Challenges during long-term follow-up of ICU patients with and without chronic disease

Introduction: Reflecting on researchers' experiences during follow-up of patients enrolled in research may lead to improved understanding of the challenges faced in maintaining contact when patients leave hospital. Aims: (1) Describe the challenges researchers face when following-up patients wh...

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Main Authors: Davies, Hugh, McKenzie, N., Williams, Teresa, Leslie, Gavin, McConigley, Ruth, Dobb, G., Aoun, Samar
Format: Journal Article
Published: Elsevier Ireland Ltd 2014
Online Access:http://hdl.handle.net/20.500.11937/22130
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author Davies, Hugh
McKenzie, N.
Williams, Teresa
Leslie, Gavin
McConigley, Ruth
Dobb, G.
Aoun, Samar
author_facet Davies, Hugh
McKenzie, N.
Williams, Teresa
Leslie, Gavin
McConigley, Ruth
Dobb, G.
Aoun, Samar
author_sort Davies, Hugh
building Curtin Institutional Repository
collection Online Access
description Introduction: Reflecting on researchers' experiences during follow-up of patients enrolled in research may lead to improved understanding of the challenges faced in maintaining contact when patients leave hospital. Aims: (1) Describe the challenges researchers face when following-up patients who survive ICU. (2) Identify issues that influenced our ability to follow-up patients. Methods: This sub-study was part of a larger "case-control" study investigating the quality of life of ICU survivors with and without pre-existing chronic disease. Patients completed self-assessment QLQ and symptom assessment before hospital discharge and at six months, plus they were asked to keep a paper diary of healthcare services used. Patient contact was maintained by monthly telephone calls. Each telephone call was logged and summaries of conversations documented. Our experience of conducting the study was reviewed by the identification of common issues which arose from the follow-up of patients. Results: Thirty patients with a history of chronic disease and 30 patients without underlying chronic disease were followed-up. A total of 582 telephone calls were made for 60 patients discharged from hospital of which 261 (45%) calls led to a telephone interview. Only 19 (30%) of diaries were completed and returned. We identified six challenges associated with issues that arose from the follow-up of patients. Conclusion: We underestimated the number of telephone calls required for follow-up after discharge. Diaries were unreliable sources of data suggesting strategies are needed to improve compliance. How patients respond to follow-up is not always predictable. Processes are needed to deal with unexpected information provided during telephone follow-up.
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spelling curtin-20.500.11937-221302017-09-13T13:48:58Z Challenges during long-term follow-up of ICU patients with and without chronic disease Davies, Hugh McKenzie, N. Williams, Teresa Leslie, Gavin McConigley, Ruth Dobb, G. Aoun, Samar Introduction: Reflecting on researchers' experiences during follow-up of patients enrolled in research may lead to improved understanding of the challenges faced in maintaining contact when patients leave hospital. Aims: (1) Describe the challenges researchers face when following-up patients who survive ICU. (2) Identify issues that influenced our ability to follow-up patients. Methods: This sub-study was part of a larger "case-control" study investigating the quality of life of ICU survivors with and without pre-existing chronic disease. Patients completed self-assessment QLQ and symptom assessment before hospital discharge and at six months, plus they were asked to keep a paper diary of healthcare services used. Patient contact was maintained by monthly telephone calls. Each telephone call was logged and summaries of conversations documented. Our experience of conducting the study was reviewed by the identification of common issues which arose from the follow-up of patients. Results: Thirty patients with a history of chronic disease and 30 patients without underlying chronic disease were followed-up. A total of 582 telephone calls were made for 60 patients discharged from hospital of which 261 (45%) calls led to a telephone interview. Only 19 (30%) of diaries were completed and returned. We identified six challenges associated with issues that arose from the follow-up of patients. Conclusion: We underestimated the number of telephone calls required for follow-up after discharge. Diaries were unreliable sources of data suggesting strategies are needed to improve compliance. How patients respond to follow-up is not always predictable. Processes are needed to deal with unexpected information provided during telephone follow-up. 2014 Journal Article http://hdl.handle.net/20.500.11937/22130 10.1016/j.aucc.2015.04.002 Elsevier Ireland Ltd restricted
spellingShingle Davies, Hugh
McKenzie, N.
Williams, Teresa
Leslie, Gavin
McConigley, Ruth
Dobb, G.
Aoun, Samar
Challenges during long-term follow-up of ICU patients with and without chronic disease
title Challenges during long-term follow-up of ICU patients with and without chronic disease
title_full Challenges during long-term follow-up of ICU patients with and without chronic disease
title_fullStr Challenges during long-term follow-up of ICU patients with and without chronic disease
title_full_unstemmed Challenges during long-term follow-up of ICU patients with and without chronic disease
title_short Challenges during long-term follow-up of ICU patients with and without chronic disease
title_sort challenges during long-term follow-up of icu patients with and without chronic disease
url http://hdl.handle.net/20.500.11937/22130