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Rehabilitation after critical illness [CG83]

Measuring the use of this guidance

Recommendation: 1.23

Review patients with rehabilitation needs 2–3 months after their discharge from critical care. Carry out a functional reassessment of their health and social care needs, using the dimensions in recommendation 1.20. If appropriate, also enquire about sexual dysfunction.

What was measured: Proportion of organisations that reported availability of follow-up for post critical illness patients at 2–3 months following hospital discharge.
Data collection end: April 2013
27.3%
Number that met the criteria: 48 / 182
Area covered: UK
Source: Connolly B, Douiri A, Steier J et al. (2014) A UK survey of rehabilitation following critical illness: implementation of NICE Clinical Guidance 83 (CG83) following hospital discharge. BMJ Open 4 (5): e004963


Recommendation: 1.25

Based on the functional reassessment. • Refer the patient to the appropriate rehabilitation or specialist services if: ◦ the patient appears to be recovering at a slower rate than anticipated, according to their rehabilitation goals, or ◦ the patient has developed unanticipated physical and/or non‑physical morbidity that was not previously identified. • Give support if the patient is not recovering as quickly as they anticipated. • If anxiety or depression is suspected, follow the stepped care models recommended in 'Anxiety' (NICE clinical guideline 22 [replaced by NICE clinical guideline 113]) and 'Depression' (NICE clinical guideline 23 [replaced by NICE clinical guideline 90]). • If PTSD is suspected or the patient has significant symptoms of PTS, refer to 'Post-traumatic stress disorder (PTSD)' (NICE clinical guideline 26).

What was measured: Proportion of organisations that reported that a rehabilitation programme was available following hospital discharge for post critical illness patients.
Data collection end: April 2013
6.8%
Number that met the criteria: 12 / 182
Area covered: UK
Source: Connolly B, Douiri A, Steier J et al. (2014) A UK survey of rehabilitation following critical illness: implementation of NICE Clinical Guidance 83 (CG83) following hospital discharge. BMJ Open 4 (5): e004963



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