Conceptualizing Post Intensive Care Syndrome in Children - The PICS-p Framework

Joseph Manning, Neethi Pinto, Janet Rennick, Gillian Colville, Martha Curley

    Research output: Contribution to journalArticle

    35 Citations (Scopus)
    146 Downloads (Pure)

    Abstract

    Context: Over the past several decades, advances in pediatric critical care have saved many lives. As such, contemporary care has broadened its focus to also include minimizing morbidity. Post-Intensive Care Syndrome, also known as PICS, is a group of cognitive, physical and mental health impairments that commonly occur in patients after intensive care unit discharge. PICS has been well-conceptualized in the adult population but not in children.
    Objective: To develop a conceptual framework describing Post-Intensive Care
    Syndrome in pediatrics (PICS-p) that includes aspects of the experience that are
    unique to children and their families.
    Data Synthesis: The PICS-p framework highlights the importance of baseline status, organ system maturation, psychosocial development, the interdependence of family, and trajectories of health recovery that can potentially impact a child's life for decades.
    Conclusion: PICS-p will help illuminate the phenomena of surviving childhood critical illness and guide outcomes measurement in the field. Empirical studies are now required to validate and refine this framework, and to subsequently develop a set of core outcomes for this population. With explication of PICS-p, the discipline of pediatric critical care will then be in a stronger position to map out recovery after pediatric critical illness and to evaluate interventions designed to mitigate risk for poor outcomes with the goal of optimizing child and family health.
    Original languageEnglish
    Pages (from-to)298-300
    Number of pages3
    JournalPediatric Critical Care Medicine
    Volume19
    Issue number4
    Early online date6 Feb 2018
    DOIs
    Publication statusPublished - 1 Apr 2018

    Keywords

    • Anxiety
    • Cognitive function
    • poly-neuropathy
    • posttraumatic growth
    • Survivors

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