Evidence map›Paper›PMID 34261948›Full record

ArticlePediatric critical care medicine : a journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies2021

Overall Health Following Pediatric Critical Illness: A Scoping Review of Instruments and Methodology.

Erin F Carlton, Neethi Pinto, McKenna Smith, Ericka L Fink, R Scott Watson, K Sarah Hoehn, Neelima Marupudi, Leslie A Dervan, Mellanye Lackey, Melissa Ringwood and 2 more

Abstract readScoping Review
PubMed Full text at PMC Publisher
In one paragraph

Article in Pediatric critical care medicine : a journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
–field-weighted citation impact
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

5 citing papers in PubMed.

  1. Article
  2. Article
  3. Promoting Functional Recovery in Critically Ill Children.Pediatric clinics of North America · 2023
    Review
  4. A Core Outcome Measurement Set for Pediatric Critical Care.Pediatric critical care medicine : a journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies · 2022
    Article
  5. Article
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

12 authors.

Erin F CarltonDivision of Critical Care Medicine, Department of Pediatrics, University of Michigan, Ann Arbor, MI.
Neethi PintoDivision of Critical Care Medicine, Department of Anesthesiology and Critical Care Medicine, Children's Hospital of Philadelphia, University of Pennsylvania Perelman School of Medicine, Philadelphia, PA.
McKenna SmithDepartment of Pediatrics, Critical Care Medicine, University of Utah School of Medicine, Salt Lake City, UT.
Ericka L FinkDepartment of Critical Care Medicine, University of Pittsburgh School of Medicine, Pittsburgh, PA.
R Scott WatsonDepartment of Pediatrics, University of Washington School of Medicine, Seattle, WA.
K Sarah HoehnDivision of Critical Care Medicine, Department of Pediatrics, University of Chicago Comer Children's Hospital, Chicago, IL.
Neelima MarupudiCenter for Clinical and Translational Research, Seattle Children's Research Institute, Seattle, WA.
Leslie A DervanDepartment of Pediatrics, University of Washington School of Medicine, Seattle, WA.
Mellanye LackeyUniversity of Nevada Las Vegas Health Sciences Library, Las Vegas, NV.
Melissa RingwoodDepartment of Pediatrics, Critical Care Medicine, University of Utah School of Medicine, Salt Lake City, UT.
Aline B MadduxDepartment of Pediatrics, Section of Critical Care Medicine, University of Colorado School of Medicine and Children's Hospital Colorado, Aurora, CO.
the POST-PICU Investigators of the PALISI Network and the Eunice Kennedy Shriver National Institute of Child Health and Human Development Collaborative Pediatric Critical Care Research Network

Funding

Data Coordinating Center for the Collaborative Pediatric Critical Care Research NetworkU01HD049934 · NICHD · UNIVERSITY OF UTAH · PI DEAN, JONATHAN MICHAEL · 2005 to 2020
$35.2M
Renewal Application for the Childrens Hospital of Pittsburgh Collaborative Pediatric Critical Care Research Network SiteUG1HD049983 · NICHD · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI CARCILLO, JOSEPH A · 2015 to 2020
$1.6M
Functional Outcomes after Prolonged Mechanical Ventilation in ChildrenK23HD096018 · NICHD · UNIVERSITY OF COLORADO DENVER · PI MADDUX, ALINE BERNARD · 2019 to 2023
$807k
NICHD NIH HHS K23 HD096018NICHD NIH HHS U01 HD049934NICHD NIH HHS UG1 HD049983
6 · The paper itself

Abstract

objectivesFamilies identify overall health as a key outcome after pediatric critical illness. We conducted a planned secondary analysis of a scoping review to determine the methods, populations, and instruments used to evaluate overall health outcomes for both children and their families after critical illness.

designPlanned Secondary Analysis of a Scoping Review.

settingWe searched PubMed, EMBASE, PsycINFO, Cumulative Index of Nursing and Allied Health Literature, and the Cochrane Controlled Trials Registry databases from 1970 to 2017 to identify studies which measured postdischarge overall health of children who survived critical illness and their families. SUBJECTS: Articles reporting overall health outcomes after pediatric critical illness.

interventionsNone. MEASUREMENTS AND MAIN

resultsAmong the 407 articles which measured outcomes following pediatric critical illness, 161 (40%) measured overall health. The overall health domain was most commonly measured in traumatic brain injury (44%) and the general PICU populations (16%). In total, there were 39 unique measures used to evaluate overall health. Across all subjects, seven measures accounted for 89% of instruments, with the Glasgow Outcome Scale (47%) and the Pediatric Overall Performance Category (17%) being most commonly used. Excluding studies targeting survivors of traumatic brain injury, Pediatric Overall Performance Category, Glasgow Outcome Scale, and the General Health Questionnaire were the most commonly used instruments. Patients were followed for a median 10.5 months (interquartile range, 4.5-21 mo).

conclusionsOverall health was commonly assessed post-PICU discharge, especially in the traumatic brain injury population, using a heterogenous array of measures. Evaluation and consensus are imperative to identify the most appropriate method to measure overall health with the goal of improving care efficacy and facilitating recovery across populations of critically ill children.

Indexed as

AftercareCritical IllnessChildConsensusHumansPatient DischargeSurvivors

Identifiers

PMID34261948
PMCPMC8639621

What OpenQuestion holds

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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.