Evidence map›Paper›PMID 39421878›Full record

ArticleNursing in critical care2025

Patient follow-up after discharge from the paediatric intensive care unit: A scoping review.

Delphine Micaëlli, Jérôme Naudin, Stéphane Dauger, Michaël Levy, Sébastien Kerever

Abstract readScoping Review
In one paragraph

Article in Nursing in critical care, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing 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

6 citing papers in PubMed.

  1. Review
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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.

Delphine MicaëlliMédecine intensive et réanimation pédiatriques, Hôpital Universitaire Robert Debré, Assistance Publique Hôpitaux de Paris, Paris, France.ORCID https://orcid.org/0000-0003-1659-0589
Jérôme NaudinMédecine intensive et réanimation pédiatriques, Hôpital Universitaire Robert Debré, Assistance Publique Hôpitaux de Paris, Paris, France.
Stéphane DaugerMédecine intensive et réanimation pédiatriques, Hôpital Universitaire Robert Debré, Assistance Publique Hôpitaux de Paris, Paris, France.
Michaël LevyMédecine intensive et réanimation pédiatriques, Hôpital Universitaire Robert Debré, Assistance Publique Hôpitaux de Paris, Paris, France.
Sébastien KereverDepartment of Anesthesiology and Critical Care Medicine, Lariboisière University Hospital, DMU PARABOL, AP-HP. Nord, Paris, France.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundMost children admitted to a paediatric intensive care unit (PICU) now survive because of improvements in care. Many studies have identified the psychological, functional, cognitive and social impact of PICU admission on a child and their family. However, expert recommendations on follow-up are lacking.

aimTo identify the strategies of clinical follow-up after PICU discharge performed from 2001 to 2021. STUDY

designThis scoping review was undertaken between January and April 2021 using three databases: PubMed, EMBASE and CINAHL. The search strategy consisted of a combination of keywords, including PICU, post-PICU discharge and follow-up in articles published between 2001 and 2021. The results are reported according to PRISMA-ScR guidelines.

resultsSix-hundred and fifty-two articles were identified and 68 were analysed. Median age was 4.5 years and the two main reasons for PICU admission were cardiorespiratory failure and sepsis. Median length of PICU stay was 8 days. Most follow-up was carried out by research units (88%), while 6% of studies reported follow-up by a multidisciplinary PICU team. The most common follow-up schedule included an assessment at PICU discharge, and then at 3, 6 and 12 months. Follow-up for >1 year was reported in 20% of studies. One third of studies focused on follow-up quality of life and neurological outcomes. Parental emotional impact was assessed in 7% of studies.

conclusionFollow-up after PICU discharge was highly heterogeneous regarding timing, health care professionals involved and assessment methods. There is an urgent need for standardization and coordination of PICU follow-up because of the increasing number of patients impacted by a PICU stay. RELEVANCE TO CLINICAL PRACTICE: Although most patients admitted to a paediatric intensive care unit (PICU) now survive; they may develop paediatric post-intensive care syndrome (PICS-P). To our knowledge, there are currently no clinical guidelines regarding follow-up after PICU discharge. This review summarizes current approaches to follow-up after PICU discharge, including how it is carried out, who is involved and what the main aims of assessment are.

Indexed as

AftercareIntensive Care Units, PediatricPatient DischargeChildChild, PreschoolHumansLength of StayICU outreach/follow‐uppaediatric intensive carepost‐intensive care syndromepsychological issues and support

Identifiers

PMID39421878
PMCPMC12090335

What OpenQuestion holds

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LicenceCC BY-NC-ND
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Registered trials

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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.