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Feasibility of Telephone Follow-Up after Critical Care Discharge

Background: Critical care has evolved from a primary focus on short-term survival, with greater attention being placed on longer-term health care outcomes. It is not known how best to implement follow-up after critical care discharge. Study aims were to (1) assess the uptake and feasibility of telep...

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Autores principales: Hodalova, Sofia, Moore, Sarah, Dowds, Joanne, Murphy, Niamh, Martin-Loeches, Ignacio, Broderick, Julie
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7151604/
https://www.ncbi.nlm.nih.gov/pubmed/32183263
http://dx.doi.org/10.3390/medsci8010016
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author Hodalova, Sofia
Moore, Sarah
Dowds, Joanne
Murphy, Niamh
Martin-Loeches, Ignacio
Broderick, Julie
author_facet Hodalova, Sofia
Moore, Sarah
Dowds, Joanne
Murphy, Niamh
Martin-Loeches, Ignacio
Broderick, Julie
author_sort Hodalova, Sofia
collection PubMed
description Background: Critical care has evolved from a primary focus on short-term survival, with greater attention being placed on longer-term health care outcomes. It is not known how best to implement follow-up after critical care discharge. Study aims were to (1) assess the uptake and feasibility of telephone follow-up after a critical care stay and (2) profile overall physical status and recovery during the sub-acute recovery period using a telephone follow-up assessment. Methods: Adults who had been admitted to critical care units of St. James’s Hospital, Dublin, for >72 h were followed up by telephone 3–9 months post discharge from critical care. The telephone assessment consisted of a battery of questionnaires (including the SF-36 questionnaire and the Clinical Frailty Scale) and examined quality of life, frailty, employment status, and feasibility of telephone follow-up. Results: Sixty five percent (n = 91) of eligible participants were reachable by telephone. Of these, 80% (n = 73) participated in data collection. Only 7% (n = 5) expressed a preference for face-to-face hospital-based follow-up as opposed to telephone follow-up. For the SF-36, scores were lower in a number of physical health domains as compared to population norms. Frailty increased in 43.2% (n = 32) of participants compared to pre-admission status. Two-thirds (n = 48) reported being >70% physically recovered. Conclusion: Results showed that telephone follow-up is a useful contact method for a typically hard-to-reach population. Deficits in physical health and frailty were noted in the sub-acute period after discharge from critical care.
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spelling pubmed-71516042020-04-20 Feasibility of Telephone Follow-Up after Critical Care Discharge Hodalova, Sofia Moore, Sarah Dowds, Joanne Murphy, Niamh Martin-Loeches, Ignacio Broderick, Julie Med Sci (Basel) Article Background: Critical care has evolved from a primary focus on short-term survival, with greater attention being placed on longer-term health care outcomes. It is not known how best to implement follow-up after critical care discharge. Study aims were to (1) assess the uptake and feasibility of telephone follow-up after a critical care stay and (2) profile overall physical status and recovery during the sub-acute recovery period using a telephone follow-up assessment. Methods: Adults who had been admitted to critical care units of St. James’s Hospital, Dublin, for >72 h were followed up by telephone 3–9 months post discharge from critical care. The telephone assessment consisted of a battery of questionnaires (including the SF-36 questionnaire and the Clinical Frailty Scale) and examined quality of life, frailty, employment status, and feasibility of telephone follow-up. Results: Sixty five percent (n = 91) of eligible participants were reachable by telephone. Of these, 80% (n = 73) participated in data collection. Only 7% (n = 5) expressed a preference for face-to-face hospital-based follow-up as opposed to telephone follow-up. For the SF-36, scores were lower in a number of physical health domains as compared to population norms. Frailty increased in 43.2% (n = 32) of participants compared to pre-admission status. Two-thirds (n = 48) reported being >70% physically recovered. Conclusion: Results showed that telephone follow-up is a useful contact method for a typically hard-to-reach population. Deficits in physical health and frailty were noted in the sub-acute period after discharge from critical care. MDPI 2020-03-14 /pmc/articles/PMC7151604/ /pubmed/32183263 http://dx.doi.org/10.3390/medsci8010016 Text en © 2020 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Hodalova, Sofia
Moore, Sarah
Dowds, Joanne
Murphy, Niamh
Martin-Loeches, Ignacio
Broderick, Julie
Feasibility of Telephone Follow-Up after Critical Care Discharge
title Feasibility of Telephone Follow-Up after Critical Care Discharge
title_full Feasibility of Telephone Follow-Up after Critical Care Discharge
title_fullStr Feasibility of Telephone Follow-Up after Critical Care Discharge
title_full_unstemmed Feasibility of Telephone Follow-Up after Critical Care Discharge
title_short Feasibility of Telephone Follow-Up after Critical Care Discharge
title_sort feasibility of telephone follow-up after critical care discharge
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7151604/
https://www.ncbi.nlm.nih.gov/pubmed/32183263
http://dx.doi.org/10.3390/medsci8010016
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