Critical and Acute Illness Recovery and Engagement Program
CAIRE
The Critical and Acute Illness Recovery and Engagement Program
Our program aims to provide clinical management, education, and guidance to help adult survivors of critical illness as well as adult patients with Long COVID and other infection-associated chronic conditions. We use a consultation model of care in which we aim to personalize principles of recovery to help patients and providers to better address the most common chronic symptoms that can plague patients after an episode of critical illness or after acute infections like SARS-CoV-2.
Appointment Line: 503-494-9006
In addition to seeing patients and teaching at OHSU, we are also involved in research aimed to further understanding post-intensive care syndrome (PICS), Long COVID and other infection associated chronic conditions.
Patients recovering from critical and acute illnesses may experience new or worsening cognitive, psychological, and physical symptoms.
Some of these include:
- Breathing difficulties
- Weakness and balance problems
- Pain & numbness
- Memory & concentration difficulties
- Anxiety, Depression, or Post-Traumatic Stress Symptoms
- Sleep problems
- Dizziness, headache, cold hands and feet, palpitations
- Post-exertional malaise (PEM)
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Patients are eligible to see CAIRE for evaluation of an Infection-Associated Chronic Condition (IACC) if they have new or worsening symptoms following an acute infection like COVID-19, influenza, mononucleosis, etc. that have lasted ≥ 3 months.
Exact timing or confirmation of the infection is not required for medical review. A general timeframe will be considered.
CAIRE focuses on patients experiencing one or more of the following symptoms:
- Shortness of breath
- Cough
- Fatigue (physical and/or cognitive)
- Post-exertional malaise
- Exercise intolerance
- Cognitive or communication changes (“brain fog”)
- Orthostatic intolerance or dysautonomia
These conditions are often complex and require an interdisciplinary, team-based approach. Our team includes clinicians, a nurse practitioner, a nurse navigator, a pharmacist, and a psychologist and we work closely with our research team to support comprehensive care.
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Dr. Aluko Hope, CAIRE Clinic Director
Dr. Kinsley Hubel, Pulmonary Critical Care & ECMO Faculty
Dr. Khoa Nguyen, Critical Care Cardiologist
Photograph of CAIRE Team; from left to right: Dr. Aluko Hope, Dr. Kinsley Hubel, Dr. Khoa Nguyen, Jennifer Arnold, RN -
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Bateman Horne