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Vol. 43. Num. 4.
Pages 193-260 (May 2019)
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Vol. 43. Num. 4.
Pages 193-260 (May 2019)
Special article
DOI: 10.1016/j.medine.2019.03.009
Follow-up program after intensive care unit discharge
Programa de seguimiento al alta de la unidad de cuidados intensivos
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M. Busicoa,b,
Corresponding author
marinabusico@yahoo.com.ar

Corresponding author.
, A. das Nevesb,c, F. Carinib,d, M. Pedaceb,d, D. Villalbab,e, C. Fosterb,f, J. García Urrutiab,g, M. Garbarinib,d, S. Jerebb,g, V. Sachah, E. Estenssorob,c
a Clínica Olivos, SMG, Buenos Aires, Argentina
b Comité de Seguimiento y Rehabilitación, Sociedad Argentina de Terapia Intensiva (SATI), Argentina
c Hospital San Martín de La Plata, La Plata, Argentina
d Hospital Italiano de Buenos Aires, Buenos Aires, Argentina
e Clínica Basilea, Buenos Aires, Argentina
f Hospital Juan A. Fernández, Buenos Aires, Argentina
g Hospital Alejandro Posadas, Buenos Aires, Argentina
h Instituto de Efectividad Clínica y Sanitaria, Buenos Aires, Argentina
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Table 1. Domains included in the Follow-Up Program.
Table 2. GRADE-based recommendation for the Follow-up Program.
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Abstract
Introduction

Patient follow-up after intensive care unit (ICU) discharge allows the early recognition of complications associated to post-intensive care syndrome (PICS). The aim of this project is to standardize outcome variables in a follow-up program for patients at risk of suffering PICS.

Methods

The Rehabilitation and Patient Follow-up Committee of the Argentine Society of Intensive Care Medicine (Sociedad Argentina de Terapia Intensiva, SATI) requested the collaboration of different committees to design the present document. A thorough search of the literature on the issue, together with pre-scheduled meetings and web-based discussion encounters were carried out. After comprehensive evaluation, the recommendations according to the GRADE system included in the follow-up program were: frequency of controlled visits, appointed healthcare professionals, basic domains of assessment and recommended tools of evaluation, validated in Spanish, and entire duration of the program.

Conclusion

The measures herein suggested for patient follow-up after ICU discharge will facilitate a basic approach to diagnosis and management of the long-term complications associated to PICS.

Keywords:
Post-intensive care syndrome
Follow-up
Follow-up clinic
Resumen
Introducción

El seguimiento de pacientes al alta de la unidad de cuidados intensivos (UCI) permite el reconocimiento precoz de las complicaciones asociadas al síndrome post terapia intensiva (SPTI). El objetivo de este estudio es la estandarización de medidas básicas de resultado incluidas en un programa de seguimiento de pacientes en riesgo de presentar SPTI.

Métodos

El comité de Seguimiento y Rehabilitación luego de la Enfermedad Crítica de la Sociedad Argentina de Terapia Intensiva (SATI) convocó a diferentes comités para la redacción del presente documento. Se realizó una búsqueda bibliográfica, junto con reuniones y foros de discusión. Las recomendaciones incluidas en el programa de seguimiento según el sistema GRADE son: frecuencia de seguimiento, profesionales encargados del programa, dominios básicos a evaluar, herramientas recomendadas para su evaluación validadas al español y duración del programa.

Conclusión

Las medidas recomendadas para el seguimiento de pacientes permiten establecer los lineamientos básicos para la identificación y tratamiento precoz de las complicaciones asociadas al SPTI.

Palabras clave:
Síndrome post terapia intensiva
Seguimiento
Programa de seguimiento

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