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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...
Autores principales: | , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
MDPI
2020
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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. |
format | Online Article Text |
id | pubmed-7151604 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2020 |
publisher | MDPI |
record_format | MEDLINE/PubMed |
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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