Approximately one-third of elderly patients discharged after a critical care hospitalization die within a year and one-sixth suffer permanent impairments that require ongoing medical care. Although aftercare models such as intensive care unit (ICU) survivor clinics offer integrated care, many require the patient to travel to the site, which is not always feasible for those with severe impairments requiring ongoing medical care.

Mayr and colleagues evaluated the feasibility of a multidisciplinary 90-day home-based palliative care intervention with elderly veteran ICU survivors that included 2 in-home visits and 2 follow-up telephone visits. They found that the intervention was

  • Operationally feasible, with >70% of the preplanned home and phone visits completed

  • Cost-neutral for the facility, with an estimated cost per patient of ~$2300

  • Positively received, with a patient overall satisfaction score of 4.5 on a 5-point scale Although not a focus of the study, patients’...

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