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Open AccessFeature PaperArticle

Feasibility of Telephone Follow-Up after Critical Care Discharge

Discipline of Physiotherapy, School of Medicine, Trinity College Dublin, the University of Dublin, Dublin D08 W9RT, Ireland
Department of Physiotherapy, St James’s Hospital, Dublin D08 X4RX, Ireland
Department of Anaesthesia and Critical Care Medicine, St James’s Hospital, Dublin D08 X4RX, Ireland
Multidisciplinary Intensive Care Research Organization (MICRO), St James’s Hospital, Dublin D08 X4RX, Ireland
Pulmonary Intensive Care Unit, Respiratory Institute, Hospital Clinic of Barcelona, IDIBAPS, University of Barcelona, CIBERes, 08036 Barcelona, Spain
Author to whom correspondence should be addressed.
Med. Sci. 2020, 8(1), 16;
Received: 10 February 2020 / Revised: 10 March 2020 / Accepted: 10 March 2020 / Published: 14 March 2020
Background: Critical care has evolved from a primary focus on short-term survival, with greater attention being placed on longer-term health care outcomes. It is not known how best to implement follow-up after critical care discharge. Study aims were to (1) assess the uptake and feasibility of telephone follow-up after a critical care stay and (2) profile overall physical status and recovery during the sub-acute recovery period using a telephone follow-up assessment. Methods: Adults who had been admitted to critical care units of St. James’s Hospital, Dublin, for >72 h were followed up by telephone 3–9 months post discharge from critical care. The telephone assessment consisted of a battery of questionnaires (including the SF-36 questionnaire and the Clinical Frailty Scale) and examined quality of life, frailty, employment status, and feasibility of telephone follow-up. Results: Sixty five percent (n = 91) of eligible participants were reachable by telephone. Of these, 80% (n = 73) participated in data collection. Only 7% (n = 5) expressed a preference for face-to-face hospital-based follow-up as opposed to telephone follow-up. For the SF-36, scores were lower in a number of physical health domains as compared to population norms. Frailty increased in 43.2% (n = 32) of participants compared to pre-admission status. Two-thirds (n = 48) reported being >70% physically recovered. Conclusion: Results showed that telephone follow-up is a useful contact method for a typically hard-to-reach population. Deficits in physical health and frailty were noted in the sub-acute period after discharge from critical care. View Full-Text
Keywords: frailty; quality of life; recovery; intensive care; critical care; telephone frailty; quality of life; recovery; intensive care; critical care; telephone
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Hodalova, S.; Moore, S.; Dowds, J.; Murphy, N.; Martin-Loeches, I.; Broderick, J. Feasibility of Telephone Follow-Up after Critical Care Discharge. Med. Sci. 2020, 8, 16.

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