Table 2.
Strength | Recommendation |
---|---|
Strong | For adults with sepsis or septic shock and their families, we recommend screening for economic and social support (including housing, nutritional, financial, and spiritual support), and make referrals where available to meet these needs |
For adults with sepsis or septic shock and their families, we recommend the clinical team provide the opportunity to participate in shared decision making in post-ICU and hospital discharge planning to ensure discharge plans are acceptable and feasible | |
For adults with sepsis and septic shock, we recommend reconciling medications at both ICU and hospital discharge | |
For adult survivors of sepsis and septic shock and their families, we recommend including information about the ICU stay, sepsis and related diagnoses, treatments, and post-ICU/post-sepsis syndrome in the written and verbal hospital discharge summary | |
For adults with sepsis or septic shock who developed new impairments, we recommend hospital discharge plans include follow-up with clinicians able to support and manage new and long-term sequelae | |
For adult survivors of sepsis or septic shock, we recommend assessment and follow-up for physical, cognitive, and emotional problems after hospital discharge | |
Weak | For adult survivors of sepsis or septic shock and their families, we suggest referral to peer support groups over no such referral |
For adults with sepsis or septic shock, we suggest using a handoff process of critically important information at transitions of care over no such handoff process | |
For adults with sepsis or septic shock and their families, we suggest offering written and verbal sepsis education (diagnosis, treatment, and post-ICU/post-sepsis syndrome) prior to hospital discharge and in the follow-up setting | |
For adults with sepsis and septic shock and their families, we suggest using a critical care transition program, compared to usual care, upon transfer to the ward | |
For adult survivors of sepsis or septic shock, we suggest referral to a post-critical illness follow-up program if available | |
For adult survivors of sepsis or septic shock receiving mechanical ventilation for > 48 h or an ICU stay of > 72 h, we suggest referral to a post-hospital rehabilitation program |
ICU intensive care unit