Post-intensive cardiac care outpatient long-term outreach clinic (PICCOLO clinic): Defining health care needs and outcomes among coronary care unit survivors

Autor: Christopher K. Mason, Sara K. Adie, Michael J. Shea, Matthew C. Konerman, Michael P. Thomas, Jakob I. McSparron, Theodore J. Iwashyna, Hallie C. Prescott, Andrea D. Thompson
Jazyk: angličtina
Rok vydání: 2024
Předmět:
Zdroj: American Heart Journal Plus, Vol 38, Iss , Pp 100363- (2024)
Druh dokumentu: article
ISSN: 2666-6022
DOI: 10.1016/j.ahjo.2024.100363
Popis: Objective: Patients who survive critical illness endure complex physical and mental health conditions, referred to as post-intensive care syndrome (PICS). The University of Michigan's post-intensive cardiac care outpatient long-term outreach (PICCOLO) clinic is designed for patients recently admitted to the coronary care unit (CCU). The long-term goal of this clinic is to understand post-CCU patients' needs and design targeted interventions to reduce their morbidity and mortality post-discharge. As a first step toward this goal, we aimed to define the post-discharge needs of CCU survivors. Design, setting, particpants: We retrospectively reviewed case-mix data (including rates of depression, PTSD, disability, and cognitive abnormalities) and health outcomes for patients referred to the PICCOLO clinic from July 1, 2018, through June 30, 2021 at Michigan Medicine. Results: Of the 134 referred patients meeting inclusion criteria, 74 (55 %) patients were seen in the PICCOLO clinic within 30 days of discharge. Patients seen in the clinic frequently screened positive for depression (PHQ-2 score ≥3, 21.4 %) and cognitive impairment (MOCA
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