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September 5, 2025American Journal of Critical Care1 citations

Patients’ Priorities and Goals of Care During Intensive Care Unit Recovery: A Multicenter Cohort Study

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ESElizabeth A. SmithPMPamela MacTavishMSMartin Shaw

Key Points

  • Patients set 314 personal goals reflecting their diverse needs during recovery from critical illness.
  • Analysis revealed 5 key categories of goals, indicating a holistic approach to patient recovery is necessary.
  • This multicenter, descriptive cohort study highlights the significance of patients' priorities in developing care models.
  • Integrating these identified goals of care can lead to better alignment of interventional research with patient needs.

Abstract

Patients can experience physical, emotional, social, and cognitive challenges following discharge from critical care. Data regarding goals of care for intensive care unit recovery from a patient's perspective are limited. To use data from a multicenter intensive care unit recovery program to explore patients' goals during recovery from critical illness and to understand optimal models of care for future research design and care delivery. This multicenter, descriptive cohort study recruited patients who attended critical care recovery services after hospital discharge. During attendance, patients set goals of care with health care professionals. These goals of care were evaluated with framework analysis. One hundred fifty-one patients were recruited from 3 hospital sites in Scotland. Of these patients, 134 (88.7%) set a total of 314 personal goals. Analysis of the goals revealed 5 categories: physical; health management; emotional and psychosocial; education, employment, and purpose; and social and interpersonal goals. Goals were related to both chronic disease management and acute recovery following critical illness. Survivors of critical illness have various goals of care for recovery that span physical, social, and emotional needs. Clinicians and researchers should consider these goals of care when planning interventional research in this area to ensure that it meets patients' need and expectations.

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Cite This Study

Smith et al. (2025) studied this question.

synapsesocial.com/papers/68bb46c96d6d5674bccff23bhttps://doi.org/10.4037/ajcc2025564
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