MICU Recovery Clinic

Objectives:

• To evaluate physical function, cognitive function, and overall functional status during recovery from critical illness.
• To evaluate anxiety, depression, and PTSD during recovery from critical illness.
• To evaluate resilience during recovery from critical illness.
• To evaluate healthcare utilization rates, morbidity, and mortality following critical illness.
• Added April 2016: To study the voice and swallowing function of patients following recovery from critical illness.
• Added April 2016: To study the pain of patients following recovery from critical illness.

Intervention:

A prospective observational study of all patients who attend our ICU recovery clinic.

Methods:

Patients will be identified for participation in our ICU Recovery Clinic during their admission to the Wake Forest Baptist Medical Center Medical Intensive Care Unit (MICU). They will be asked to return to the ICU recovery clinic within 1 month of hospital discharge. Structured clinic visits as standard of care will include medication reconciliation and evaluation by a pharmacist, along with an evaluation by a clinic physician to address acute medical issues and provide counselling. They will also undergo standardized testing to evaluate physical function, cognitive function, and psychiatric function. Added April 2016: They will also undergo a standardized evaluation of speech, swallow, and pain.

Inclusion criteria

Wake Forest MICU Admission

• sepsis OR
• respiratory failure requiring >24 hrs of invasive mechanical ventilation
• previously functional

Exclusion criteria

• Active Malignancy