Post-intensive cardiac care outpatient long-term outreach clinic (PICCOLO clinic): Defining health care needs and outcomes among coronary care unit survivors

Objective: Patients who survive critical illness endure complex physical and mental health conditions, as post -intensive care syndrome (PICS). The University of Michigan's post -intensive cardiac care outpatient term outreach (PICCOLO) clinic is designed for patients recently admitted to the coronary care unit long-term goal of this clinic is to understand post -CCU patients' needs and design targeted interventions their morbidity and mortality post -discharge. As a first step toward this goal, we aimed to define discharge needs of CCU survivors. Design, setting, particpants: We retrospectively reviewed case -mix data (including rates of depression, disability, and cognitive abnormalities) and health outcomes for patients referred to the PICCOLO July 1, 2018, through June 30, 2021 at Michigan Medicine. Results: Of the 134 referred patients meeting inclusion criteria, 74 (55 %) patients were seen in the clinic within 30 days of discharge. Patients seen in the clinic frequently screened positive for depression score >= 3, 21.4 %) and cognitive impairment (MOCA <26, 38.8 %). Further, patients also reported physical difficulty (mean WHODAS 2.0 score 28.4 %, consistent with moderate physical difficulty). with medical intensive care unit (ICU) patients, CCU survivors experience PICS. Conclusion: This work highlights the feasibility of an outpatient care model and the need to leverage gathered from this care model to develop treatment strategies and pathways to address symptoms of survivors, including depression, cognitive impairment, and physical disability.