MICU Recovery Clinic
MICU Recovery Clinic
Summary: Emerging data demonstrate long-term morbidity and mortality in those who survive
 critical illness. However, there is no data regarding long-term follow-up for ICU survivors.
 The investigators have begun the implementation of an ICU recovery clinic.

 Rationale:

 ICU survivors are at high risk for functional, cognitive and psychiatric impairments.
 However, methods to mitigate these impairments and improve recovery are lacking. Special
 follow-up clinics for survivors of critical illness have been proposed and implemented to
 some degree, but are uncommon.
Objectives:

 1. To evaluate physical function, cognitive function, and overall functional status during
 recovery from critical illness.

 2. To evaluate anxiety, depression, and PTSD during recovery from critical illness.

 3. To evaluate resilience during recovery from critical illness.

 4. To evaluate healthcare utilization rates, morbidity, and mortality following critical
 illness.

 5. Added April 2016: To study the voice and swallowing function of patients following
 recovery from critical illness.

 6. Added April 2016: To study the pain of patients following recovery from critical
 illness.

 Intervention:

 A prospective observational study of all patients who attend our ICU recovery clinic.

 Methods:

 Patients will be identified for participation in our ICU Recovery Clinic during their
 admission to the Wake Forest Baptist Medical Center Medical Intensive Care Unit (MICU). They
 will be asked to return to the ICU recovery clinic within 1 month of hospital discharge.
 Structured clinic visits as standard of care will include medication reconciliation and
 evaluation by a pharmacist, along with an evaluation by a clinic physician to address acute
 medical issues and provide counselling. They will also undergo standardized testing to
 evaluate physical function, cognitive function, and psychiatric function. Added April 2016:
 They will also undergo a standardized evaluation of speech, swallow, and pain.
Inclusion Criteria: Wake Forest MICU Admission

 -  sepsis OR

 -  respiratory failure requiring >24 hrs of invasive mechanical ventilation

 -  previously functional

 Exclusion Criteria:

 - Active Malignancy