Evidence map›Paper›PMID 32299742›Full record

ReviewPediatric neurology2020

Post-Intensive-Care Syndrome for the Pediatric Neurologist.

Mary E Hartman, Cydni N Williams, Trevor A Hall, Christopher C Bosworth, Juan A Piantino

Open access · greenAbstract readReview
In one paragraph

Review in Pediatric neurology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
26citing papers in PubMed, 2 pooled it
3.2field-weighted citation impact, top 7% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

26 citing papers in PubMed, 2 syntheses or guidelines pooled it, 51 citations in OpenAlex.

  1. Guideline
  2. Pooled it
  3. Trial
  4. Trial
  5. Observational
  6. Review
  7. Article
  8. Article
  9. Review
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  11. Article
  12. Early Mobilization in Pediatric Critical Care: Exploring the Gap Between Theory and Practice in Saudi Arabia.Medical science monitor : international medical journal of experimental and clinical research · 2024
    Article
  13. Review
  14. Follow-up after PICU discharge for patients with acquired brain injury: the role of an abbreviated neuropsychological evaluation and a return-to-school program.Pediatric critical care medicine : a journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies · 2023
    Article
  15. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 3 institutions in 1 country.

Mary E HartmanDivision of Pediatric Critical Care Medicine, Department of Pediatrics, Washington University in St. Louis, St. Louis, Missouri.
Cydni N WilliamsPediatric Critical Care and Neurotrauma Recovery Program, Oregon Health & Science University, Portland, Oregon; Division of Pediatric Critical Care, Department of Pediatrics, Oregon Health & Science University, Portland, Oregon.
Trevor A HallDivision of Pediatric Psychology, Department of Pediatrics, Oregon Health & Science University, Portland, Oregon.
Christopher C BosworthDepartment of Psychology, Washington University School of Medicine, St. Louis Children's Hospital, St. Louis, Missouri.
Juan A PiantinoPediatric Critical Care and Neurotrauma Recovery Program, Oregon Health & Science University, Portland, Oregon; Division of Pediatric Neurology, Department of Pediatrics, Oregon Health & Science University, Portland, Oregon. Electronic address: piantino@ohsu.edu.
Oregon Health & Science University · USSt. Louis Children's Hospital · USWashington University in St. Louis · US

Funding

Oregon Patient Centered Outcomes Research K12 ProgramK12HS022981 · AHRQ · OREGON HEALTH & SCIENCE UNIVERSITY · PI GUISE, JEANNE-MARIE · 2014 to 2018
$4.1M
Oregon Emergency Care Research Multidisciplinary Training ProgramK12HL133115 · NHLBI · OREGON HEALTH & SCIENCE UNIVERSITY · PI MORRIS, CYNTHIA D, NEWGARD, CRAIG D. · 2016 to 2020
$2.9M
AHRQ HHS K12 HS022981NHLBI NIH HHS K12 HL133115
6 · The paper itself

Abstract

The number of children who survive critical illness has steadily increased. However, lower mortality rates have resulted in a proportional increase in post-intensive-care morbidity. Critical illness in childhood affects a child's development, cognition, and family functioning. The constellation of physical, emotional, cognitive, and psychosocial symptoms that begin in the intensive care unit and continue after discharge has recently been termed post-intensive-care syndrome. A conceptual model of the post-intensive-care syndrome experienced by children who survive critical illness, their siblings, and parents has been coined post-intensive-care syndrome in pediatrics. Owing to their prolonged hospitalizations, the use of sedative medications, and the nature of their illness, children with primary neurological injury are among those at the highest risk for post-intensive-care syndrome in pediatrics. The pediatric neurologist participates in the care of children with acute brain injury throughout their hospitalization and remains involved after the patient leaves the hospital. Hence it is important for pediatric neurologists to become versed in the early recognition and management of post-intensive-care syndrome in pediatrics. In this review, we discuss the current knowledge regarding post-intensive-care syndrome in pediatrics and its risk factors. We also discuss our experience establishing Pediatric Neurocritical Care Recovery Programs at two large academic centers. Last, we provide a battery of validated tests to identify and manage the different aspects of post-intensive-care syndrome in pediatrics, which have been successfully implemented at our institutions. Dissemination of this "road map" may assist others interested in establishing recovery programs, therefore mitigating the burden of post-intensive-care morbidity in children.

Indexed as

AftercareCritical IllnessIntensive Care Units, PediatricNeurologyPediatricsBrain InjuriesChildHumansCritical CareEducational interventionPediatricsPICSPost-intensive-care syndrome

Identifiers

PMID32299742
PMCPMC7306429
OpenAlexW3008903258

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.