Post ICU monitoring

Access to the web form requires login using a SITHS card. Apply for authorisation under the tab web form

In common with the earlier SF-36, RAND-36 comprises 36 questions within eight domains. The estimation is presented both in figures beneath each domain and in the form of a spider diagram. The domains included in RAND-36 are the same as those in SF-36, together with a question that is not included in any domain (this is not presented in the spider diagram).

RP - Physical role
PF - Physical function
SF - Social function
BP - Bodily pain
RE - Emotional role
GH - General health
MH - Mental health
VT - Vitality

It is currently not possible to carry out calculations in RAND-36 for the two areas (total score), which are calculated based on the results of the SF-36, i.e. MCS for mental health and PCS for physical health. This is because the areas are calculated on the basis of an algorithm designed for SF-36. The PROM centre, which translated and validated RAND-36, is working on a solution.

All SIR members have access to the web form, and in order for it to function for your department it is necessary that your department continuously reports all instances of intensive care to SIR. Care episodes which requires monitoring must be present in SIR prior to the reporting of the Post ICU data.

What should be monitored?

SIR recommends that all patients ≥ 16 years admitted for a care episode of ≥ 96 hours of care type IVA, BIVA or TIVA be monitored.
If the patient has been treated at more than one ICU, monitoring should only be carried out at one ICU.

Patient list

Care episodes which meet the conditions stipulated by the department will automatically be entered into a patient list following login. The patient list can be sorted according to your preference by clicking the field names.
Patients marked in red are deceased (following ICU) according to the civil register.

Customising settings

Each department can set a lower number of hospital stay hours for the patient list selection, albeit not more than 96 hours.

The ward’s own patients

There will be times when for one or another reason one will monitor a patient who does not meet the stipulated requirements for monitoring. In such cases the patient will not be included on the patient list. In this case you can add the patient yourself via the menu "Add person". It is important to select the correct care episode if the person has been admitted on multiple occasions. As above, the condition for this is that the patient's care episode is submitted to SIR.

When should monitoring take place?

At 2, 6 and 12 months after discharge from the ICU. These contacts must be made within certain time frames. If too much time has passed you must provide a reason why monitoring has not been carried out.

  • 2-month monitoring appointment must take place within 4 months of discharge
  • 6-month monitoring appointment must take place within 4 to 9 months of discharge
  • 12-month monitoring appointment must take place within 10 to 14 months of discharge
  • In addition to the appointments recommended by SIR, additional contacts may be reported. This means that more than one appointment can take place in each time interval. However, SIR will only recognize one appointment per time interval

What if the patient cannot be monitored?

In this case the reason for this should be recorded for each contact. You can find the list of reasons in the guidelines and in the web form

What if the patient is not supposed to be monitored?

If the patient is to be completely excluded from monitoring, this should be registered as "Exception to monitoring". This means that monitoring of the patient will not be included in SIR's calculation of monitoring carried out

RAND-36

For each contact there is a RAND-36 form. There is also a printable RAND-36 form that should only be used as an aid in the collection of data on the local department.
A summary of RAND-36 results is also found in the form.

Report for individual patient

A printed report for the individual may also be prepared.