ICU sedation, delirium & recovery

Non-pharmacological post-intensive care interventions to improve patient outcome following critical illness: a scoping review

Crit CarePublished Scoping review

Authors' conclusion

Although this is a large body of literature, it is limited by a lack of RCTs, and uncommon reporting of intervention development, implementation or training. Multicomponent interventions and CCOT/FU showed promising initial results but were infrequently evaluated in clinical trials

Study context

Population
Adult patients receiving non-pharmacological interventions in hospital after discharge from critical carereports included
Participants
202 patients
Outcome
Extent of literature on post-ICU in-hospital non-pharmacological interventions
Methodological detailssystematic search of five databases and grey literature, independent dual screening, formal data charting, Databases searched to 4th February 2025; 41,242 reports screened
  • Systematic search of five databases and grey literature
  • Independent dual screening
  • Formal data charting
  • Databases searched to 4th February 2025; 41,242 reports screened

Main finding

As reported in the abstract

Reports describing critical care outreach/follow-up (CCOT/FU)
n = 93, 46%
Reports describing physical rehabilitation
n = 77, 38.1%
Reports describing nutrition
n = 36, 17.8%
Reports describing randomised controlled trials (RCTs)
n = 31, 15.3%
RCTs evaluating CCOT/FU
n = 5, 16.1%
RCTs evaluating multicomponent interventions
n = 6, 19.4%
RCTs reporting positive primary outcomes (5 were feasibility outcomes)
51.6% (n = 16)
Original studies reporting intervention implementation/training details
17.6% (n = 18/102)

Further findings

Interventions delivered by CCOT/FU

Onward referrals, ordering investigations, family and patient support, and education provision

Original publication

Non-pharmacological post-intensive care interventions to improve patient outcome following critical illness: a scoping review. Crit Care. Published 28 November 2025. doi:10.1186/s13054-025-05755-3

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