Chaiyakulsil Chanapai, Opasatian Rapee, Tippayawong Paweethida
Division of Pediatric Critical Care, Department of Pediatrics, Faculty of Medicine, Thammasat University, Prathumtani, Thailand.
Division of Pediatric Pulmonology and Critical Care, Department of Pediatrics, Lerdsin Hospital, Bangkok, Thailand.
Clin Exp Pediatr. 2021 Sep;64(9):436-442. doi: 10.3345/cep.2020.01354. Epub 2020 Dec 18.
This article aimed to summarize the impact and burden of pediatric postintensive care syndrome (PICS-p) in the physical, mental, cognitive, and social health domains after a review of the current pediatric literature in MEDLINE and PubMed. We also aimed to elucidate the limitations of the current evaluation tools used in limited-resource settings. PICS-p can impact a child's life for decades. Most validated tools are time-consuming, require qualifications, and expertise, are often limited to older children, and can evaluate only one domain. A novel, simple, and comprehensive surveillance tool can aid healthcare providers in the early detection and intervention of PICS-p. Further studies should validate and refine the parameters that will enhance the outcomes of pediatric intensive care unit survivors.
在对MEDLINE和PubMed中当前的儿科文献进行综述后,本文旨在总结儿科重症监护后综合征(PICS-p)在身体、心理、认知和社会健康领域的影响及负担。我们还旨在阐明资源有限环境中使用的当前评估工具的局限性。PICS-p可对儿童的生活产生数十年的影响。大多数经过验证的工具耗时、需要资质和专业知识,通常仅限于年龄较大的儿童,并且只能评估一个领域。一种新颖、简单且全面的监测工具可帮助医疗服务提供者早期发现和干预PICS-p。进一步的研究应验证和完善相关参数,以改善儿科重症监护病房幸存者的预后。