasing the likelihood of ICU-RC engagement. There was a decreasing likelihood of scheduling and attending an ICU-RC visit for every additional mile of distance the patient lived from the ICU-RC. Male sex was a strong predictor of completing an ICU-RC visit. Conclusions: Older ICU survivors and those who live farther from the clinic site are less likely to engage in an in-person ICU-RC. Innovation and telemedicine strategies are needed to improve access to ICU recovery care for these populations.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Hospitalización / Unidades de Cuidados Intensivos Tipo de estudio: Prognostic_studies Límite: Adult / Humans / Male Idioma: En Revista: J Intensive Care Med Asunto de la revista: TERAPIA INTENSIVA Año: 2023 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Estados Unidos

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Hospitalización / Unidades de Cuidados Intensivos Tipo de estudio: Prognostic_studies Límite: Adult / Humans / Male Idioma: En Revista: J Intensive Care Med Asunto de la revista: TERAPIA INTENSIVA Año: 2023 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Estados Unidos