• Crit Care · Jan 2011

    Editorial Comment

    The challenge of designing a post-critical illness rehabilitation intervention.

    • Margaret S Herridge.
    • Interdepartmental Division of Critical Care, University of Toronto, University Health Network, 585 University Avenue, 11C-1180, Toronto, ON M5G 2C4, Canada. margaret.herridge@uhn.on.ca
    • Crit Care. 2011 Oct 25;15(5):1002.

    AbstractPost-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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