Post-intensive care syndrome in paediatrics: Setting our sights on survivorship
Abstract
Broader access to health care, preventive policies, and medical and technological advances have collectively contributed to very low rates of observed mortality from paediatric critical illness in high-income countries. However, increased survival has been paralleled by a substantial increase in children who leave the paediatric intensive care unit (PICU) with newly acquired or worsening morbidity. Thus, the focus of clinicians and researchers is broadening beyond the PICU.1 As the global burden on health-care systems has increased exponentially during the COVID-19 pandemic, a spotlight has been focused on the fundamental importance of high-quality, humanised ICU care. Changes such as restricted family visitation and redeployment of the PICU workforce to adult ICUs in response to the pandemic have, in many cases, transformed the configuration, organisation, and delivery of PICU services, which might affect care experience, quality, and outcome of all children admitted to the PICU. As we emerge from this pandemic, acute and post-ICU rehabilitation by multidisciplinary teams must support thousands of patients and families worldwide.
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Date
2020
Type
Article
Subject
Child, Critical illness, Intensive care units, Mortality
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Citation
Rodriguez-Rubio, M., Pinto, N.P., Manning, J.C. and Kudchadkar, S.R. (2020) 'Post-intensive care syndrome in paediatrics: Setting our sights on survivorship', The Lancet Child & Adolescent Health, 4(7), pp. 486–488. doi: 10.1016/S2352-4642(20)30170-X https://doi.org/10.1016/S2352-4642(20)30170-X.