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

  • Chaiyakulsil, Chanapai (Division of Pediatric Critical Care, Department of Pediatrics, Faculty of Medicine, Thammasat University) ;
  • Opasatian, Rapee (Division of Pediatric Pulmonology and Critical Care, Department of Pediatrics, Lerdsin Hospital) ;
  • Tippayawong, Paweethida (Department of Pediatrics, Thammasat University)
  • Received : 2020.08.05
  • Accepted : 2020.12.02
  • Published : 2021.09.15

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.

Keywords

Acknowledgement

The author would like to show appreciation to the Department of Pediatrics, Faculty of Medicine, Thammasat University Hospital for the strong support and extensive cooperation in making this study possible. The author would also like to especially show a great appreciation to Professor Paskorn Sritipsukho, Department of Epidemiology, Faculty of Medicine, Thammasat University for the great advice in the improvement of this manuscript.

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