Dutch ICU survivors have more consultations with general practitioners before and after ICU admission compared to a matched control group from the general population
| Autor: | Dave A. Dongelmans, Nicolette F. de Keizer, Fabian Termorshuizen, Marike van der Schaaf, Ilse van Beusekom, Ferishta Bakhshi-Raiez |
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| Přispěvatelé: | Faculteit Gezondheid, Graduate School, Medical Informatics, APH - Methodology, APH - Quality of Care, Rehabilitation medicine, AMS - Restoration & Development, ANS - Neuroinfection & -inflammation, APH - Aging & Later Life, Intensive Care Medicine, APH - Digital Health |
| Jazyk: | angličtina |
| Rok vydání: | 2019 |
| Předmět: |
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Critical Care and Emergency Medicine Medical Doctors Economics Health Care Providers Social Sciences 0302 clinical medicine Quality of life Health care Medicine and Health Sciences Public and Occupational Health 030212 general & internal medicine Survivors Medical Personnel Young adult Referral and Consultation Netherlands Aged 80 and over Cognitive Impairment education.field_of_study Multidisciplinary Cognitive Neurology Matched control Middle Aged Patient Discharge Hospitals Socioeconomic Aspects of Health Hospitalization Intensive Care Units Professions Neurology symbols Medicine Female Research Article Adult medicine.medical_specialty Adolescent Science Cognitive Neuroscience Population 03 medical and health sciences symbols.namesake Young Adult Health Economics General Practitioners Physicians medicine Humans Poisson regression education Aged Retrospective Studies Physician-Patient Relations business.industry Case-control study Biology and Life Sciences 030208 emergency & critical care medicine Retrospective cohort study Health Care Health Care Facilities Case-Control Studies Emergency medicine People and Places Quality of Life Cognitive Science Population Groupings business Health Insurance Neuroscience |
| Zdroj: | PLOS ONE, 14(5). Public Library of Science PLoS ONE PLoS ONE, 14(5):e0217225. Public Library of Science PLoS ONE, Vol 14, Iss 5, p e0217225 (2019) |
| ISSN: | 1932-6203 |
| DOI: | 10.1371/journal.pone.0217225 |
| Popis: | BACKGROUND: General Practitioners (GPs) play a key role in the healthcare trajectory of patients. If the patient experiences problems that are typically non-life-threatening, such as the symptoms of post-intensive-care syndrome, the GP will be the first healthcare professional they consult. The primary aim of this study is to gain insight in the frequency of GP consultations during the year before hospital admission and the year after discharge for ICU survivors and a matched control group from the general population. The secondary aim of this study is to gain insight into differences between subgroups of the ICU population with respect to the frequency of GP consultations.METHODS: We conducted a retrospective cohort study, combining a national health insurance claims database and a national quality registry for ICUs. Clinical data of patients admitted to an ICU in 2013 were enriched with claims data from the years 2012, 2013 and 2014. Poisson regression was used to assess the differences in frequency of GP consultations between the ICU population and the control group.RESULTS: ICU patients have more consultations with GPs during the year before and after admission than individuals in the control group. In the last four weeks before admission, ICU patients have 3.58 (CI 3.37; 3.80) times more GP consultations than the control group, and during the first four weeks after discharge they have 4.98 (CI 4.74; 5.23) times more GP consultations. In the year after hospital discharge ICU survivors have an increased GP consultation rate compared to the year before their hospital admission.CONCLUSIONS: Close to hospital admission and shortly after hospital discharge, the frequency of GP consultations substantially increases in the population of ICU survivors. Even a year after hospital discharge, ICU survivors have increased GP consultation rates. Therefore, GPs should be well informed about the problems ICU patients suffer after discharge, in order to provide suitable follow-up care. |
| Databáze: | OpenAIRE |
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