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Self-Reported Fatigue in Children Following Intensive Care Treatment

Gillian A Colville1,2,3, Christine M Pierce1, Mark J Peters1

  • 1Paediatric Intensive Care Unit, Great Ormond Street Hospital for Children NHS Foundation Trust, London, United Kingdom.

Pediatric Critical Care Medicine : a Journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies
|November 22, 2018
PubMed

Insights

Pediatric intensive care unit (PICU) survivors reported similar overall fatigue levels to healthy children, but experienced more cognitive fatigue. Traumatic brain injury survivors reported less sleep/rest fatigue.

Area of Science:

  • Pediatric critical care outcomes
  • Childhood health research
  • Quality of life studies

Background:

  • Adults frequently report fatigue post-intensive care, yet pediatric data is limited.
  • Understanding fatigue in pediatric intensive care unit (PICU) survivors is crucial for comprehensive care.
  • This study addresses the knowledge gap regarding fatigue in children after critical illness.

Purpose of the Study:

  • To investigate the prevalence and characteristics of self-reported fatigue in pediatric survivors of critical illness.
  • To compare fatigue levels in PICU survivors with a healthy peer group.
  • To explore potential differences in fatigue based on specific conditions like traumatic brain injury.

Main Methods:

  • Prospective cohort study design.
  • Inclusion of 97 children aged 7-17 years discharged from a tertiary children's hospital's PICU.
  • Utilized the Pediatric Quality of Life Inventory Multidimensional Fatigue Scale at 3 months post-discharge.

Main Results:

  • PICU survivors showed comparable mean total fatigue scores to healthy peers (79.6 vs 81.8).
  • Survivors reported significantly greater cognitive fatigue compared to controls (p=0.048).
  • Children with traumatic brain injury reported less sleep/rest fatigue than other survivors (p=0.006).

Conclusions:

  • The Pediatric Quality of Life Inventory Multidimensional Fatigue Scale is a valuable tool for assessing outcomes in PICU survivors.
  • Recognizing the heterogeneity of PICU patients and the multifaceted nature of fatigue is essential.
  • Further research should consider the diverse experiences of fatigue among pediatric critical illness survivors.
Abstract

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