Publicação
Core components of transitional care for ECMO survivors after ICU discharge: a three-round modified Delphi study
| dc.contributor.author | Costa, Paulo | |
| dc.contributor.author | Ferreira, Amélia | |
| dc.date.accessioned | 2026-09-14T11:58:21Z | |
| dc.date.available | 2026-09-14T11:58:21Z | |
| dc.date.issued | 2026-01-01 | |
| dc.description.abstract | Background: Survivors of extracorporeal membrane oxygenation (ECMO) may experience persistent physical, cognitive, psychological, social, and quality-of-life impairments after intensive care unit (ICU) discharge. However, the core components of early transitional care after ECMO remain insufficiently defined. Objective: To identify clinician-derived core components of an early transitional care framework for adult ECMO survivors after ICU discharge in Portugal. Methods: We conducted a three-round modified Delphi consensus study with clinicians from the three Portuguese ECMO referral centers. Candidate items were informed by a scoping review, a cross-sectional study of national follow-up practices, and synthesis by the steering group. Panellists rated the importance of each item for inclusion in an early transitional care framework using a 5-point scale. Consensus was predefined as ≥70% of panellists rating an item as 5. Non-consensual items were revised or excluded based on quantitative feedback and qualitative comments. Results: Nine experts completed all three rounds. The final framework included 19 consensual components across four domains: objectives of care, clinical assessment and instruments, structure and timing of care delivery, and professional involvement. The framework supports early, staged follow-up beginning during ICU stay, continuing at ICU discharge, and extending into the first month after ICU discharge. Conclusion: This study provides an initial clinician-derived consensus framework for early transitional care after ECMO in Portugal. The framework should not be interpreted as a definitive survivorship model. Further work should include survivors, caregivers, and broader multidisciplinary stakeholders, and should evaluate implementation, feasibility, and longer-term follow-up beyond the first month. | eng |
| dc.identifier.doi | 10.1016/j.hrtlng.2026.102949 | |
| dc.identifier.other | cb9a6557-db29-4fac-903e-44f65fed7e25 | |
| dc.identifier.uri | http://hdl.handle.net/10400.14/59366 | |
| dc.language.iso | eng | |
| dc.peerreviewed | yes | |
| dc.publisher | Elsevier Inc. | |
| dc.rights.uri | http://creativecommons.org/licenses/by/4.0/ | |
| dc.subject | Extracorporeal membrane oxygenation | eng |
| dc.subject | Transitional care | eng |
| dc.subject | Intensive care unit | eng |
| dc.subject | Critical care nursing | eng |
| dc.subject | Aftercare | eng |
| dc.subject | Critical care outcomes | eng |
| dc.subject | Delphi technique | eng |
| dc.title | Core components of transitional care for ECMO survivors after ICU discharge: a three-round modified Delphi study | |
| dc.type | research article | |
| dspace.entity.type | Publication | |
| oaire.citation.volume | 80 | |
| oaire.version | http://purl.org/coar/version/c_970fb48d4fbd8a85 |
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