339: Impact of Social Determinants on Pediatric Patient and Family Outcomes After Critical Illness

Espinoza, Jason; Chavez, Jairo; Goodrich, Corissa; Pendergrast, Tricia; Goldhar, Emily; Srdanovic, Nina; Derrington, Sabrina

doi:10.1097/01.ccm.0000619712.66435.f5

Cited by 1 publication

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“…The results from the HADS demonstrated the fragility of many families of PICU survivors. Social determinants of health after a PICU stay may substantially impact the child’s recovery (41). A systematic review on traumatic stress of parents after the critical illness of a child pointed to familial preexisting factors, parents’ subjective experience of the PICU hospitalization, and family life stressors after discharge as frequently related with parent and family outcomes (4).…”

Section: Discussionmentioning

confidence: 99%

PICU Follow-Up Clinic: Patient and Family Outcomes 2 Months After Discharge*

Ducharme‐Crevier

François

et al. 2021

Pediatric Critical Care Medicine

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Hospitalization in a PICU is a life-altering experience for children and their families. Yet, little is known about the well-being of these children after their discharge. We are describing the outcome of PICU survivors at a PICU clinic 2 months after discharge. DESIGN: Prospective cohort study.SETTING: PICU and PICU clinic of CHU Sainte-Justine. PATIENTS:Prospective cohort study of children admitted for greater than or equal to 4 days, greater than or equal to 2 days of invasive ventilation, odds ratio greater than or equal to 4 days of noninvasive ventilation at Centre Hospitalier Universitaire Sainte-Justine. PATIENTS:Prospective cohort study of children admitted for greater than or equal to 4 days, greater than or equal to 2 days of invasive ventilation, or greater than or equal to 4 days of noninvasive ventilation at Centre Hospitalier Universitaire Sainte-Justine PICU. INTERVENTIONS: None. MEASUREMENTS AND MAIN RESULTS:Patients were evaluated by a pediatric intensivist 2 months after discharge at the follow-up clinic. They were asked to fill out validated questionnaires. One hundred thirty-two patients were followed from October 2018 to September 2020. The PICU diagnoses were respiratory illness (40.9%), head trauma, and septic shock (7.6%). Average length of PICU stay was 28.5 ± 84.2 days (median 7 d). Sixty-one percent were intubated. Symptoms reported by families were as follows: fatigue (9.9%), sleep disturbances (20.5%), feeding difficulties (12.1%), and voice change and/or stridor (9.8%). Twenty-one percent of school-aged children reported school delays. Twenty-seven children demonstrated communication delays, 45% gross motor function delays, 41% fine motor delays, 37% delays in problem-solving, and 49% delays in personalsocial functioning. Quality of Life scores were 78.1 ± 20.5 and 80.0 ± 17.5 for physical and psychosocial aspects, respectively. Fourteen percent of parents reported financial difficulties, 42% reported symptoms of anxiety, 29% symptoms of depression.CONCLUSIONS: PICU survivors and their families experience significant physical and psychosocial morbidities after their critical illness. PICU follow-up is crucial to determine the outcome of these children and develop interventions.

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Section: Discussionmentioning

confidence: 99%