Pilot study of the feasibility and utility of an early, in-hospital multidisciplinary intervention in ICU survivors at risk for psychological and physical problems post-ICU stay
None
Dementia or other major cognitive problems
Structural brain or spinal cord injury
Multiple limitations of medical treatment
Insufficient language skills (Swedish)
Single group
Case-manager led multidisciplinary follow-up after intensive care
Other interventionEarly in-hospital follow-up in survivors of intensive care with an increased risk of psychological/physical sequelae. The follow-up is led by a case-manager reassessing the patient after ICU discharge for psychological/physical rehabilitation needs. The CM will discuss patient needs with concerned specialists in a multidisciplinary team, leading to the establishment of a personal rehabilitation plan, communicated to the patient and next-of-kin. The CM will keep track of the patient during hospital stay and ensure primary care rehabilitation (if needed) is established once the patient is discharged from the hospital. The CM will contact the patient weekly to follow up on well-being and primary care activities until 12 weeks after discharge.
Feasibility of the intervention
Evaluation of the method including resource utilization with involved ICU follow-up staff/case managers and patients and their informal caregivers.
Utility of the intervention
Patient and caregiver views on the intervention's utility. Views on the intervention from hospital ward staff.
Depressive symptoms post-ICU
Assessment of patients' symptoms of depression post-intervention
Anxiety symptoms post-ICU
Assessment of patients' symptoms of anxiety post-intervention
Symptoms of post-traumatic stress post-ICU
Assessment of patients' symptoms of post-traumatic stress post-intervention
Physical disability post-ICU
Assessment of physical performance post-intervention
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