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Gross muscle mass loss and weakness can take some months to recover after the patients' Intensive Care Unit (ICU) discharge, in addition critical illness polyneuropathies can further complicate physical recovery.
The results of this study indicate that transfer from ICU can be problematic for some individuals.
Predictors of poor recovery (all present at the time of ICU admission) were unplanned ICU admission, hypothermia, serum creatinine level ≥ 2 mg/dl, pH ≤ 7.25 and metastatic cancer. More than 60% of ICU patients report good recovery of their health 90 days after ICU admission, depending on their illness and circumstances of ICU admission.
In an era with increasing attention for health problems after ICU admission, the results of this study indicate that a part of the ICU survivors already experience serious impairments in their physical, mental, and cognitive functioning before ICU admission.
The findings may contribute to defining the best supportive measures and timing of rehabilitation interventions in ICU and post ICU that may help ICU-survivors in their struggle for independence throughout recovery.
Whether an ICU‐RC can improve ICU recovery in the US should be investigated in a systematic way.
In this multicenter study, one third of very elderly ICU patients died in hospital, many after a prolonged ICU stay while continuing to receive aggressive life-sustaining interventions.
HIGHLIGHTSAn outpatient intervention for recovery after critical illness (ICU Recovery Center) is proposed. The development, implementation, and characteristic patient population of an ICU‐RC in the United States is described. A pragmatic clinical population of patients recovering from critical illness had a range of impairments after discharge. Post‐ICU recovery programs have not been widely studied or adopted despite the scope of these problems. An ICU‐RC is feasible and has the potential to minimize post intensive care syndrome (PICS) and maximize recovery.
ICU survivors may benefit from targeted interventions designed to alleviate the symptom burden.