Kjer C K W, Estrup S, Poulsen L M, Mathiesen O
Department of Anaesthesiology, Zealand University Hospital, Køge, Denmark.
Acta Anaesthesiol Scand. 2017 Sep;61(8):925-934. doi: 10.1111/aas.12938. Epub 2017 Jul 7.
Rehabilitation efforts after treatment in the intensive care unit (ICU) are termed intensive care aftercare. It includes both early in-hospital follow-up after ICU-discharge and late follow-up after hospital discharge. This study aims to investigate the current ICU-aftercare activities in Denmark.
We conducted an electronic questionnaire survey, which was distributed by e-mail to the heads of all 31 general ICUs in Denmark. Specialized ICUs were not included. The questionnaire was divided into the following sections: early ICU-aftercare, late ICU-aftercare, future development and demographics.
Thirty-one ICUs were invited to participate. The response rate was 100%. Overall, 26 of 31 ICUs (84%) offered ICU-aftercare, with the following distribution: early ICU-aftercare (58%), late ICU-aftercare (57%) and both (29%). There were no significant associations between hospital size and provision of ICU-aftercare. For early ICU-aftercare, the most common eligibility criteria were based on ICU length of stay (LOS) (44%) and a decision based upon doctors' discretion (22%). Incidence of guidelines for early ICU-aftercare (44%) and checklists at patient contact (35%) were sparse. The most common early ICU-aftercare items were as follows: respiratory care (82%), tracheostomy care (59%) and nutritional care (59%). For late ICU-aftercare, the most common eligibility criterion was LOS (41%). Guidelines (71%), but not checklist at patient contact (35%), were more common. Most frequent late ICU-aftercare interventions were review of ICU-diaries (59%) and patient charts (53%).
Eighty-four per cent of Danish ICUs offered ICU-aftercare to their patients. There was an abundant heterogeneity of eligibility criteria and ICU-aftercare interventions.
重症监护病房（ICU）治疗后的康复工作被称为重症监护后续护理。它包括ICU出院后的早期院内随访和出院后的晚期随访。本研究旨在调查丹麦目前的ICU后续护理活动。
我们进行了一项电子问卷调查，通过电子邮件分发给丹麦所有31个普通ICU的负责人。不包括专科ICU。问卷分为以下几个部分：早期ICU后续护理、晚期ICU后续护理、未来发展和人口统计学。
邀请了31个ICU参与。回复率为100%。总体而言，31个ICU中有26个（84%）提供ICU后续护理，分布如下：早期ICU后续护理（58%）、晚期ICU后续护理（57%）以及两者都提供（29%）。医院规模与提供ICU后续护理之间没有显著关联。对于早期ICU后续护理，最常见的资格标准基于ICU住院时间（LOS）（44%）以及基于医生判断的决定（22%）。早期ICU后续护理指南的发生率（44%）和患者接触时的检查表（35%）较少。最常见的早期ICU后续护理项目如下：呼吸护理（82%）、气管造口护理（59%）和营养护理（59%）。对于晚期ICU后续护理，最常见的资格标准是LOS（41%）。指南（71%）比患者接触时的检查表（35%）更常见。最常见的晚期ICU后续护理干预措施是查阅ICU日记（59%）和患者病历（53%）。
84%的丹麦ICU为患者提供ICU后续护理。资格标准和ICU后续护理干预措施存在很大异质性。
