Evidence map›Paper›PMID 37357737›Full record

ArticleHospital pediatrics2023

Long-term Pain Symptomatology in PICU Survivors Aged 8-18 Years.

Amy L Holley, Eleanor A J Battison, Jessica Heierle, Denae Clohessy, Dalton Wesemann, Trevor Hall, Ben Orwoll, Anna C Wilson, Cydni Williams

Abstract read
In one paragraph

Article in Hospital pediatrics, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. Review
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

9 authors.

Amy L HolleyDivision of Pediatric Psychology, Department of Pediatrics.
Eleanor A J BattisonDivision of Pediatric Psychology, Department of Pediatrics.
Jessica HeierleDivision of Pediatric Psychology, Department of Pediatrics.
Denae ClohessyDivision of Pediatric Psychology, Department of Pediatrics.
Dalton WesemannDivision of Pediatric Psychology, Department of Pediatrics.
Trevor HallDivision of Pediatric Psychology, Department of Pediatrics.
Ben OrwollDivision of Pediatric Critical Care, Departments of Pediatrics.
Anna C WilsonDivision of Pediatric Psychology, Department of Pediatrics.
Cydni WilliamsDivision of Pediatric Critical Care, Departments of Pediatrics.

Funding

Sleep Management And Recovery after Traumatic Brain Injury in Kids (SMART-Kids): Evidence for targeting sleep to improve outcomesK23HL150229 · NHLBI · OREGON HEALTH & SCIENCE UNIVERSITY · PI WILLIAMS, CYDNI NICOLE · 2020 to 2024
$790k
NHLBI NIH HHS K23 HL150229
6 · The paper itself

Abstract

BACKGROUND AND

objectivesChildren discharged from the PICU often experience long-term physical, psychological, social and cognitive challenges, described as postintensive care syndrome. This study fills a critical gap by describing the long-term pain symptoms many children experience using child self-report.

methodsParticipants in this cross-sectional study were children aged 8 to 18 years (and 1 parent, n = 64 dyads) who were 8 to 24 months post-PICU discharge. Participants completed measures assessing pain, psychosocial function, and treatment utilization. Health information relevant to the PICU admission was obtained from the electronic medical record.

resultsChildren were an average age of 14.3 years and 50% female. Average pain intensity in the past month was 3.65 (0-10 numeric rating scale), with 36% of children reporting pain ≥2 to 3 days a week. Youth with higher intensity (≥4) and more frequent pain (≥2-3 days a week) had greater pain catastrophizing, pain-related fear, anxiety, and sleep disturbance than those with less frequent and intense pain. Higher pain frequency was also associated with greater pain-related disability and depressive symptoms. Pain was not associated with any PICU-related variables abstracted from the electronic medical record. Parents reported children frequently accessed pain treatment services postdischarge; however, 37.5% reported the coronavirus disease 2019 pandemic impacted access to recommended services.

conclusionsA significant portion of children experience pain post-PICU discharge. For many of these children, pain is frequent and is associated with impairments in psychosocial function. Future prospective research studies can be used to identify risk factors of poor pain outcomes so children can receive targeted interventions.

Indexed as

COVID-19Patient DischargeAdolescentAftercareChildCross-Sectional StudiesFemaleHumansIntensive Care Units, PediatricMalePainSurvivors

Identifiers

PMID37357737
PMCPMC10312233

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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.