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Open Access 01-12-2019 | Care | Protocol

Health solutions to improve post-intensive care outcomes: a realist review protocol

Authors: A. Fuchsia Howard, Leanne Currie, Vicky Bungay, Margaret Meloche, Robert McDermid, Sarah Crowe, Andrea Ryce, William Harding, Gregory Haljan

Published in: Systematic Reviews | Issue 1/2019

Abstract

Background

While 80% of critically ill patients treated in an intensive care unit (ICU) will survive, survivors often suffer a constellation of new or worsening physical, cognitive, and psychiatric complications, termed post-intensive care syndrome. Emerging evidence paints a challenging picture of complex, long-term complications that are often untreated and culminate in substantial dependence on acute care services. Clinicians and decision-makers in the Fraser Health Authority of British Columbia are working to develop evidence-based community healthcare solutions that will be successful in the context of existing healthcare services. The objective of the proposed review is to provide the theoretical scaffolding to transform the care of survivors of critical illness by a synthesis of relevant clinical and healthcare service programs.

Methods

Realist review will be used to develop and refine a theoretical understanding of why, how, for whom, and in what circumstances post-ICU program impact ICU survivors’ outcomes. This review will follow the recommended five steps of realist review which include (1) clarifying the scope of the review and articulating a preliminary program theory, (2) searching for evidence, (3) appraising primary studies and extracting data, (4) synthesizing evidence and sharing conclusions, and (5) disseminating and implementing recommendations.

Discussion

This realist review will provide a program theory, encompassing the contexts, mechanisms, and outcomes, to explain how clinical and health service interventions to improve ICU survivor outcomes operate in different contexts for different survivors, and with what effect. This review will be an evidentiary pillar for health service development and implementation by our knowledge user team members as well as advance scholarly knowledge relevant nationally and internationally.

Systematic review registration

PROSPERO CRD42018087795

Available only for authorised users

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Title: Health solutions to improve post-intensive care outcomes: a realist review protocol
Authors: A. Fuchsia Howard
Leanne Currie
Vicky Bungay
Margaret Meloche
Robert McDermid
Sarah Crowe
Andrea Ryce
William Harding
Gregory Haljan
Publication date: 01-12-2019
Publisher: BioMed Central
Keywords: Care
Post-Intensive Care Syndrome
Published in: Systematic Reviews / Issue 1/2019
Electronic ISSN: 2046-4053
DOI: https://doi.org/10.1186/s13643-018-0939-7

Keynote webinar | Spotlight on sleep in brain health

Springer Medicine

Health solutions to improve post-intensive care outcomes: a realist review protocol

Abstract

Background

Methods

Discussion

Systematic review registration

Keynote webinar | Spotlight on sleep in brain health

Springer Medicine

Abstract

Background

Methods

Discussion

Systematic review registration

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