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Published 25 March 2009, doi:10.1136/bmj.b822
Cite this as: BMJ 2009;338:b822
Toni Tan, technical analyst1, Stephen J Brett, consultant in intensive care medicine2, Tim Stokes, associate director1, on behalf of the Guideline Development Group
1 Centre for Clinical Practice, National Institute for Health and Clinical Excellence, Manchester M1 4BD, 2 Hammersmith Hospital, Imperial College Healthcare NHS Trust, London W12 0HS
Correspondence to: S Brett stephen.brett@imperial.ac.uk
| The first 150 words of the full text of this article appear below. |
More than 110 000 people are admitted to critical care units in England and Wales each year,1 of whom 75% survive to be discharged home. Many of these people experience considerable and persistent problems with physical, non-physical, and social functioning after discharge from critical care. This article summarises the most recent recommendations from the National Institute for Health and Clinical Excellence (NICE) on rehabilitation after critical illness for adult general critical care patients.2
NICE recommendations are based on systematic reviews of best available evidence. When minimal evidence is available, recommendations are based on the Guideline Development Groups experience and opinion of what constitutes good practice and, in this guidance, also from lessons that can be derived from other clinically relevant fields of patient care. Evidence levels for the recommendations are given in italic in square brackets.
To ensure continuity of care, healthcare professionals with the appropriate competencies should coordinate the
Physical and non-physical morbidity
Examples that may indicate the patient is at risk
Physical dimensions
Non-physical dimensions
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