Feasibility of Follow-Up Consultations

Abstract

Health technology improvements lead to an increasing number of intensive care unit (ICU) survivors. However, long-term consequence interventions performed in ICUs may impact the patients’ quality of life. The so-called “post-intensive care syndrome” (PICS) appears to be responsible for difficulties faced by survivors. ICU follow-up programmes can help prevent and attenuate the consequences of PICS. Despite the acceptance of the concept underlying the launch of rehabilitation programmes in ICUs worldwide, there is no standard model, as major differences exist in terms of consultation type, objectives, timing of consultations, interventions and type of outcomes of interest. In addition, the implementation of a programme confronts restrictions which interfere with its success and its benefits. Culture and context of health organization are important factors for the implementation of follow-up programmes.