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dc.contributor.authorConnolly, Bronwen
dc.contributor.authorMilton-Cole, Rhian
dc.contributor.authorAdams, Claire
dc.contributor.authorBattle, Ceri
dc.contributor.authorQuasim, Tara
dc.contributor.authorSilversides, Jon
dc.contributor.authorSlack, Andrew
dc.contributor.authorWaldmann, Carl
dc.contributor.authorWilson, Elizabeth
dc.contributor.authorMeyer, Joel
dc.contributor.authorThe Faculty of Intensive Care Medicine Life After Critical Illness Working Group
dc.contributor.authorBarton, Greg
dc.contributor.authorBastin, Anthony
dc.contributor.authorBear, Danielle
dc.contributor.authorBench, Suzanne
dc.contributor.authorDavies, Martin
dc.contributor.authorFerguson, Andrew
dc.contributor.authorFirshmann, Penny
dc.contributor.authorGager, Melanie
dc.contributor.authorHighfield, Julie
dc.contributor.authorLinford, Sarah
dc.contributor.authorMcPeake, Joanne
dc.contributor.authorMerriweather, Judith
dc.contributor.authorParry-Jones, Jack
dc.contributor.authorPhillips, Margaret
dc.contributor.authorSanger, Helen
dc.contributor.authorSturmey, Gordon
dc.contributor.authorWade, Dorothy
dc.date.accessioned2021-10-06T16:17:30Z
dc.date.available2021-10-06T16:17:30Z
dc.date.issued2021-10-03
dc.date.submitted2021-04-11
dc.identifier.otherbmjopen-2021-052214
dc.identifier.urihttps://www.repository.cam.ac.uk/handle/1810/329051
dc.description.abstractObjective: To comprehensively update and survey the current provision of recovery, rehabilitation and follow-up services for adult critical care patients across the UK. Design: Cross-sectional, self-administered, predominantly closed-question, electronic, online survey. Setting: Institutions providing adult critical care services identified from national databases. Participants: Multiprofessional critical care clinicians delivering services at each site. Results: Responses from 176 UK hospital sites were included (176/242, 72.7%). Inpatient recovery and follow-up services were present at 127/176 (72.2%) sites, adopting multiple formats of delivery and primarily delivered by nurses (n=115/127, 90.6%). Outpatient services ran at 130 sites (73.9%), predominantly as outpatient clinics. Most services (n=108/130, 83.1%) were co-delivered by two or more healthcare professionals, typically nurse/intensive care unit (ICU) physician (n=29/130, 22.3%) or nurse/ICU physician/physiotherapist (n=19/130, 14.6%) teams. Clinical psychology was most frequently lacking from inpatient or outpatient services. Lack of funding was consistently the primary barrier to service provision, with other barriers including logistical and service prioritisation factors indicating that infrastructure and profile for services remain inadequate. Posthospital discharge physical rehabilitation programmes were relatively few (n=31/176, 17.6%), but peer support services were available in nearly half of responding institutions (n=85/176, 48.3%). The effects of the COVID-19 pandemic resulted in either increasing, decreasing or reformatting service provision. Future plans for long-term service transformation focus on expansion of current, and establishment of new, outpatient services. Conclusion: Overall, these data demonstrate a proliferation of recovery, follow-up and rehabilitation services for critically ill adults in the past decade across the UK, although service gaps remain suggesting further work is required for guideline implementation. Findings can be used to enhance survivorship for critically ill adults, inform policymakers and commissioners, and provide comparative data and experiential insights for clinicians designing models of care in international healthcare jurisdictions.
dc.languageen
dc.publisherBMJ Publishing Group
dc.rightsEmbargo: ends 2021-10-03
dc.subjectIntensive care
dc.subject1506
dc.subject1707
dc.subjectadult intensive & critical care
dc.subjectrehabilitation medicine
dc.titleRecovery, rehabilitation and follow-up services following critical illness: an updated UK national cross-sectional survey and progress report
dc.typeArticle
dc.date.updated2021-10-06T16:17:30Z
prism.issueIdentifier10
prism.publicationNameBMJ Open
prism.volume11
dc.identifier.doi10.17863/CAM.76496
dcterms.dateAccepted2021-08-31
rioxxterms.versionofrecord10.1136/bmjopen-2021-052214
rioxxterms.versionVoR
rioxxterms.licenseref.urihttp://creativecommons.org/licenses/by-nc/4.0/
rioxxterms.licenseref.startdate2021-10-03
dc.contributor.orcidConnolly, Bronwen [0000-0002-5676-5497]
dc.contributor.orcidMcPeake, Joanne [0000-0001-8206-6801]
dc.identifier.eissn2044-6055
pubs.funder-project-idUniversity of Cambridge (PD-2019-02-16)
rioxxterms.freetoread.startdate2021-10-03


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