Evaluating the Unmet Needs of Older Adults to Promote Functional Recovery After a Critical Illness

To identify unmet needs in multiple domains after return home from an ICU hospitalization, evaluate whether these unmet needs are associated with disability burden in the subsequent 6 months, and ascertain whether these associations are moderated by initial discharge destination (home or STR).

Inclusion criteria

PARTICIPANTS

• Age ≥ 65 years
• Survived an ICU admission of ≥2 days

CAREGIVERS

• Age ≥ 18 years
• Identified as caregiver of LANTERN participant who is an informal (unpaid) caregiver.

Exclusion criteria

PARTICIPANTS

• Advance directive of comfort measures only (CMO) or a transition to hospice
• Planned discharge to a location other than home or Short-Term Rehab
• Tracheostomy with ventilator dependence
• Severe acute or prior neurologic injury (such as anoxic brain injury or acute, massive stroke)
• Advanced dementia
• ICU admission for monitoring only (e.g., antibiotic desensitization)
• Primary language other than English.
• Homelessness
• Active drug or alcohol use disorder.

CAREGIVERS

• Primary language other than English
• Is a paid caregiver
• Unwilling to complete a qualitative interview