Zhang Ting, Duan Xiaoling, Feng Ying, Jiang Wei, Hou Xueqin, Liu Ling, Huang Qinrong, Tang Xiang, Lin Li, Zhang Mingqiang, Tao Liang, Liu Guoqing, Chen Yuxia, Xiao Nong
Department of Rehabilitation, Children's Hospital of Chongqing Medical University, Chongqing, China.
National Clinical Research Center for Child Health and Disorders, Chongqing, China.
Front Pediatr. 2022 Aug 12;10:941669. doi: 10.3389/fped.2022.941669. eCollection 2022.
The focus of this survey was to understand the current status of implementation of early rehabilitation for critically ill children in China. We also reviewed the available literature on this topic for further insights to inform its future development.
We used a cross-sectional study design to survey tertiary hospitals nationwide. Questionnaires were distributed the social media platform "WeChat Questionnaire Star" within the framework of the Rehabilitation Group of the Pediatrics Branch of the Chinese Medical Association. A narrative literature review on the implementation of the early rehabilitation for critically ill pediatric and/or adult patients was carried out.
A total of 202 valid questionnaires were received. About half ( = 105, 52.0%) of respondent hospitals reported that they implement early rehabilitation for critically ill children. Among these 105 hospitals, 28 implemented a continuous chain of early rehabilitation. A total of 24 hospitals had set up permanent specialized centralized early rehabilitation units for critically ill children.
Early rehabilitation for critically ill children is not widely available in China and only a minority of hospitals implement a continuous chain of early rehabilitation. To improve this undesirable situation, we suggest creating a two-level integrated system comprising centralized early rehabilitation units and surrounding early rehabilitation networks within a region.
本次调查的重点是了解中国危重症儿童早期康复的实施现状。我们还回顾了关于该主题的现有文献，以获取更多见解，为其未来发展提供参考。
我们采用横断面研究设计对全国三级医院进行调查。问卷通过中华医学会儿科学分会康复学组框架内的社交媒体平台“微信问卷星”进行发放。对危重症儿童和/或成人患者早期康复实施情况进行了叙述性文献综述。
共收到202份有效问卷。约一半（n = 105，52.0%）的受访医院报告称他们为危重症儿童实施早期康复。在这105家医院中，28家实施了连续的早期康复链。共有24家医院设立了永久性的危重症儿童专门集中早期康复单元。
危重症儿童早期康复在中国尚未广泛开展，只有少数医院实施连续的早期康复链。为改善这种不理想的状况，我们建议建立一个两级整合系统，包括区域内的集中早期康复单元和周边早期康复网络。
