ICU Recovery Clinic Attendance, Attrition, and Patient Outcomes: The Impact of Severity of Illness, Gender, and Rurality

Kirby P. Mayer, Heba Boustany, Evan P. Cassity, Melissa K. Soper, Anna G. Kalema, Jimmi Hatton Kolpek, Ashley A. Montgomery-Yates

Research output: Contribution to journalArticlepeer-review

29 Scopus citations

Abstract

Objectives: The primary purpose is to characterize patients attending ICU recovery clinic and then describe their trajectory of cognitive and emotional health in 1 year. Design: Retrospective observational study to assess attendance, attrition, and patient outcomes. Setting: ICU Recovery Clinic. Patients: Adult patients recently admitted to ICU for sepsis or acute respiratory failure and who were referred to clinic. Interventions: None. Measurements and Main Results: Thirty-eight patients (63%) attended ICU recovery clinic with a mean age of 53.2 ± 16 years (range, 20-82 yr), 42% female and mean Sequential Organ Failure Assessment scores at an ICU admission of 9.4 ± 2.9 participated in outcomes. Twelve patients (32%) were lost to follow up and 12 patients (32%) were transferred to different providers before the end of 1 year. Sequential Organ Failure Assessment scores were negatively associated with health-related quality of life at baseline (r = -0.41; p = 0.033; n = 28) and short term (r = -0.40; p = 0.037; n = 27). Male patients had higher Sequential Organ Failure Assessment scores (mean difference = 2.4; t = 2.779; p = 0.008) and longer hospital length of stay (mean difference = 9.3; t = 2.27; p = 0.029). Female patients had higher scores on Hospital Anxiety and Depression Scale (mean difference = 7.2; t = 2.74; p = 0.01) and Impact of Events Scale-Revised (mean difference = 18.9; t = 2.74; p = 0.011) at the initial follow-up visit. Patients never attending clinic were more likely to live further away, have a tracheotomy, and spent longer time in the ICU. Conclusions: Attendance and attrition in ICU recovery clinic are related to patient factors (living in rural area) and ICU factors. Data suggest different recovery trajectories exist based on gender, severity of illness, and self-reported outcomes.

Original languageEnglish
Pages (from-to)E0206
JournalCritical Care Explorations
Volume2
Issue number10
DOIs
StatePublished - Sep 28 2020

Bibliographical note

Publisher Copyright:
© 2020 The Authors. Published by Wolters Kluwer Health, Inc.

Keywords

  • critical illness
  • follow-up clinic
  • patient outcomes
  • postintensive care syndrome
  • quality of life

ASJC Scopus subject areas

  • Critical Care and Intensive Care Medicine

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