• Carla M Sevin, Sarah L Bloom, James C Jackson, Li Wang, E Wesley Ely, and Joanna L Stollings.
• Division of Allergy, Pulmonary and Critical Care Medicine, Department of Medicine, Vanderbilt University Medical Center, Nashville, TN, United States. Electronic address: carla.sevin@vanderbilt.edu.
• J Crit Care. 2018 Aug 1; 46: 141-148.

PurposeTo describe the design and initial implementation of an Intensive Care Unit Recovery Center (ICU-RC) in the United States.Materials And MethodsA prospective, observational feasibility study was undertaken at an academic hospital between July 2012 and December 2015. Clinical criteria were used to develop the ICU-RC, identify patients at high risk for post intensive care syndrome (PICS), and offer them post-ICU care.Results218/307 referred patients (71%) survived to hospital discharge; 62 (28% of survivors) were seen in clinic. Median time from discharge to ICU-RC visit was 29days. At initial evaluation, 64% of patients had clinically meaningful cognitive impairment. Anxiety and depression were present in 37% and 27% of patients, respectively. One in three patients was unable to ambulate independently; median 6min walk distance was 56% predicted. Of 47 previously working patients, 7 (15%) had returned to work. Case management and referral services were provided 142 times. The median number of interventions per patient was 4.ConclusionsAn ICU-RC identified a high prevalence of cognitive impairment, anxiety, depression, physical debility, lifestyle changes, and medication-related problems warranting intervention. Whether an ICU-RC can improve ICU recovery in the US should be investigated in a systematic way.Copyright © 2018 Elsevier Inc. All rights reserved.

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