Evidence map›Paper›PMID 30301824›Full record

ArticleEvidence-based mental health2018

Inflammation and psychopathology in children following PICU admission: an exploratory study.

Giorgia Caspani, Georgina Corbet Burcher, M Elena Garralda, Mehrengise Cooper, Christine M Pierce, Lorraine C Als, Simon Nadel

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Article in Evidence-based mental health, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
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10citing papers in PubMed, 2 pooled it
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1 · What the graph read from it

What it found

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2 · The registry

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3 · Its place in the literature

Who cites it

10 citing papers in PubMed, 2 syntheses or guidelines pooled it.

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4 · The record

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5 · Who and what money

Authors and funding

7 authors.

Giorgia Caspani *Department of Surgery and Cancer, Imperial College London, London, UK.ORCID http://orcid.org/0000-0003-1697-1437
Georgina Corbet Burcher *Centre for Psychiatry, Imperial College London, London, UK.
M Elena GarraldaCentre for Psychiatry, Imperial College London, London, UK.
Mehrengise CooperDepartment of Paediatric Intensive Care, St Mary's Hospital, Imperial College Healthcare NHS Trust, London, UK.
Christine M PierceDepartment of Paediatric Intensive Care, Great Ormond Street Hospital, London, UK.
Lorraine C AlsCentre for Psychiatry, Imperial College London, London, UK.
Simon NadelDepartment of Paediatric Intensive Care, St Mary's Hospital, Imperial College Healthcare NHS Trust, London, UK.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundSurvivors of critical illness in childhood commonly display subsequent psychiatric symptoms including emotional and behavioural difficulties, and manifestations of post-traumatic stress disorder (PTSD). Anomalies in inflammatory profiles are an established finding in these childhood psychiatric conditions.

objectiveThis exploratory study aimed to investigate whether abnormal peripheral blood inflammatory markers measured during paediatric intensive care unit (PICU) admission were associated with psychiatric symptoms after discharge.

methodsWe performed a prospective observational cohort study on 71 children with septic illness, meningoencephalitis and other critical disorders admitted to two PICUs between 2007 and 2010. 3-6 months following discharge, subjects were assessed for global psychiatric risk (ie, presence of emotional and behavioural difficulties on the parental Strengths and Difficulties Questionnaire (SDQ)), and for PTSD risk using the child-rated Impact of Events Scale (IES-8). Inflammatory and related biological markers were transcribed from PICU admission notes (white cell count, lymphocytes, neutrophils, C reactive protein (CRP), platelets, fibrinogen and lactate).

findingsGlobal psychiatric risk at follow-up was associated with abnormal lymphocyte count during admission (χ

conclusionThese results support the hypothesis that acute inflammation may play a role in determining the development of psychopathology following PICU admission. CLINICAL IMPLICATIONS: If the findings are replicated, they may help to better highlight which children are at risk of post-PICU psychopathology and appropriately target follow-up.

Indexed as

HospitalizationIntensive Care Units, PediatricAdolescentChildChild, PreschoolCohort StudiesCritical IllnessFemaleHumansInflammationMaleMental DisordersRiskSurvivors

Identifiers

PMID30301824
PMCPMC6241628

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