Survivors of Sepsis Require Complicated, Coordinated Follow-Up Care

MedicalResearch.com Interview with:

Jochen Gensichen, MD, MSc, MPH Institute of General Practice and Family Medicine Konrad Reinhart, MD Center of Sepsis Control and Carecopy right for the-photo is with: Michael Fuchs, Remseck

Dr. Jochen Gensichen

Jochen Gensichen, MD, MSc, MPH
Institute of General Practice and Family Medicine

Konrad Reinhart, MD Center of Sepsis Control and Care

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:

Schmidt K, Worrack S, Von Korff M, et al. Effect of a Primary Care Management Intervention on Mental Health–Related Quality of Life Among Survivors of Sepsis: A Randomized Clinical Trial. JAMA.2016;315(24):2703-2711. doi:10.1001/jama.2016.7207.

Note: Content is Not intended as medical advice. Please consult your health care provider regarding your specific medical condition and questions.

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