A UK survey of rehabilitation following critical illness: implementation of NICE Clinical Guidance 83 (CG83) following hospital discharge.
A UK survey of rehabilitation following critical illness: implementation of NICE Clinical Guidance 83 (CG83) following hospital discharge.
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DOI：
10.1136/bmjopen-2014-004963
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发表时间：
2014-05-15
期刊：
影响因子：
2.9
通讯作者：
Hart N
中科院分区：
文献类型：
--
作者：
Connolly B;Douiri A;Steier J;Moxham J;Denehy L;Hart N
确定国家健康与护理卓越研究所指南 (NICE CG83) 出院后危重疾病随访和康复计划的实施情况。封闭式邮政调查。英国各地的成人重症监护病房 (ICU)，从国家组织数据库中确定。专科重症监护室和私人 ICU 不包括在内。高级呼吸重症监护理疗临床医生。从 240 份分发的调查中返回了 182 份调查的代表性样本（75.8%（95% CI 70.4 至 81.2））。只有 48 个组织（27.3%（95% CI 20.7 至 33.9））在出院后 2-3 个月内提供随访服务，其中大多数（n=39，84.8%）以诊所形式提供。 12 个组织报告了出院后康复计划（6.8%（95% CI 3.1 至 10.5）），尽管其中只有 10 个组织定期运行。据报告，缺乏资金是提供服务最常见的障碍（n=149/164，90%）和主要障碍（n=99/156，63.5%）。资源不足（n=71/164，43.3%）和临床管理团队缺乏优先考虑（n=66/164，40.2%）也是服务提供方面被高度提及的障碍。 NICE CG83 成功地阐述了康复对于危重疾病幸存者的重要性。然而，CG83 发布 4 年后，这项临床服务在英国的发展有限。迫切需要制定支持实施此类质量改进计划的策略，以加强患者护理。
To determine the implementation of National Institute for Health and Care Excellence guidance (NICE CG83) for posthospital discharge critical illness follow-up and rehabilitation programmes. Closed-question postal survey. Adult intensive care units (ICUs) across the UK, identified from national databases of organisations. Specialist-only and private ICUs were not included. Senior respiratory critical care physiotherapy clinicians. A representative sample of 182 surveys was returned from the 240 distributed (75.8% (95% CI 70.4 to 81.2)). Only 48 organisations (27.3% (95% CI 20.7 to 33.9)) offered a follow-up service 2–3 months following hospital discharge, the majority (n=39, 84.8%) in clinic format. 12 organisations reported posthospital discharge rehabilitation programmes (6.8% (95% CI 3.1 to 10.5)), albeit only 10 of these operated on a regular basis. Lack of funding was reported as the most frequent (n=149/164, 90%) and main barrier (n=99/156, 63.5%) to providing services. Insufficient resources (n=71/164, 43.3%) and lack of priority by the clinical management team (n=66/164, 40.2%) were also highly cited barriers to service delivery. NICE CG83 has been successful in profiling the importance of rehabilitation for survivors of critical illness. However, 4 years following publication of CG83 there has been limited development of this clinical service across the UK. Strategies to support delivery of such quality improvement programmes are urgently required to enhance patient care.
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影响因子：
8.8
作者：
Hodgin, Katherine E.;Nordon-Craft, Amy;Moss, Marc
通讯作者：
Moss, Marc
影响因子：
158.5
作者：
Herridge, Margaret S.;Tansey, Catherine M.;Cheung, Angela M.
通讯作者：
Cheung, Angela M.
DOI：
10.1186/cc12745
发表时间：
2013-05-28
期刊：
Critical care (London, England)
影响因子：
--
作者：
Griffiths J;Hatch RA;Bishop J;Morgan K;Jenkinson C;Cuthbertson BH;Brett SJ
通讯作者：
Brett SJ
影响因子：
7.2
作者：
Hocking, JS;Lim, MSC;Hellard, M
通讯作者：
Hellard, M
DOI：
10.1186/cc13052
发表时间：
2013-10-10
期刊：
Critical care (London, England)
影响因子：
--
作者：
Connolly BA;Jones GD;Curtis AA;Murphy PB;Douiri A;Hopkinson NS;Polkey MI;Moxham J;Hart N
通讯作者：
Hart N