Journal article
Post-ICU Care in the Outpatient Setting
American family physician, Vol.103(10), pp.590-596
05/15/2021
PMID: 33983005
Abstract
More than 5 million patients in the United States are admitted to intensive care units (ICUs) annually, and an increasing percentage of patients treated in the ICU survive to hospital discharge. Because these patients require follow-up in the outpatient setting, family physicians should be prepared to provide ongoing care and screening for post-ICU complications. Risk factors for complications after ICU discharge include previous ICU admissions, preexisting mental illness, greater number of comorbidities, and prolonged mechanical ventilation or higher opioid exposure while in the ICU. Early nutritional support and mobilization in the ICU decrease the risk of complications. After ICU discharge, patients should be screened for depression, anxiety, insomnia, and cognitive impairment using standardized screening tools. Physicians should also inquire about weakness, fatigue, neuropathy, and functional impairment and perform a targeted physical examination and laboratory evaluation as indicated; treatment depends on the underlying cause. Exercise regimens are beneficial for reducing several post-ICU complications. Patients who were treated for COVID-19 in the ICU may require additional instruction on reducing the risk of virus transmission. Telemedicine and telerehabilitation allow patients with COVID-19 to receive effective care without increasing exposure risk in communities, hospitals, and medical offices. Copyright (C) 2021 American Academy of Family Physicians.
Details
- Title: Subtitle
- Post-ICU Care in the Outpatient Setting
- Creators
- Jason Wilbur - Univ Iowa, Carver Coll Med, 200 Hawkins Dr, Iowa City, IA 52242 USAJessica Rockafellow - Univ Iowa, Carver Coll Med, 200 Hawkins Dr, Iowa City, IA 52242 USABrian Shian - Univ Iowa, Carver Coll Med, 200 Hawkins Dr, Iowa City, IA 52242 USA
- Resource Type
- Journal article
- Publication Details
- American family physician, Vol.103(10), pp.590-596
- Publisher
- Amer Acad Family Physicians
- PMID
- 33983005
- ISSN
- 0002-838X
- eISSN
- 1532-0650
- Number of pages
- 7
- Language
- English
- Date published
- 05/15/2021
- Academic Unit
- Family and Community Medicine
- Record Identifier
- 9984297335002771
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