Efficiency of a Telemedicine-based Follow-up on for the Medical Management of Patients Leaving the Intensive Care Unit

Efficiency of a Telemedicine-based Follow-up on for the Medical Management of Patients Leaving the Intensive Care Unit

Patients surviving to a stay in intensive care unit (ICU) are likely to require specific care and follow-up after their ICU stay, in order to manage the serious illness at the origin of the ICU stay and any sequelae, but also to adapt the treatments and prevent new complications. At present, there is no specific care chain after ICU.

In order to meet this need, we propose the implementation of a care chain integrating telemedicine at home. We compare the current system (lack of specific follow-up) to follow-up by telemedicine at home.

Inclusion criteria:

• Adult patient ≥ 18 years old
• Patient admitted to ICU
• Stay in intensive care > 48h
• Patient having benefited from at least one organ support during the ICU stay: invasive or non-invasive ventilation (including nasal high-flow oxygen therapy), inotropic or vasopressor support, renal replacement therapy)
• Understanding of the French language
• Patient or entourage able to carry out the measures proposed by telemedicine
• Subject affiliated to a social health insurance scheme
• Subject having signed a consent form

Exclusion criteria:

• Subject under guardianship or curatorship
• Pregnancy / lactation
• Voluntary drug poisoning