Surviving pediatric intensive care: physical outcome after 3 months.

Surviving pediatric intensive care: physical outcome after 3 months.
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DOI:
10.1007/s00134-008-1061-4
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发表时间:
2008-06
影响因子:
38.9
通讯作者:
Bos, Albert P.
Bos, Albert P.
中科院分区:
医学1区
文献类型:
--
作者:
Knoester, Hendrika;Bronner, Madelon B.;Bos, Albert P.

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This study investigated the prevalence and nature of physical and neurocognitive sequelae in pediatric intensive care unit (PICU) survivors. Prospective follow-up study 3 months after discharge from a 14-bed tertiary PICU in The Netherlands. The families of 250 previously healthy children unexpectedly admitted to the PICU were invited to visit the outpatient follow-up clinic for structured medical examination of the child 3 months after discharge; 186 patients were evaluated. Pediatric Cerebral Performance Category (PCPC) and Pediatric Overall Performance Category (POPC) values were determined at PICU discharge, at the outpatient follow-up clinic, and retrospectively before admission to the PICU. We found that 69% of children had physical sequelae. In 30% of cases these were caused by a previously unknown illness and in 39% by acquired morbidity. In 8% of the children the acquired morbidity was related to complications from PICU procedures. Three months after discharge 77% of the children had normal PCPC scores and 31% had normal POPC scores. Our results indicate that PICU survival may be associated with substantial physical sequelae. Structured follow-up research, preferably by multicenter studies, is warranted in PICU survivors.
DOI: 10.1186/cc6161
发表时间: 2007
期刊: Critical care (London, England)
影响因子: --
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发表时间: 2005-12-01
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作者:
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通讯作者: Sorce, Lauren R