28 Jun Survivors of Sepsis Require Complicated, Coordinated Follow-Up Care
MedicalResearch.com Interview with:
Dr. Jochen Gensichen
Jochen Gensichen, MD, MSc, MPH
Institute of General Practice and Family Medicine
Dr. Konrad Reinhart
Konrad Reinhart, MD
Center of Sepsis Control and Care
Jena University Hospital
Friedrich-Schiller-University
School of Medicine
Jena, Germany
MedicalResearch.com: What are the main findings?
Response: Sepsis survivors face multiple long-term sequelae which result in increased primary care needs as a basic support in medication, physiotherapy or mental health. Process of care after discharge from the intensive care unit often is fragmented.
MedicalResearch.com: What are the main findings?
Response: A primary-care-focused case management intervention did not improve mental health related quality of life compared with usual care. Activities of daily living may have improved.
MedicalResearch.com: What should readers take away from your report?
Response: When the primary care physician accepts clinical decision support from an external medical consultant, the primary care physician is a reliable source for critical illness survivors. Physical functioning may be amendable by case management interventions in primary care.
MedicalResearch.com: What recommendations do you have for future research as a result of this study?
Response: Future interventions in sepsis survivors should be less general and may focus on more specific post-sepsis sequelaes – as depression or post-traumatic stress to improve mental health related quality of life.
MedicalResearch.com: Is there anything else you would like to add?
Response: Sepsis sequelaes are complex and heterogeneous. That requires multiple health experts. Integrating the primary care physician as the generalist may support coordination, monitoring and improvement of sequelaes.
MedicalResearch.com: Thank you for your contribution to the MedicalResearch.com community.
Citation:
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Last Updated on June 28, 2016 by Marie Benz MD FAAD