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. 2021 Oct 4;11(10):e052214. doi: 10.1136/bmjopen-2021-052214

Table 2.

Features of targeted inpatient recovery and follow-up services following critical illness

Feature Options n/127 (%)
Type of service provision* Outreach/rapid response (patient outcomes) 71 (55.9)
Engagement/education of ward staff regarding: post-ICU issues 65 (51.2)
Information provision 62 (48.8)
ICU physician /AHP/nurse ward round 47 (37.0)
Family support 36 (28.3)
Psychological intervention 36 (28.3)
Generic rehabilitation assistant/care coordinator 25 (19.7)
Peer support 23 (18.1)
Formal MDT meeting 17 (13.4)
Research/academic contact 8 (6.35.4)
Other† 15 (11.8)
Eligibility criteria All patients 72 (56.7)
Length of stay in critical care‡ 54 (42.5)
Clinician/ward referral
Days of mechanical ventilation§
37 (29.1)
31 (24.4)
Type of therapies received during critical care admission 21 (16.5)
Self-referral 14 (11.0)
Diagnosis at critical care admission 11 (8.7)
Other¶** 28 (19.0)
Professions involved in service delivery Nurse 115 (90.6)
Physiotherapist 70 (55.1)
ICU physician 47 (37.0)
Speech and language therapist 41 (32.3)
Dietitian 39 (30.7)
Occupational therapist 27 (21.3)
Pharmacist 27 (21.3)
Generic rehabilitation assistant 19 (15.0)
Psychologist 17 (13.4)
Administrative support 13 (10.2)
Social worker 8 (6.3)
Psychiatrist 5 (3.9)
Other†† 19 (15.0)
Key challenges to delivering and sustaining services Staffing number 104 (81.9)
Time 90 (70.9)
Staffing profile 43 (33.9)
Patient location 25 (19.7)
Environment 21 (16.5)
Funding 12 (9.4)
Other‡‡ 14 (11.0)

*99 sites reported outreach services for readmission prevention in addition to targeted recovery and follow-up services.

†Other includes the following: nurse review, n=6; multiprofessional input, n=6; patient support, n=2; physiotherapy input, n=1.

‡>2 days, n=1; 3 days, n=6; >3 days, n=8; 4 days, n=1; >4 days, n=5; >7 days, n=3.

§Any, n=1; 2 days, n=1; 3 days, n=2; >3 days, n=4; >4 days, n=5.

¶Other includes the following: patient pathway, n=7; delirium, n=7; rehabilitation needs, n=5; psychological status, n=3; physical status, n=3; age, n=2; illness acuity level, n=1.

**Patients receiving palliative care, or other specialist care/diagnosis-related pathways, and routine postoperative patients were generally not included in services.

††Other includes the following: outreach team, n=14; other rehabilitation/medical healthcare professionals, n=3; advanced critical care practitioner and counsellor, both n=1.

‡‡Other includes the following: staffing capacity, n=5; lack of service prioritisation by management, n=3; staff engagement with service, n=3; staff recruitment, n=2; links with primary care, resources, and appropriate service focus, all n=1.

AHP, Allied health professional; ICU, intensive care unit; MDT, multidisciplinary team; NHS, National Health Service.