Pediatrics international : official journal of the Japan Pediatric Society · 2026
Patient and parental outcomes up to 1 year after pediatric critical illness: A single-center prospective cohort study.
СтатьяНазвание и аннотация: Перевод пока не подготовлен
Обработка статьи · этапы, ошибки и управление
Загрузка состояния…
Ошибки и ограничения
История · было → стало
Состояние обновляется каждые 5 секунд, пока блок открыт. Процент показывается только там, где известен объём работы. Пауза останавливает продолжение этапа; текущий запрос к источнику может завершиться.
Tsuboi Kaoru, Tsuboi Norihiko, Nariai Ryoko, Nakagawa Satoshi
Аннотация
BACKGROUND: Although mortalities in the PICU have decreased, an increasing proportion of PICU survivors are experiencing new morbidities.
METHODS: A single-center prospective cohort study was conducted in a tertiary-care 20-bed PICU. Patients under 16 years old who were admitted between March 2020 and March 2021 and stayed for more than 48 h were included. Web-based questionnaires were sent at the timing of PICU discharge to collect baseline information and at 1, 3, 6, and 12 months after discharge. Functional Status Scale was evaluated at each time point to assess patient outcomes. Hospital anxiety and depression scale was assessed to screen for parental anxiety and depression.
RESULTS: A total of 229 patients and their parents were included. Response rates were 55.5% at PICU discharge and 49.3%, 41.5%, 36.7%, and 33.2% for 1, 3, 6, and 12 months after discharge, respectively. The percentages of patients presenting moderate to very severe disability were 19.4% (25/129), 13.9% (16/115), 13.2% (14/106), 9.3% (8/86), 9.0% (7/78), respectively. Moderate-to-severe anxiety was observed in 30.7% (39/127), 20.3% (23/113), 12.6% (12/95), 8.4% (7/84), 10.5% (8/76), and moderate-to-severe depression in 41.7% (53/127), 38.0% (43/113), 33.7% (32/95), 27.4% (23/84), and 19.7% (15/76) of the parents at each time point.
CONCLUSIONS: An upward trend in functional outcomes was observed in PICU survivors over the first year after discharge. However, parental anxiety and depression persisted, indicating the profound psychological impact of pediatric critical illness on family members.
METHODS: A single-center prospective cohort study was conducted in a tertiary-care 20-bed PICU. Patients under 16 years old who were admitted between March 2020 and March 2021 and stayed for more than 48 h were included. Web-based questionnaires were sent at the timing of PICU discharge to collect baseline information and at 1, 3, 6, and 12 months after discharge. Functional Status Scale was evaluated at each time point to assess patient outcomes. Hospital anxiety and depression scale was assessed to screen for parental anxiety and depression.
RESULTS: A total of 229 patients and their parents were included. Response rates were 55.5% at PICU discharge and 49.3%, 41.5%, 36.7%, and 33.2% for 1, 3, 6, and 12 months after discharge, respectively. The percentages of patients presenting moderate to very severe disability were 19.4% (25/129), 13.9% (16/115), 13.2% (14/106), 9.3% (8/86), 9.0% (7/78), respectively. Moderate-to-severe anxiety was observed in 30.7% (39/127), 20.3% (23/113), 12.6% (12/95), 8.4% (7/84), 10.5% (8/76), and moderate-to-severe depression in 41.7% (53/127), 38.0% (43/113), 33.7% (32/95), 27.4% (23/84), and 19.7% (15/76) of the parents at each time point.
CONCLUSIONS: An upward trend in functional outcomes was observed in PICU survivors over the first year after discharge. However, parental anxiety and depression persisted, indicating the profound psychological impact of pediatric critical illness on family members.