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.