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Life After Pediatric Critical Illness: Risk Factors For Reduced Health-Related Quality Of Life And Functional Decline, Ramona O. Hopkins

Faculty Publications

Survivors of a critical illness are at risk to develop physical, cognitive, and psychological impairments that can persist for months to years after they leave the hospital. Health-related quality of life (HRQL) and functional abilities are important measures of outcomes after a critical illness, as they reflect not only the effects of the critical illness, its treatment, and comorbid illness but also physical disability, cognitive impairment, and psychological disorders (depression, anxiety, and post-traumatic stress disorder) after a critical illness in adults (1). A review of HRQL in 557 adult survivors of acute respiratory distress syndrome found a substantially lower HRQL …

Enablers And Barriers To Implementing Icu Followup Clinics And Peer Support Groups Following Critical Illness: The Thrive Collaboratives, Kimberely J. Haines Phd, Bhsc (Physiotherapy), Joanne Mcpeake Phd, Msc, Bn (Hons), Rgn, Elizabeth Hibbert B.Physiotherapy, Leanne M. Boehm Phd, Rn, Acns-Bc, Krishna Aparanji Md, Cpe, Rita N. Bakhru Md, Ms, Anthony J. Bastin Mbbs Phd, Sarah J. Beesley Md, Msc, Lynne Beveridge Rgn, Brad W. Butcher Md, Kelly Drumright Msn, Rn, Cnl, Tammy L. Eaton Msn, Rn, Fnp-Bc, Achpn, Thomas Farley Ms, Acnp, Penelope Firshman Bsc, Andrew Fritschle Pharmd, Clare Holdsworth Bphys (Hons), Aluko A. Hope Md, Msce, Annie Johnson Aprn, Acnp-Bc, Michael T. Kenes Pharmd, Bcps, Bcccp, Babar A. Khan Md, Ms, Janet A. Kloos Rn, Phd, Aprn-Ccns, Ccrn, Erin K. Kross Md, Pamela Mactavish Bsc Pharm (Hons) Msc.,, Joel Meyer Bm Bch Dm, Ashley Montgomery-Yates Md, Tara Quasim Mbchb, Md, Howard L. Saft Md, Ms, Andrew Slack Mbbs, Mrcp, Edic, Md (Res), Joanna Stollings Pharmd, Fccm, Fccp, Gerald Weinhouse Md, Jessica Whitten Pharmd, Giora Netzer Md, Msce, Ramona O. Hopkins Phd, Mark E. Mikkelsen Md, Msce, Theodore J. Iwashyna Md, Phd, Carla M. Sevin Md

Faculty Publications

Objective: Data are lacking regarding implementation of novel strategies such as follow-up clinics and peer support groups, to reduce the burden of post-intensive care syndrome. We sought to discover enablers that helped hospital-based clinicians establish post-ICU clinics and peer support programs, and identify barriers that challenged them.

Design: Qualitative inquiry. The Consolidated Framework for Implementation Research was used to organize and analyze data.

Setting: Two learning collaboratives (ICU follow-up clinics and peer support groups), representing 23 sites, across three continents.

Subjects: Clinicians from 23 sites. Measurement and Main Results: Ten enablers and nine barriers to implementation of ICU follow-up clinics …