More than the tip of the iceberg: association between disabilities and inability to attend a clinic-based post-ICU follow-up and how it may impact on health inequalities
Survival from critical illness has improved in recent decades . However, for many patients, the post-ICU period is marked by physical and neuropsychiatric disabilities, reduced quality of life and increased consumption of healthcare resources [2, 3]. Accordingly, post-ICU follow-up has been proposed as a means to optimise rehabilitation of ICU survivors . Although the severity of a patient’s disabilities after a critical illness are plausible impediments for attending appointments (Supplementary Fig. 1), the post-ICU follow-up is mainly focused on a clinic-based model in which the patients have to attend a health establishment to benefit from the rehabilitation programmes . Ironically, this model may deprive the most disabled patients of appropriate care, thereby contributing to health inequalities. The impact of post-ICU disabilities on adherence to clinic-based post-ICU follow-up is unknown. Therefore, this study aimed to compare the burden of post-ICU...
The present study was funded by the Brazilian Ministry of Health through the Program of Institutional Development of the Brazilian Unified Health System (PROADI-SUS).
Compliance with ethical standards
Conflicts of interest
The authors report no conflict of interest.
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