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Post-intensive cardiac care outpatient long-term outreach clinic (PICCOLO clinic): Defining health care needs and outcomes among coronary care unit survivors

Mason, Christopher K. ; Adie, Sara K. ; Shea, Michael J. ; Konerman, Matthew C. ; Thomas, Michael P. ; McSparron, Jakob I. ; Iwashyna, Theodore J. ; Prescott, Hallie C. ; Thompson, Andrea D.

American heart journal plus, 2024-02, Vol.38, p.100363, Article 100363 [Periódico revisado por pares]

United States: Elsevier Inc

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  • Título:
    Post-intensive cardiac care outpatient long-term outreach clinic (PICCOLO clinic): Defining health care needs and outcomes among coronary care unit survivors
  • Autor: Mason, Christopher K. ; Adie, Sara K. ; Shea, Michael J. ; Konerman, Matthew C. ; Thomas, Michael P. ; McSparron, Jakob I. ; Iwashyna, Theodore J. ; Prescott, Hallie C. ; Thompson, Andrea D.
  • Assuntos: Critical care ; Post intensive care syndrome ; Recovery ; Transitions of care
  • É parte de: American heart journal plus, 2024-02, Vol.38, p.100363, Article 100363
  • Notas: ObjectType-Article-1
    SourceType-Scholarly Journals-1
    ObjectType-Feature-2
    content type line 23
  • Descrição: Patients who survive critical illness endure complex physical and mental health conditions, referred to as post-intensive care syndrome (PICS). The University of Michigan's post-intensive cardiac care outpatient long-term outreach (PICCOLO) clinic is designed for patients recently admitted to the coronary care unit (CCU). The long-term goal of this clinic is to understand post-CCU patients' needs and design targeted interventions to reduce their morbidity and mortality post-discharge. As a first step toward this goal, we aimed to define the post-discharge needs of CCU survivors. We retrospectively reviewed case-mix data (including rates of depression, PTSD, disability, and cognitive abnormalities) and health outcomes for patients referred to the PICCOLO clinic from July 1, 2018, through June 30, 2021 at Michigan Medicine. Of the 134 referred patients meeting inclusion criteria, 74 (55 %) patients were seen in the PICCOLO clinic within 30 days of discharge. Patients seen in the clinic frequently screened positive for depression (PHQ-2 score ≥3, 21.4 %) and cognitive impairment (MOCA <26, 38.8 %). Further, patients also reported high rates of physical difficulty (mean WHODAS 2.0 score 28.4 %, consistent with moderate physical difficulty). Consistent with medical intensive care unit (ICU) patients, CCU survivors experience PICS. This work highlights the feasibility of an outpatient care model and the need to leverage information gathered from this care model to develop treatment strategies and pathways to address symptoms of PICS in CCU survivors, including depression, cognitive impairment, and physical disability.
  • Editor: United States: Elsevier Inc
  • Idioma: Inglês
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  • Realização: ABCD-USP USP   Logos de Redes Sociais: Freepik

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