title: Peer Support as a Novel Strategy to Mitigate Post-Intensive Care Syndrome.
abstract: Post-intensive care syndrome, a condition defined by new or worsening impairment in cognition, mental health, and physical function after critical illness, has emerged in the past decade as a common and life-altering consequence of critical illness. New strategies are urgently needed to mitigate the risk of neuropsychological and functional impairment common after critical illness and to prepare and support survivors on their road toward recovery. The present state of critical care survivorship is described, and postdischarge care delivery in the United States and the potential impact of the present-day fragmented model of care delivery are detailed. A novel strategy that uses peer support groups could more effectively meet the needs of survivors of critical illness and mitigate post-intensive care syndrome.
authors.affiliation: Mark E. Mikkelsen is Assistant Professor, Department of Medicine, Center for Clinical Epidemiology and Biostatistics, Perelman School of Medicine at the University of Pennsylvania, Gates 05042, 3400 Spruce Street, Philadelphia, PA 19104 (mark.mikkelsen@uphs.upenn.edu). James C. Jackson and Carla M. Sevin are Assistant Professors, Department of Medicine, Vanderbilt University School of Medicine, Nashville, Tennessee. Ramona O. Hopkins is Clinical Research Investigator, Department of Medicine, Center for Humanizing Critical Care, Intermountain Medical Center, Murray, Utah and Professor, Psychology Department and Neuroscience Center, Brigham Young University, Provo, Utah. Carol Thompson is Professor, College of Nursing, University of Kentucky, Lexington. Adair Andrews is Quality Implementation Program Manager, Society of Critical Care Medicine, Mount Prospect, Illinois. Giora Netzer is Associate Professor, Division of Pulmonary and Critical Care Medicine and Department of Epidemiology and Public Health, University of Maryland, Baltimore. Dina M. Bates is Assistant Clinical Professor, Division of Pulmonary, Critical Care, and Sleep Medicine, University of California San Diego School of Medicine. Aaron E. Bunnell is Assistant Professor, Department of Rehabilitation Medicine, University of Washington, Seattle. LeeAnn M. Christie is Research Scientist, Dell Children's Medical Center of Central Texas, Austin. Steven B. Greenberg is Clinical Associate Professor, North-Shore University HealthSystem, Evanston, Illinois. Daniela J. Lamas is Clinical/Research Fellow and Gerald Weinhouse is Assistant Professor of Medicine, Division of Pulmonary and Critical Care Medicine, Brigham and Women's Hospital, Boston, Massachusetts. Theodore J. Iwashyna is Associate Professor, Department of Internal Medicine, University of Michigan, Center for Clinical Management Research, Department of Veterans Affairs, Ann Arbor, Michigan, and Australian and New Zealand Intensive Care Research Centre, D
authors.forename: Mark E
authors.initials: ME
authors.lastname: Mikkelsen
authors.forename: James C
authors.initials: JC
authors.lastname: Jackson
authors.forename: Ramona O
authors.initials: RO
authors.lastname: Hopkins
authors.forename: Carol
authors.initials: C
authors.lastname: Thompson
authors.forename: Adair
authors.initials: A
authors.lastname: Andrews
authors.forename: Giora
authors.initials: G
authors.lastname: Netzer
authors.forename: Dina M
authors.initials: DM
authors.lastname: Bates
authors.forename: Aaron E
authors.initials: AE
authors.lastname: Bunnell
authors.forename: LeeAnn M
authors.initials: LM
authors.lastname: Christie
authors.forename: Steven B
authors.initials: SB
authors.lastname: Greenberg
authors.forename: Daniela J
authors.initials: DJ
authors.lastname: Lamas
authors.forename: Carla M
authors.initials: CM
authors.lastname: Sevin
authors.forename: Gerald
authors.initials: G
authors.lastname: Weinhouse
authors.forename: Theodore J
authors.initials: TJ
authors.lastname: Iwashyna
mesh_terms: D000223:Adaptation, Psychological; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D003422:Critical Care / Q000523:psychology*; D016638:Critical Illness / Q000451:nursing / Q000523:psychology*; D005260:Female; D006801:Humans; D007362:Intensive Care Units; D008297:Male; D008875:Middle Aged; D010361:Patients / Q000523:psychology*; D010379:Peer Group; D012944:Social Support; D013315:Stress, Psychological / Q000517:prevention & control*; D017741:Survivors / Q000523:psychology*; D013577:Syndrome; D014481:United States