Screening for Social Determinants of Health in the Pediatric Intensive Care Unit

ACEs High: Parents’ Own History of Childhood Adversity Is Associated With Their Increased Risk of Post-Traumatic Stress Disorder After PICU*

“…In conclusion, the 10-fold risk, found in the study by Pryce et al (6), of significant PTSD symptoms in parents with a history of greater than or equal to 4 ACEs, is important finding, which supports the recent call for more attention to be given to the social determinants of health in this population (2). Future longitudinal research could also determine the degree to which ACEs in parents and children are associated with their distress trajectories in the longer term.…”

“…T he social determinants of health are well recognized as important predictors of risk for the development of health problems and of poorer long-term outcomes, with research demonstrating that children requiring intensive care treatment are more likely to come from disadvantaged backgrounds (1). This has led to the recent recommendation that these factors are routinely screened for in PICU settings so that, from a clinical perspective, appropriate support can be directed at the neediest families (2). Also, from a research perspective, it is important to examine the profiles of study participants in relation to this aspect, in order to assess the representativeness of samples, relative to the PICU population.…”

A Multicenter Retrospective Evaluation of Social Determinant of Health Z Code Usage among Pediatric Patients with Critical Care Visits during Pediatric Critical Care

“…19 SDOH also may have long-term negative effects and impact the development of the brain, immune system, and stress response. [19][20][21] As SDOH contribute to disease mortality and morbidity in the pediatric critical care setting as well as in follow-up care and management of chronic conditions, it is important to understand, identify, and intervene when it occurs. 15,22 SDOH are more frequently screened and addressed in the primary care setting.…”

“…In pediatric critical care, SDOH are increasingly recognized as a contributing factor to the outcomes of critically ill children. 19 It may increase illness severity, readmission rates, and impact functional outcomes in those with SDOH. 19 SDOH also may have long-term negative effects and impact the development of the brain, immune system, and stress response.…”

“…19 It may increase illness severity, readmission rates, and impact functional outcomes in those with SDOH. 19 SDOH also may have long-term negative effects and impact the development of the brain, immune system, and stress response. 19 20 21 As SDOH contribute to disease mortality and morbidity in the pediatric critical care setting as well as in follow-up care and management of chronic conditions, it is important to understand, identify, and intervene when it occurs.…”