Morbidity

Heneghan, Julia A.; Pollack, Murray M.

doi:10.1016/j.pcl.2017.06.011

Cited by 54 publications

(36 citation statements)

References 45 publications

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“…The development of morbidities after a stay in the pediatric ICU has been reported in previous studies, ( 3 , 14 , 15 , 20 , 21 ) but for a wide range of diseases/situations. Considering this scenario, the present study is the first to investigate the functional status of pediatric patients with congenital heart disease who have undergone surgery and were admitted to the pediatric ICU using the FSS-Brazil.…”

Section: Discussionsupporting

confidence: 54%

“…Studies of functional outcomes after pediatric ICU stay have gained prominence recently, but they have include patients with a wide range of illnesses. ( 20 - 22 ) In Brazil, studies on functional deficits in specific illnesses are scarce, ( 14 ) making it difficult to identify potential risk groups and factors that may be associated with worsened functional status after discharge from the pediatric ICU.…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Functional deficit in children with congenital heart disease undergoing surgical correction after intensive care unit discharge

Schunck

Schaan

Pereira

et al. 2020

Revista Brasileira De Terapia Intensiva

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Objective To evaluate the functional status of pediatric patients undergoing congenital heart surgery after discharge from the intensive care unit, and to evaluate the correlations among clinical variables, functional status and surgical risk. Methods Cross-sectional study including patients aged 1 month to less than 18 years undergoing congenital heart surgery between October 2017 and May 2018. Functional outcome was assessed by the Functional Status Scale, surgical risk classification was determined using the Risk Adjustment for Congenital Heart Surgery-1 (RACHS-1), and clinical variables were collected from electronic medical records. Results The sample comprised 57 patients with a median age of 7 months (2 - 17); 54.4% were male, and 75.5% showed dysfunction, which was moderate in 45.6% of the cases. RACHS-1 category > 3 was observed in 47% of the sample, indicating higher surgical risk. There was a correlation between functional deficit and younger age, longer duration of invasive mechanical ventilation and longer intensive care unit stay. Moreover, greater functional deficit was observed among patients classified as RACHS-1 category > 3. Conclusion The prevalence of functional deficit was high among children and adolescents with congenital heart disease after cardiac surgery. Higher surgical risk, longer duration of invasive mechanical ventilation, longer intensive care unit stay and younger age were correlated with worse functional status.

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Section: Discussionsupporting

confidence: 54%

Section: Introductionmentioning

confidence: 99%

Functional deficit in children with congenital heart disease undergoing surgical correction after intensive care unit discharge

Schunck

Schaan

Pereira

et al. 2020

Revista Brasileira De Terapia Intensiva

View full text Add to dashboard Cite

show abstract

“…As our detection and treatment of various illnesses in the PICU improves, so does PICU survival; however, this may also be associated with greater long-term morbidity ( 48 ). At this time, it remains unclear whether the association between AKI and long-term mortality and healthcare utilization is related to the direct effect of kidney damage or if AKI is a marker of medical complexity.…”

Section: Discussionmentioning

confidence: 99%

Acute Kidney Injury in Critically Ill Children Is Not all Acute: Lessons Over the Last 5 Years

et al. 2021

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Acute kidney injury (AKI) in the pediatric intensive care unit (PICU) is an important risk factor for increased morbidity and mortality during hospitalization. Over the past decade, accumulated data on children and young people indicates that acute episodes of kidney dysfunction can have lasting consequences on multiple organ systems and health outcomes. To date, there are no guidelines for follow-up of surviving children that may be at risk of long-term sequelae following AKI in the PICU. This narrative review aims to describe literature from the last 5 years on the risk of medium and long-term kidney and non-kidney outcomes after AKI in the PICU. More specifically, we will focus on outcomes in children and young people following AKI in the general PICU population and children undergoing cardiac surgery. These outcomes include mortality, hypertension, proteinuria, chronic kidney disease, and healthcare utilization. We also aim to highlight current gaps in knowledge in medium and long-term outcomes in this pediatric population. We suggest a framework for future research to develop evidence-based guidelines for follow-up of children surviving an episode of critical illness and AKI.

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“…This aspect is critically important, given the current landscape of pediatric critical care, where decreased mortality has been exchanged for increased short-and long-term morbidities. 19 We also have not determined the optimal timing, dose, or duration of rehabilitation interventions in critically ill children. How much is too much?…”

Section: See Related Article P 25mentioning

confidence: 99%