Post-intensive cardiac care outpatient long-term outreach clinic (PICCOLO clinic) : Defining health care needs and outcomes among coronary care unit survivors
Objective: 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.
Design setting particpants: 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.
Results: 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.
Conclusion: 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.
| Medienart: |
E-Artikel |
|---|
| Erscheinungsjahr: |
2024 |
|---|---|
| Erschienen: |
2024 |
| Enthalten in: |
Zur Gesamtaufnahme - volume:38 |
|---|---|
| Enthalten in: |
American heart journal plus : cardiology research and practice - 38(2024) vom: 04. Feb. |
| Sprache: |
Englisch |
|---|
| Beteiligte Personen: |
Mason, Christopher K [VerfasserIn] |
|---|
| Links: |
|---|
| Themen: |
Critical care |
|---|
| Anmerkungen: |
Date Revised 21.03.2024 published: Print-Electronic Citation Status PubMed-not-MEDLINE |
|---|
| doi: |
10.1016/j.ahjo.2024.100363 |
|---|
| funding: |
|
|---|---|
| Förderinstitution / Projekttitel: |
|
| PPN (Katalog-ID): |
NLM369241231 |
|---|
| LEADER | 01000caa a22002652 4500 | ||
|---|---|---|---|
| 001 | NLM369241231 | ||
| 003 | DE-627 | ||
| 005 | 20240322000404.0 | ||
| 007 | cr uuu---uuuuu | ||
| 008 | 240304s2024 xx |||||o 00| ||eng c | ||
| 024 | 7 | |a 10.1016/j.ahjo.2024.100363 |2 doi | |
| 028 | 5 | 2 | |a pubmed24n1339.xml |
| 035 | |a (DE-627)NLM369241231 | ||
| 035 | |a (NLM)38434252 | ||
| 035 | |a (PII)100363 | ||
| 040 | |a DE-627 |b ger |c DE-627 |e rakwb | ||
| 041 | |a eng | ||
| 100 | 1 | |a Mason, Christopher K |e verfasserin |4 aut | |
| 245 | 1 | 0 | |a Post-intensive cardiac care outpatient long-term outreach clinic (PICCOLO clinic) |b Defining health care needs and outcomes among coronary care unit survivors |
| 264 | 1 | |c 2024 | |
| 336 | |a Text |b txt |2 rdacontent | ||
| 337 | |a ƒaComputermedien |b c |2 rdamedia | ||
| 338 | |a ƒa Online-Ressource |b cr |2 rdacarrier | ||
| 500 | |a Date Revised 21.03.2024 | ||
| 500 | |a published: Print-Electronic | ||
| 500 | |a Citation Status PubMed-not-MEDLINE | ||
| 520 | |a Objective: 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 | ||
| 520 | |a Design setting particpants: 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 | ||
| 520 | |a Results: 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 | ||
| 520 | |a Conclusion: 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 | ||
| 650 | 4 | |a Journal Article | |
| 650 | 4 | |a Critical care | |
| 650 | 4 | |a Post intensive care syndrome | |
| 650 | 4 | |a Recovery | |
| 650 | 4 | |a Transitions of care | |
| 700 | 1 | |a Adie, Sara K |e verfasserin |4 aut | |
| 700 | 1 | |a Shea, Michael J |e verfasserin |4 aut | |
| 700 | 1 | |a Konerman, Matthew C |e verfasserin |4 aut | |
| 700 | 1 | |a Thomas, Michael P |e verfasserin |4 aut | |
| 700 | 1 | |a McSparron, Jakob I |e verfasserin |4 aut | |
| 700 | 1 | |a Iwashyna, Theodore J |e verfasserin |4 aut | |
| 700 | 1 | |a Prescott, Hallie C |e verfasserin |4 aut | |
| 700 | 1 | |a Thompson, Andrea D |e verfasserin |4 aut | |
| 773 | 0 | 8 | |i Enthalten in |t American heart journal plus : cardiology research and practice |d 2021 |g 38(2024) vom: 04. Feb. |w (DE-627)NLM326441123 |x 2666-6022 |7 nnns |
| 773 | 1 | 8 | |g volume:38 |g year:2024 |g day:04 |g month:02 |
| 856 | 4 | 0 | |u http://dx.doi.org/10.1016/j.ahjo.2024.100363 |3 Volltext |
| 912 | |a GBV_USEFLAG_A | ||
| 912 | |a GBV_NLM | ||
| 951 | |a AR | ||
| 952 | |d 38 |j 2024 |b 04 |c 02 | ||