Emotional Aspects of Pediatric Post-Intensive Care Syndrome Following Traumatic Brain Injury

Bradbury, Kathryn; Williams, Cydni N.; Leonard, Skyler; Holding, Emily Z.; Turner, Elise; Wagner, Amanda; Piantino, Juan; Luther, Madison; Hall, Trevor A.

doi:10.1007/s40653-020-00332-y

Cited by 17 publications

(15 citation statements)

References 37 publications

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“…These findings are important because the standard of care for managing these psychological, emotional, and social sequelae often falls on the shoulders of community mental health providers, who may not have the expertise given the overlap with medical complexity, and access to mental health providers is a growing health crisis. The emerging research suggests interventions can improve education for PICS and reduce child and family morbidity if post-PICU morbidities in this domain are identified and addressed early in the recovery process 14 51 52 53 54 55 56 57 58 59 60 highlighting yet another potentially modifiable risk factor.…”

Section: Discussionmentioning

confidence: 99%

“…Parent/caregiver mental health struggles have been shown to impact access to care for children as well as worsen a variety of child outcomes in physical, cognitive, and emotional domains. 3,10,60,[65][66][67][68] Understanding, preventing, and treating the social domain morbidities of PICS, as early as possible, is not only important for the wellbeing of the family members but also directly impacts the child's recovery trajectory.…”

Section: Pics: Social/family Functioningmentioning

confidence: 99%

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Post-Intensive Care Syndrome in a Cohort of School-Aged Children and Adolescent ICU Survivors: The Importance of Follow-up in the Acute Recovery Phase

Hall

Greene

Lee

et al. 2022

J Pediatr Intensive Care

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Pediatric intensive care unit (PICU) survivors experience a collection of physical, cognitive, emotional, and social symptoms named post-intensive care syndrome (PICS). We aimed to quantify PICS morbidities from multiple stakeholder perspectives across domains. Using physician, neuropsychologist, and parent/caregiver-completed outcome measures across domains in a cross-sectional analysis of 186 children between the ages of 8 and 19 years with data from a PICU follow-up clinic 1 to 3 months after PICU discharge, we quantified PICS morbidities and used Spearman correlation to evaluate interdependence of PICS domains. Compared with pre-hospitalization functioning, new PICS-related morbidities were observed and significant correlations were identified between the PICS domains. Results highlight the need to identify and support patients and families for multiple morbidities simultaneously across all relevant PICS domains; moreover, an important divergence between caregiver report, physician, and neuropsychologist assessment was also found, showcasing the importance of multiple assessments and perspectives. New PICS morbidities across domains are common after discharge from the PICU, and timely follow-up care is needed that involves collaboration/integration of physicians, neuropsychologists, youth, and families to effectively identify and treat PICS-related issues.

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Section: Discussionmentioning

confidence: 99%

Section: Pics: Social/family Functioningmentioning

confidence: 99%

Post-Intensive Care Syndrome in a Cohort of School-Aged Children and Adolescent ICU Survivors: The Importance of Follow-up in the Acute Recovery Phase

Hall

Greene

Lee

et al. 2022

J Pediatr Intensive Care

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“…Rates are not well documented for children with history of anoxic and hypoxic events. Across youth affected by brain injury, risk for psychiatric sequelae is highest in those with preexisting psychiatric disorders [ 59 , 60 ], elevated parental distress following injury [ 12 , 61 ], longer PICU stays [ 62 ] and delusional memories of their PICU stay [ 63 ]. Fortunately, symptom severity often decreases with time from injury [ 60 , 64 ].…”

Section: Literature Reviewmentioning

confidence: 99%

“…Children with brain injury are at increased risk for long-term neurocognitive, emotional, social, and behavioral sequelae [ 1 , 10 , 11 , 12 ]. Such sequelae place youth at increased risk for poorer educational functioning post-injury [ 10 , 13 , 14 ].…”

Section: Introductionmentioning

confidence: 99%

Back to School: Academic Functioning and Educational Needs among Youth with Acquired Brain Injury

Vanderlind

Demers²,

Engelson³

et al. 2022

Children

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Youth with a history of traumatic or non-traumatic acquired brain injury are at increased risk for long-lasting cognitive, emotional, behavioral, social, and physical sequelae post-injury. Such sequelae have great potential to negatively impact this population’s academic functioning. Consistently, poorer academic achievement and elevated need for educational supports have been well-documented among youth with a history of acquired brain injury. The current paper reviews the literature on neuropsychological, psychiatric, and academic outcomes of pediatric acquired brain injury. A discussion of special education law as it applies to this patient population, ongoing limitations within the field, and a proposal of solutions are also included.

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“…These psychological symptoms in children are associated with negative health outcomes [ 10 , 11 ], including poorer treatment adherence, lower health-related quality of life, and impaired physical and emotional health [ 12 , 13 ]. Similarly, parental or caregiver distress and PMTS symptoms predict poorer child outcomes in general [ 14 ] and specifically in post-PICU populations [ 15 , 16 , 17 ].…”

Section: Introductionmentioning

confidence: 99%

Is Pediatric Intensive Care Trauma-Informed? A Review of Principles and Evidence

et al. 2022

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Pediatric critical illness and injury, along with the experience of recovering from critical illness are among the most potentially traumatic experiences for children and their families. Additionally, children often come to the Pediatric Intensive Care Unit (PICU) with pre-existing trauma that may sensitize them to PICU-related distress. Trauma-informed care (TIC) in the PICU, while under-examined, has the potential to enhance quality of care, mitigate trauma-related symptoms, encourage positive coping, and provide anticipatory guidance for the recovery process. This narrative review paper first describes the need for TIC in the PICU and then introduces the principles of TIC as outlined by the American Academy of Pediatrics: awareness, readiness, detection and assessment, management, and integration. Current clinical practices within PICU settings are reviewed according to each TIC principle. Discussion about opportunities for further development of TIC programs to improve patient care and advance knowledge is also included.

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Emotional Aspects of Pediatric Post-Intensive Care Syndrome Following Traumatic Brain Injury

Cited by 17 publications

References 37 publications

Post-Intensive Care Syndrome in a Cohort of School-Aged Children and Adolescent ICU Survivors: The Importance of Follow-up in the Acute Recovery Phase

Post-Intensive Care Syndrome in a Cohort of School-Aged Children and Adolescent ICU Survivors: The Importance of Follow-up in the Acute Recovery Phase

Back to School: Academic Functioning and Educational Needs among Youth with Acquired Brain Injury

Is Pediatric Intensive Care Trauma-Informed? A Review of Principles and Evidence

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