4.5 Review

Neurocritical Care Recovery Clinics: An Idea Whose Time Has Come

Journal

CURRENT NEUROLOGY AND NEUROSCIENCE REPORTS
Volume 23, Issue 4, Pages 159-166

Publisher

SPRINGER
DOI: 10.1007/s11910-023-01256-4

Keywords

Post-ICU clinic; Neurointensive care clinic; Neurorecovery clinic; ICU recovery clinic; Transitional care clinic

Ask authors/readers for more resources

The purposes of this review were to identify evidence for post-intensive care syndrome (PICS) and post-intensive care syndrome-family (PICS-F) in the neurologically injured population and to characterize existing models for neurorecovery clinics. It was found that while there are post-ICU clinics for general critical care patients, there is a lack of such clinics for brain injured patients. It is proposed to establish a neuro-ICU transitional care clinic modeled after transitional care provided to other brain injured populations.
Purpose of ReviewPurposes were to identify evidence for post-intensive care syndrome (PICS) and post-intensive care syndrome-family (PICS-F), defined as the psychological impact on families from exposure to critical care, in the neurologically injured population and to characterize existing models for neurorecovery clinics and the evidence to support their use. Recent FindingsThere has been an explosion of post-ICU clinics among the general critical care population, with their use largely justified based on the management of PICS and PICS-F, terminology which excludes brain injured patients. In contrast, neurocritical care recovery clinics are not common and not well-described. There is however evidence in the neuro-ICU population supporting the provision of dyadic care, whereby the patient and caregiver are treated as one unit.Brain injured populations likely experience many of the same PICS phenomena as medically ill patients but are not represented in this body of literature. These patients deserve the same level of follow-up as other patients who have experienced critical illness. We propose a neuro-ICU transitional care clinic that addresses PICS-like symptoms and is modeled after transitional care provided to other brain injured populations. Future investigations should be targeted toward understanding the sequalae of a neuro-ICU admission, mechanisms for providing dyadic care, and the impact of neurorecovery clinics on long-term outcomes.

Authors

I am an author on this paper
Click your name to claim this paper and add it to your profile.

Reviews

Primary Rating

4.5
Not enough ratings

Secondary Ratings

Novelty
-
Significance
-
Scientific rigor
-
Rate this paper

Recommended

No Data Available
No Data Available