title: Health and social consequences of an alcohol-related admission to critical care: a qualitative study.
abstract: OBJECTIVE
  To examine the impact of critical care on future alcohol-related behaviour. Further, it aimed to explore patterns of recovery for patients with and without alcohol use disorders beyond the hospital environment.
  
  
  METHODS
  In-depth, semistructured interviews with participants (patients) 3-7 months post intensive care discharge.
  
  
  METHODS
  The setting for this study was a 20-bedded mixed intensive care unit (ICU), in a large teaching hospital in Scotland. On admission, patients were allocated to one of the three alcohol groups: low risk, harmful/hazardous and alcohol dependency.
  
  
  METHODS
  21 participants who received mechanical ventilation for greater than 3 days were interviewed between March 2013 and June 2014.
  
  
  METHODS
  None.
  
  
  RESULTS
  Four themes which impacted on recovery from ICU were identified in this patient group: psychological resilience, support for activities of daily living, social support and cohesion and the impact of alcohol use disorders on recovery. Participants also discussed the importance of personalised goal setting and appropriate and timely rehabilitation for alcohol-related behaviours during the critical care recovery period.
  
  
  CONCLUSIONS
  There is a significant interplay between alcohol misuse and recovery from critical illness. This study has demonstrated that at present, there is a haphazard approach to rehabilitation for patients after ICU. A more targeted rehabilitation pathway for patients leaving critical care, with specific emphasis on alcohol misuse if appropriate, requires to be generated.
authors.affiliation: Glasgow Royal Infirmary, Glasgow, UK University of Glasgow, School of Medicine, Glasgow Royal Infirmary, Glasgow, UK.
authors.forename: Joanne
authors.initials: J
authors.lastname: McPeake
authors.affiliation: Glasgow Royal Infirmary, Glasgow, UK.
authors.forename: Ewan
authors.initials: E
authors.lastname: Forrest
authors.affiliation: Glasgow Royal Infirmary, Glasgow, UK University of Glasgow, School of Medicine, Glasgow Royal Infirmary, Glasgow, UK.
authors.forename: Tara
authors.initials: T
authors.lastname: Quasim
authors.affiliation: Glasgow Royal Infirmary, Glasgow, UK University of Glasgow, School of Medicine, Glasgow Royal Infirmary, Glasgow, UK.
authors.forename: John
authors.initials: J
authors.lastname: Kinsella
authors.affiliation: University of Glasgow, School of Medicine, Glasgow Royal Infirmary, Glasgow, UK.
authors.forename: Anna
authors.initials: A
authors.lastname: O'Neill
mesh_terms: D000203:Activities of Daily Living; D000328:Adult; D000368:Aged; D019973:Alcohol-Related Disorders / Q000534:rehabilitation*; D016638:Critical Illness / Q000534:rehabilitation*; D005260:Female; D006784:Hospitals, Teaching; D006801:Humans; D007362:Intensive Care Units; D007407:Interviews as Topic; D007902:Length of Stay / Q000706:statistics & numerical data*; D008297:Male; D008875:Middle Aged; D017063:Outcome Assessment, Health Care; D010351:Patient Discharge / Q000592:standards*; D036301:Qualitative Research; D012121:Respiration, Artificial; D012606:Scotland; D012944:Social Support; D055815:Young Adult
keywords: QUALITATIVE RESEARCH; REHABILITATION MEDICINE