Clin Exp Pediatr.  2021 Sep;64(9):436-442. 10.3345/cep.2020.01354.

Pediatric postintensive care syndrome: high burden and a gap in evaluation tools for limited-resource settings

• Chaiyakulsil C
• Opasatian R
• Tippayawong P

• KMID: 2519649
• DOI: http://doi.org/10.3345/cep.2020.01354

Abstract

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.

Keyword

Child; Critical illness; Pediatric intensive care; Cognitive impairment; Posttraumatic stress disorder