Assessing the outcome of pediatric intensive care

Fiser, Debra H.

doi:10.1016/s0022-3476(05)82544-2

Cited by 803 publications

(547 citation statements)

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“…The studies carried out by Fiser reported rates of cognitive alterations varying from de 15 to 42% and rates of functional alterations varying from 70 to 73%. 2,12 In the study undertaken by Oom, the presence of cognitive sequelae was observed in 32% of the children and of physical sequelae in 62% at discharge. improvement.…”

Section: Discussionmentioning

confidence: 99%

“…2 In work published by Oom, who studied 580 patients, abnormal cognitive performance was identified in 24% and functional problems in 49%…”

Section: Discussionmentioning

confidence: 99%

“…Indicators of morbidity are important aids, 1 but can be difficult to quantify, particularly in children. 2 In pediatric intensive care, however, death may be a relatively rare event, depending on the volume of patients admitted and the size and type of unit, and does not therefore allow for the full extent of repercussions provoked by the acute disease and by the stay in ICU to be assessed. [3][4][5] Admission to and treatment in intensive care may not result in death, but in varying degrees of incapacity among survivors.…”

Section: Introductionmentioning

confidence: 99%

“…2,10 These are two of the rare instruments that can be used with children less than 1 year old. 3 These two indices were adapted for pediatric use, since, in essence, they were already being used to evaluate adults.…”

Section: Introductionmentioning

confidence: 99%

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Impacto da internação em unidade de terapia intensiva pediátrica: avaliação por meio de escalas de desempenho cognitivo e global

Alievi¹,

Carvalho²,

Trotta³

et al. 2007

J. Pediatr. (Rio J.)

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Objective: To assess the impact of admission to the pediatric intensive care unit (ICU) at the Hospital de Clínicas de Porto Alegre, RS, Brazil on children's cognitive and global performance.Methods: An observational, longitudinal study of a sequential sample of critically ill children. The following indicators were used: the Pediatric Index of Mortality (PIM), for severity and risk of death at admission, the Pediatric Cerebral Performance Category (PCPC), for cognitive morbidity and the Pediatric Overall Performance Category (POPC), for global morbidity, at admission and at discharge. Morbidity related to the ICU was measured according to the difference between classifications at discharge and at admission (delta scores). The Kruskal-Wallis test was applied.Results: A total of 443 patients were assessed, 54% of whom were male, with a median age of 12 months (IQ 4-45), and a median ICU stay of 4.24 days (IQ 2.4-8). The mortality rate was 6.3%. The median PIM score was 2.36% (IQ 1-7). On admission, 46% of the patients had some degree of cognitive morbidity and 66% had some degree of global morbidity. At discharge there was 60% cognitive morbidity and 86% global morbidity. The assessment of ICUrelated morbidity revealed that 25% of the patients had undergone cognitive changes while 41% had undergone global variations, at discharge compared with admission. Conclusions:Although affected by the elevated degree of morbidity at admission, the impact of the ICU stay was more significant in the global than in the cognitive domain. In the same manner, both risk of death at admission and length of stay had a significant effect on the morbidity of severely ill patients.J Pediatr (Rio J). 2007;83(6): 505-511:Outcome, critical care, pediatric cerebral performance category, pediatric overall performance category, morbidity.

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Section: Discussionmentioning

confidence: 99%

“…2 In work published by Oom, who studied 580 patients, abnormal cognitive performance was identified in 24% and functional problems in 49%…”

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Impacto da internação em unidade de terapia intensiva pediátrica: avaliação por meio de escalas de desempenho cognitivo e global

Alievi¹,

Carvalho²,

Trotta³

et al. 2007

J. Pediatr. (Rio J.)

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show abstract

“…In 1992, the GOS was modified specifically to assess outcomes in children in the intensive care unit, and a category of 'Mild Disability' (somewhat similar to the GOSE Lower Good Recovery category) was added to the original five-point scale 40 . Subsequently derived from the modified scale was the Paediatric Overall Performance Category and the Paediatric Cognitive Performance Category Scales.…”

Section: [H2] Children's Versionsmentioning

confidence: 99%