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01.10.2011 | Commentary | Ausgabe 5/2011

Critical Care 5/2011

The challenge of designing a post-critical illness rehabilitation intervention

Zeitschrift:
Critical Care > Ausgabe 5/2011
Autor:
Margaret S Herridge
Wichtige Hinweise

Competing interests

The author declares that they have no competing interests.

Abstract

Post-ICU morbidity is an important issue for patients, families, and the health-care system. Elliott and colleagues outlined the results from their novel report of the very first home-based physiotherapy program to be tested in survivors of critical illness. The authors described an explicit intervention, which included a self-instruction exercise manual, trainer visits, and telephone follow-up, with excellent internal validity and yet no difference in outcome measures at 26-week follow-up. These results are discussed in the context of risk stratification/individual tailoring of post-ICU programs to patient and family needs and suggest that the collection of multiple simultaneous outcome measures across functional, neuropsychological, caregiver, and health-care utilization domains may offer additional insight into the benefits of post-rehabilitation programs.

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