title: Screening and treatment of problems after intensive care: a descriptive study of multidisciplinary follow-up.
abstract: OBJECTIVE
  To describe a multidisciplinary intensive care follow-up and the methods used for identifying and managing physical and psychological problems in ICU survivors.
  
  
  METHODS
  Patients treated>four days in an intensive care unit (ICU) were invited three, six and 12 months after intensive care for screening of physical problems with function tests and psychological problems with the Impact of Event Scale (IES) and the Hospital Anxiety and Depression Scale (HADS).
  
  
  RESULTS
  40 of 61 patients had clinically impaired physical function, with no ongoing physical rehabilitation at three months. Twenty-two patients received specific training instructions and 18 patients were referred for physiotherapy. 34 of 61 patients had symptoms of moderate to severe posttraumatic stress and/or symptoms of clinically significant anxiety or depression. Twelve patients accepted referral for psychiatric evaluation and treatment.
  
  
  CONCLUSIONS
  Multidisciplinary follow-up after intensive care can be of value in identifying untreated physical and psychological problems in ICU survivors. Liaison with specialists enables referral for identified problems. Patients screened and treated in the first six months appear to have little need for further follow-up after intensive care.
authors.affiliation: General ICU, Karolinska University Hospital Solna, Sweden. anna.schandl@karolinska.se
authors.forename: Anna R
authors.initials: AR
authors.lastname: Schandl
authors.forename: Olof R
authors.initials: OR
authors.lastname: Brattström
authors.forename: Anna
authors.initials: A
authors.lastname: Svensson-Raskh
authors.forename: Elisabeth M
authors.initials: EM
authors.lastname: Hellgren
authors.forename: Magnus D
authors.initials: MD
authors.lastname: Falkenhav
authors.forename: Peter V
authors.initials: PV
authors.lastname: Sackey
mesh_terms: D000328:Adult; D015897:Comorbidity; D003266:Continuity of Patient Care; D003422:Critical Care / Q000523:psychology*; D005260:Female; D006305:Health Status Indicators; D006801:Humans; D008297:Male; D008875:Middle Aged; D010361:Patients / Q000523:psychology; D012017:Referral and Consultation / Q000458:organization & administration; D013315:Stress, Psychological / Q000453:epidemiology